Neoadjuvant Cetuximab in HNSCC Combined With Curative Surgery
CHIRON
Neoadjuvant Cetuximab Monotherapy Followed by Surgery in Squamous Cell Carcinoma of Head and Neck: Phase I/II Study
1 other identifier
interventional
34
1 country
1
Brief Summary
Primary diagnose HNSCC carcinoma patients eligible for curative surgery will be proposed the addition of 2 or 3 neoadjuvant cetuximab infusions. The main objective is to reduce to a minimal delay the time elapsing between last infusion and surgery. Iterative biomarkers will be taken at 6 time points permitting to investigate expression gen profile and protein mutation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1 head-and-neck-cancer
Started Jul 2008
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2008
CompletedFirst Submitted
Initial submission to the registry
July 8, 2008
CompletedFirst Posted
Study publicly available on registry
July 14, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2011
CompletedNovember 14, 2012
November 1, 2012
2.8 years
July 8, 2008
November 13, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To investigate the safety administration of cetuximab - Phase 1: to determine the safe minimum delay between preoperative cetuximab infusion and surgery -Phase II: to investigate the safety of the minimum delay determined in the phase I part.
10 weeks
Secondary Outcomes (3)
To investigate the safety of postoperative radiation therapy in combination with cetuximab
10 weeks
To investigate the efficacy of cetuximab monotherapy in the pre-operative setting, using FDG-PET and PET/CT scan.
10 weeks
To perform translational research
10 weeks
Study Arms (1)
I-1
OTHERThis is a phase I/II trial. PhaseI: The delay between the last administration of cetuximab and surgery will be progressively reduced. Five delay schedules are pre-defined before final administration of 3 preoperative doses of cetuximab with a 24-hour delay between the last dose of cetuximab and surgery. The cohort size is 3 patients per delay schedule, extended to 6 patients if one "limiting toxicity" is observed. Phase II: will proceed if delay schedule V is safe. The patients included in delay schedule V of the Phase I part of the study will be involved in the phase II analysis. Recruitment of a total of 12 patients (3-6 of delay schedule V in phase I plus an additional 3-9 patients).
Interventions
Eligibility Criteria
You may qualify if:
- More than 18 years
- Histologically proven squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx or larynx
- patients selected for a primary surgical treatment
- No distant metastases
- No active second malignancy during the last 5 years
- No prior or concurrent evidence of uncontrolled severe pathology precluding administration of surgery
- life expectancy more than 3 months
- Not pregnant or nursing; fertile patients both male or female, must use effective contraception
- Signed informed consent
- Performance Status ECOG 0-1
You may not qualify if:
- Nasopharynx cancer
- Past or current malignancy other than HNSCC
- performance Status ECOG above 2
- Concurrent chronic systemic immune therapy, chemotherapy, or hormone therapy not indicated in the study protocol
- Use of any investigationals agents within 4 weeks prior ti entry
- Previous exposure to EGFR targeting therapy
- Known grade hypersensitivity to cetuximab
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Cliniques Universitaires St Luc-UCL
Brussels, 1200, Belgium
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jean-Pascal H Machiels, MD PhD
Cliniques Universitaires St Luc-UCL
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 8, 2008
First Posted
July 14, 2008
Study Start
July 1, 2008
Primary Completion
May 1, 2011
Study Completion
May 1, 2011
Last Updated
November 14, 2012
Record last verified: 2012-11