This date has not been verified as actual or estimated.
Primary Completion
December 2016
Actual (reported)
Study Completion
December 2016
Actual (reported)
Brief Summary
The combined use of chemotherapeutic drugs with radiation has proven to be effective in improving overall survival and local control among patients with locally advanced head and neck cancer. Induction chemotherapy given before receiving local treatment has been shown to reduce the rate of distant failure. Many drugs have been found to prevent tumor cells from growing or dividing, although it has yet to be determined which agent, or specific combination of agents, is most effective in treating head and neck cancer. Docetaxel is a drug which has been reported to show promising activity in Phase II head and neck cancer studies. Therefore, the purpose of this trial is to compare the effectiveness of induction chemotherapy followed by chemoradiotherapy versus the same chemoradiotherapy alone in patients with locally advanced head and neck cancer.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
285 participants
Study completion date
December 2016
Actual (reported)
Listed locations
5 countries · 26 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
November 2004
Date type not reported
This date has not been verified as actual or estimated.
Cancer of the Pharynx (Nasopharynx, Oropharynx, Hypopharynx)Cancer of the Nasal Cavity and Paranasal Sinuses
Outcome Measures
Primary Outcomes (1)
Overall Survival: Time From Randomization to Death From Any Cause
Survival rates over 6 years.
Up to 6 years
Secondary Outcomes (12)
Distant Failure-free Survival (DFFS): Time From Randomization to Distant Recurrence or Death From Any Cause
Up to 6 years
Recurrence Free Survival: Time From Randomization to Local/Regional/Distant Recurrence or Death From Any Cause
Up to 6 years
Study Arms (2)
Induction plus chemoradiotherapy
ACTIVE COMPARATOR
Induction therapy: Two 21-day cycles of chemotherapy consisting of docetaxel (75 mg/m2, day 1), cisplatin (75 mg/m2, day 1), and 5-fluorouracil (750 mg/m2/day, days 1-5). Total duration of 6 weeks.
Chemoradiotherapy: Five 14-day cycles of docetaxel (25 mg/m2, day 1), 5-fluorouracil (600 mg/m2/day, day 0-4), and hydroxyurea (500 mg PO q 12 hours x 6 days (11 doses)) with twice daily radiation (150 cGy given bid, days 1-5). Total duration of 10 weeks.
Chemoradiotherapy: Five 14-day cycles of docetaxel (25 mg/m2, day 1), 5-fluorouracil (600 mg/m2/day, day 0-4), and hydroxyurea (500 mg PO q 12 hours x 6 days (11 doses)) with twice daily radiation (150 cGy given bid, days 1-5). Total duration of 10 weeks.
Interventions
docetaxelDrug
75 mg/m2 on day 1 (induction phase); 25 mg/m2 on day 1 (chemoradiotherapy phase)
ChemoradiotherapyInduction plus chemoradiotherapy
cisplatinDrug
75 mg/m2 on day 1
Induction plus chemoradiotherapy
Eligibility Criteria
Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Age 18 years or older
Histologically or cytologically confirmed diagnosis of squamous cell or poorly differentiated carcinomas of the head and neck (excluding lip), or lymphoepithelioma
Each cycle: 500 mg PO q 12 hours x 6 days (11 doses)
ChemoradiotherapyInduction plus chemoradiotherapy
fluorouracilDrug
750 mg/m2/day on days 1-5 (induction phase); 600 mg/m2/day, day 0-4 (chemoradiotherapy phase)
ChemoradiotherapyInduction plus chemoradiotherapy
chemotherapyProcedure
See protocol for details
ChemoradiotherapyInduction plus chemoradiotherapy
radiotherapyProcedure
See protocol for details
ChemoradiotherapyInduction plus chemoradiotherapy
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
No prior chemotherapy or radiotherapy
Prior surgical therapy will consist only of incisional or excisional biopsy, and organ sparing procedures such as debulking of airway-compromising tumors or neck dissection in a patient with an existing primary tumor
Karnofsky performance status of \>= 70%
Intact organ and bone marrow function
Obtained informed consent
You may not qualify if:
Demonstration of metastatic disease (i.e. M1 disease).
Patients with a history of severe allergic reaction to docetaxel or other drugs formulated with polysorbate 80. History of allergic reactions attributed to compounds of similar chemical or biologic composition to cisplatin, 5-fluorouracil, or hydroxyurea
Other coexisting malignancies or malignancies diagnosed within the previous 3 years with the exception of basal cell carcinoma, cervical cancer in situ, and other treated malignancies with no evidence of disease for at least 3 years.
Prior surgical therapy other than incisional or excisional biopsy and organ-sparing procedures such as debulking of airway-compromising tumors or neck dissection in a patient with an unknown primary tumor. Any non-biopsy procedure must have taken place less than 3 months from initiating protocol treatment.
Incomplete healing from previous surgery
Pregnancy or breast feeding (men and women of child-bearing potential are eligible but must consent to using effective contraception during therapy and for at least 3 months after completing therapy)
Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure (CHF), unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
Uncontrolled active infection unless curable with treatment of their cancer.
Contact the study team to confirm eligibility.
Joliet Oncology Hematology Associates
Joliet, Illinois, 60435, United States
Fort Wayne Medical Oncology/Hematology Inc.
Fort Wayne, Indiana, 46815, United States
AP&S Clinic, LLC
Terre Haute, Indiana, 47807, United States
University of Kansas Cancer Center
Kansas City, Kansas, 66160, United States
Henry Ford Health System
Detroit, Michigan, 48202, United States
Oncology Care Associates PLLC
Saint Joseph, Michigan, 49085, United States
University of Minnesota
Minneapolis, Minnesota, 55455, United States
Kansas City VA Medical Center
Kansas City, Missouri, 64128, United States
Roger Maris Cancer Center
Fargo, North Dakota, 58122, United States
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111, United States
University of Tennessee Cancer Institute
Memphis, Tennessee, 38104, United States
UT Health Science Center at San Antonio
San Antonio, Texas, 78258, United States
Oncology Alliance
Milwaukee, Wisconsin, 53215, United States
Clinic of Oncology, University Hospital Center Zagreb
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