Cetuximab & Concomitant-Boost Accelerated RT in Patients With Locally Advanced Oropharynx Squamous Cell Carcinoma.
Open Label Randomized Phase II, Multicentre, Pilot Study to Evaluate Safety and Efficacy of the Combination of Cetuximab and Concomitant-Boost Accelerated Radiotherapy Followed or Not by a Complementary Treatment With Cetuximab in Patients With Locally Advanced Oropharynx Squamous Cell Carcinoma.
1 other identifier
interventional
90
1 country
18
Brief Summary
The purpose of this study is to determine the 1-year rate of locoregional disease control in the experimental arm, using a control arm to avoid selection bias.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Nov 2005
Typical duration for phase_2
18 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2005
CompletedFirst Submitted
Initial submission to the registry
November 9, 2005
CompletedFirst Posted
Study publicly available on registry
November 10, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2009
CompletedOctober 26, 2006
October 1, 2006
November 9, 2005
October 25, 2006
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
1-year rate of Locoregional Disease Control in the experimental arm, deffined as complete and persistent disappearance of disease in the primary tumour and regional lymph nodes.
Secondary Outcomes (1)
Toxicity and safety of treatment will be evaluated using the Common Toxicity Criteria (CTC) of the NCI, version 3.0.; and late toxicity from radiotherapy, using RTOG/EORTC Late Radiation Morbidity Scoring Scheme.
Interventions
Eligibility Criteria
You may qualify if:
- Written informed consent.
- Aged between 18 and 80, inclusive.
- Karnofsky functional status \>= 70% at the time of enrolment in study.
- Life expectancy of more than 3 months.
- Histologically confirmed diagnosis of oropharyngeal squamous cell carcinoma: base of tongue, vallecula, tonsil and tonsillar fossa and pillars, glossotonsillar sulcus, inferior surface of the soft palate, uvula and lateral and posterior oropharyngeal wall.
- Stage III or IV with no evidence of distant metastasis (IVA or IV B)
- Patients in medical conditions to receive a radical concomitant-boost accelerated radiotherapy treatment.
- Neutrophils \>= 1500/ mm3, platelet count \>= 100 000/ mm3 and haemoglobin \>= 10 g/ dL.
- Proper liver function: total bilirubin \<= 1.5 x upper limit of normal (ULN); aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \<= 2.5 x ULN.
- Proper renal function: serum creatinine \<= 1.5 x ULN; if the values are \> 1.5 x ULN, creatinine clearance should be \>= 55 ml/min.
- Serum calcium within normal limits.
- Adequate nutritional state: weight loss \< 20% with respect to usual weight and serum albumin \> 35 g/l.
- Effective birth control method if there is possibility of conception and/or pregnancy.
- Availability of tumour tissue for immunohistochemical analysis of EGFR expression.
You may not qualify if:
- Metastatic disease.
- Previous surgical, radiotherapy and/or chemotherapy treatment for the disease in the study.
- Other non-oropharyngeal tumour sites in the head and neck area.
- Other previous and/or simultaneous squamous cell carcinoma.
- Diagnosis of any other cancer in the previous 5 years, except properly treated carcinoma in situ of the uterine cervix and/or basal cell skin carcinoma.
- Active infection (infection requiring intravenous antibiotics), including active tuberculosis and diagnosed HIV.
- Uncontrolled hypertension defined as systolic blood pressure \>= 180 mm Hg and/or diastolic blood pressure \>= 130 mm Hg at rest.
- Pregnancy (absence of pregnancy must be confirmed with the serum-HCG test) or breast-feeding women.
- Chronic, concomitant systemic immunotherapy, or hormonal treatment for the cancer.
- Other concomitant anti-cancer treatments.
- Clinically significant coronary artery disease, history of myocardial infarction in the previous 12 months or high risk of out of control arrhythmia or cardiac insufficiency.
- Chronic obstructive pulmonary disease which may have required \> 3 hospitalisations in the previous 12 months.
- Out of control active peptic ulcer.
- Presence of a psychological or medical illness which might impede the patient from carrying out the study or giving his or her signature on the informed consent
- Known drug abuse (with the exception of excessive alcohol consumption)
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Trial Form Support S.L.lead
- Merck KGaA, Darmstadt, Germanycollaborator
Study Sites (18)
Hospital Germans Tries i Pujol
Badalona, Barcelona, 08196, Spain
H. del Mar / H. de la Esperanza
Barcelona, Barcelona, 08003, Spain
H. de la Santa Creu I Sant Pau
Barcelona, Barcelona, 08025, Spain
Institut Catala Oncologia: Hospital Duran y Reynals
L'Hospitalet de Llobregat, Barcelona, 08097, Spain
Centro Oncológico Regional de Galicia
A Coruña, Coruña, 15009, Spain
H. Josep Trueta (ICO)
Girona, Girona, 17007, Spain
H. G. Doctor Negrín
Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, 35020, Spain
Clinica Ruber Internacional
Madrid, Madrid, 28034, Spain
H. Ramón y Cajal
Madrid, Madrid, 28034, Spain
Fundación Jiménez Díaz
Madrid, Madrid, 28040, Spain
H. Gregorio Marañón
Madrid, Madrid, 28040, Spain
Complejo Hospitalario Virgen de la Victoria
Málaga, Malaga, 29010, Spain
H. Carlos Haya
Málaga, Malaga, 29010, Spain
H.U. Virgen de la Arrixaca
El Palmar, Murcia, 30120, Spain
Hospital de Navarra
Pamplona, Navarre, 31008, Spain
H. U. de Canarias
Santa Cruz de Tenerife, Santa Cruz de Tenerife, 38320, Spain
H. do Meixoeiro
Vigo, Vigo, 36200, Spain
H.U. de Santiago
Santiago, 15706, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ricard Mesia, MD
Institut Catala Oncologia: Hospital Durán y Reynals
- PRINCIPAL INVESTIGATOR
Joaquin Gomez, MD
Institut Catala Oncologia: Hospital Durán y Reynals
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 9, 2005
First Posted
November 10, 2005
Study Start
November 1, 2005
Study Completion
November 1, 2009
Last Updated
October 26, 2006
Record last verified: 2006-10