Postoperative Concurrent Chemoradiotherapy With Docetaxel for High-Risk Squamous Cell Carcinoma of Head and Neck

NCT ID: NCT02776137

Last Updated: 2020-08-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

91 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-31

Study Completion Date

2019-02-28

Brief Summary

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This is a non-randomized, phase II, open label study of postoperative concurrent chemoradiotherapy with docetaxel for high-risk squamous cell carcinoma of the head and neck(HNSCC).The primary purpose of this study is to evaluate the efficacy and safety of concurrent chemoradiotherapy with docetaxel in HNSCC patients.

Detailed Description

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Conditions

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Head-and-neck Cancer Squamous Cell Carcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Docetaxel Group

Concurrent Chemoradiotherapy With Docetaxel

Group Type EXPERIMENTAL

Docetaxel

Intervention Type DRUG

Docetaxel: 20mg/m2/w for 6 weeks

Intensity-modulated radiotherapy

Intervention Type RADIATION

a total dose of 60Gy in 30 fractions over 6 weeks

Interventions

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Docetaxel

Docetaxel: 20mg/m2/w for 6 weeks

Intervention Type DRUG

Intensity-modulated radiotherapy

a total dose of 60Gy in 30 fractions over 6 weeks

Intervention Type RADIATION

Other Intervention Names

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IMRT

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed squamous cell carcinoma of the head and neck.Site of tumor origin in the oral cavity, oropharynx, larynx, or hypopharynx (excluding nasopharynx, or sinuses)
2. Gross total resection, with pathology demonstrating one or more of the following risk factors:

1. Histologic extracapsular nodal extension
2. Histologic involvement of ≥ 2 regional lymph nodes
3. Invasive cancer seen on microscopic evaluation of the resection margin, with no evidence of gross tumor residual
3. No evidence of distant metastases
4. No synchronous or concurrent head and neck primary tumors
5. Karnofsky score over 60
6. Adequate organ function including the following:

1. Absolute neutrophil count (ANC) \>= 1.5 \* 10\^9/l
2. Platelets count \>= 100 \* 10\^9/l
3. Hemoglobin \>= 10 g/dl
4. AST and ALT \<= 2.5 times institutional upper limit of normal (ULN)
5. Total bilirubin \<= 1.5 times institutional ULN
6. Creatinine clearance \>= 50 ml/min
7. Serum creatine \<= 1 times ULN
7. Signed written informed consent

Exclusion Criteria

1. Evidence of distant metastasis
2. Prior chemotherapy or anti-cancer biologic therapy for any type of cancer, or prior radiotherapy to the head and neck region
3. Other previous cancer, except for in situ cervical cancer and cutaneous basal cell carcinoma
4. Pregnant or breast-feeding females, or females and males of childbearing potential not taking adequate contraceptive measures
5. Presence of an uncontrolled concomitant illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University

OTHER

Sponsor Role lead

Responsible Party

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Guopei Zhu

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Guopei Zhu, M.D.

Role: PRINCIPAL_INVESTIGATOR

Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University

Locations

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Shanghai ninth people's hospital

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Li R, Jiang W, Dou S, Zhong L, Sun J, Zhang C, Zhu G. A Phase 2 Trial of Chemoradiation Therapy Using Weekly Docetaxel for High-Risk Postoperative Oral Squamous Cell Carcinoma Patients. Int J Radiat Oncol Biol Phys. 2020 Jul 1;107(3):462-468. doi: 10.1016/j.ijrobp.2020.02.464. Epub 2020 Feb 29.

Reference Type DERIVED
PMID: 32126267 (View on PubMed)

Other Identifiers

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2016HNRT001

Identifier Type: -

Identifier Source: org_study_id

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