Concurrent Chemotherapy Based on Genetic Testing in Patients With High-Risk Salivary Gland Tumors

NCT ID: NCT02921984

Last Updated: 2018-03-20

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

PHASE1

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2017-08-31

Brief Summary

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The role of postoperative concurrent chemotherapy (CCT) has not been established for salivary gland tumors (SGTs). This prospective study was conducted to evaluate the feasibility and safety of customized CCT regimens based on the gene targets of SGTs.

Detailed Description

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Conditions

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Salivary Gland Tumors Head and Neck Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Docetaxel arm

Concurrent chemotherapy with Docetaxel if genetic testing show that the patient should be sensitive to this drug.

Group Type EXPERIMENTAL

Docetaxel

Intervention Type DRUG

Docetaxel only: 80 mg/m2 on day one, every 21 days if

Intensity-modulated radiotherapy

Intervention Type RADIATION

a total dose of 60-66Gy in 30-32 fractions over 6-7 weeks

Pemetrexed arm

Concurrent chemotherapy with Pemetrexed if genetic testing show that the patient should be sensitive to this drug.

Group Type EXPERIMENTAL

Intensity-modulated radiotherapy

Intervention Type RADIATION

a total dose of 60-66Gy in 30-32 fractions over 6-7 weeks

Pemetrexed

Intervention Type DRUG

Pemetrexed only: 500 mg/m2 on day one, every 21 days

Cisplatin arm

Concurrent chemotherapy with Cisplatin if genetic testing show that the patient was nor sensitive to neither Pemetrexed nor Docetaxel

Group Type EXPERIMENTAL

Intensity-modulated radiotherapy

Intervention Type RADIATION

a total dose of 60-66Gy in 30-32 fractions over 6-7 weeks

Cisplatin

Intervention Type DRUG

Cisplatin only: 70 mg/m2 on day one to day three, every 21 days

Interventions

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Docetaxel

Docetaxel only: 80 mg/m2 on day one, every 21 days if

Intervention Type DRUG

Intensity-modulated radiotherapy

a total dose of 60-66Gy in 30-32 fractions over 6-7 weeks

Intervention Type RADIATION

Pemetrexed

Pemetrexed only: 500 mg/m2 on day one, every 21 days

Intervention Type DRUG

Cisplatin

Cisplatin only: 70 mg/m2 on day one to day three, every 21 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Pathologically proven diagnosis of a malignant salivary gland tumor of intermediate or high-grade
2. Pathologic stage T3-4 or N1-3 or T1-2, N0 with a close (≤ 5mm) or microscopically positive surgical margin
3. Surgical resection with curative intent within 8 weeks prior to registration, with no evidence of gross tumor residual
4. No evidence of distant metastases
5. No synchronous or concurrent head and neck primary tumors
6. Karnofsky score over 60
7. 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
8. 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

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Guopei Zhu

Role: STUDY_CHAIR

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

Other Identifiers

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2013HNRT01

Identifier Type: -

Identifier Source: org_study_id

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