TPF Induction With Concomitant Chemoradiation to Treat Patients With Head and Neck Cancer
Condor
A Randomised Study of TPF as Neoadjuvant Chemotherapy Followed by Concomitant Chemoradiotherapy (CRT) With Conventional Radiotherapy (RT) Versus Concomitant CRT With Accelerated RT in Patients With Locally Advanced Head and Neck Squamous Cell Cancer (HNSCC) in Good Condition. The Condor Study. A Study of the Dutch Head and Neck Cancer Group (DHNCG).
1 other identifier
interventional
70
1 country
2
Brief Summary
The purpose of this trial is to compare two different treatments for fit patients with head and neck cancer: All patients are given induction-chemotherapy (docetaxel, cisplatin, 5-FU). Subsequently patients are being randomised into two groups:
- The first group receives neo-adjuvant chemotherapy ('high' dose cisplatin) and conventional radiotherapy
- The second group receives neo-adjuvant chemotherapy ('low' dose cisplatin) and accelerated radiotherapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 head-and-neck-cancer
Started Dec 2008
2 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
First Submitted
Initial submission to the registry
October 16, 2008
CompletedFirst Posted
Study publicly available on registry
October 17, 2008
CompletedStudy Start
First participant enrolled
December 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2012
CompletedApril 11, 2012
April 1, 2012
3.3 years
October 16, 2008
April 10, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
feasibility of both study-arms
2 years
Secondary Outcomes (1)
to assess the toxicity profile, tumour response, disease free survival and overall survival in both study-arms. Also QoL will be measured.
2 years
Study Arms (2)
1
ACTIVE COMPARATORInduction Chemotherapy with TPF Then: cisplatin 100 mg/m2 on day 1, 22 and 43 combined with conventional radiotherapy
2
ACTIVE COMPARATORInduction chemotherapy with TPF Then cisplatin 40mg/m2 on day 1,8,15,22,29 and 35 combined with accelerated radiotherapy
Interventions
radiotherapy: 5 fractions/week, total treatment time 7 weeks. Dose to gross tumor volume 70 Gy/35 fractions, dose to elective nodal areas 46 Gy/23 fractions. 100 mg/m2 cisplatin iv on day 1, 22 and 43
Accelerated radiotherapy 6 fractions/week, total treatment time 6 weeks. During one of the weekdays two fractions will be delivered with an interval of at least 6h. Dose to gross tumor volume 70 Gy/35 fractions, dose to elective nodal areas 46 Gy/23 fractions cisplatin 40 mg/m2 iv on day 1,8,18,22,29,35
Eligibility Criteria
You may qualify if:
- Histology and staging disease
- Histologically or cytologically proven non-metastatic locally advanced HNSCC, stage III or IV, for which concomitant chemo-radiotherapy would be the standard therapy
- Patients can be included either with irresectable disease or for which the concomitant chemoradiotherapy was chosen for organ preservation
- Measurable disease
- Primary site: oral cavity, oropharynx, hypopharynx and larynx
- General conditions
- Written informed consent
- Age \>18 years and ≤ 65 years
- WHO performance status 0-1
- Adequate bone marrow function (WBC \> 3.0 x 109/L, platelets \> 100 x 109/L, Hb \> 6 mmol/L)
- Adequate hepatic function: total bilirubin \< 1. 5 x upper normal limit, ASAT and ALAT \< 2.5 x upper normal limits
- Adequate renal function: calculated creatinin clearance \> 60ml/min. (Cockcroft-Gault formula) Other
- Expected adequacy of follow-up.
You may not qualify if:
- General conditions
- Active alcohol addiction
- Admission for COPD in the last 12 months
- Weight loss \> 10% in 3 months before entry
- Pregnancy or lactation
- Patients (M/F) with reproductive potential not implementing adequate contraceptives measures
- Prior or current history
- Prior surgery, radiotherapy or chemotherapy for this tumor
- Serious concomitant diseases preventing the safe administration of chemotherapy and/or radiotherapy or likely to interfere with the study assessments
- Serious active infections
- Other malignancies in the past 5 years with the exception of adequately treated carcinoma in situ of the cervix, or squamous or basal cell carcinoma of the skin
- Concomitant treatments
- Concomitant (or within 4 weeks before randomisation) administration of any other experimental drug under investigation
- Concurrent treatment with any other anti-cancer therapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Radboud University Medical Centerlead
- Sanoficollaborator
Study Sites (2)
Netherlands Cancer Institute
Amsterdam, Netherlands
University Medical Center Nijmegen st Radboud
Nijmegen, 6525 GH, Netherlands
Related Publications (2)
Driessen CML, Groenewoud JMM, de Boer JP, Gelderblom H, van der Graaf WTA, Prins JB, Kaanders JHAM, van Herpen CML. Quality of life of patients with locally advanced head and neck cancer treated with induction chemotherapy followed by cisplatin-containing chemoradiotherapy in the Dutch CONDOR study: a randomized controlled trial. Support Care Cancer. 2018 Apr;26(4):1233-1242. doi: 10.1007/s00520-017-3946-7. Epub 2017 Dec 11.
PMID: 29230548DERIVEDDriessen CM, de Boer JP, Gelderblom H, Rasch CR, de Jong MA, Verbist BM, Melchers WJ, Tesselaar ME, van der Graaf WT, Kaanders JH, van Herpen CM. Induction chemotherapy with docetaxel/cisplatin/5-fluorouracil followed by randomization to two cisplatin-based concomitant chemoradiotherapy schedules in patients with locally advanced head and neck cancer (CONDOR study) (Dutch Head and Neck Society 08-01): A randomized phase II study. Eur J Cancer. 2016 Jan;52:77-84. doi: 10.1016/j.ejca.2015.09.024. Epub 2015 Dec 1.
PMID: 26655558DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
C.M.L. van Herpen, MD, Phd
UMCN st Radboud
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 16, 2008
First Posted
October 17, 2008
Study Start
December 1, 2008
Primary Completion
April 1, 2012
Study Completion
April 1, 2012
Last Updated
April 11, 2012
Record last verified: 2012-04