Safety and Efficacy Study in Patients With Local Advanced Larynx/Hypolarynx Carcinoma Treated With TPF Induction Chemotherapy Followed by Hyperfractionated Radiotherapy With Cetuximab
Phase II Study of TPF Induction Chemotherapy Followed by Hyperfractionated Radiotherapy With Cetuximab "Boost Concomitant" With Cetuximab in Patients With Local Advanced Larynx/Hypolarynx Carcinoma
2 other identifiers
interventional
70
1 country
4
Brief Summary
To evaluate the progression free time in patients with completed or partial response \> 30% evaluated over primary tumour (damage T and N) after induction TPF (Docetaxel, Cisplatin, 5-FU) treated with RT + Cetuximab over 2 years.
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 May 2009
Typical duration for phase_2
4 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
May 1, 2009
CompletedFirst Submitted
Initial submission to the registry
July 15, 2009
CompletedFirst Posted
Study publicly available on registry
July 17, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2013
CompletedSeptember 29, 2011
September 1, 2011
4 years
July 15, 2009
September 28, 2011
Conditions
Outcome Measures
Primary Outcomes (1)
To evaluate progression-free time in patients with complete or partial response >30% evaluated over primary tumour(T and N) after TPF induction treated with RT + Cetuximab.
2 years
Interventions
Docetaxel:75 mg/m2/d IV Cisplatin:75 mg/m2/d IV 5-FU:750 mg/m2/d IV TPF 3 cycles every 3 weeks Radiotherapy: Total 72 Gy in 42 fractions Cetuximab: 250 mg/m2/d Days 1, 8, 15, 22, 29, 36 and 43
Eligibility Criteria
You may qualify if:
- Patient informed consent must be signed before to start the study.
- Age between 18 to 70 years.
- Life expectancy \>3 months.
- Confirmed anatomopathologic diagnosis of local advance scaly larynx or hypolarynx carcinoma III or IV stage without evidence of distance metastasis, which surgery involve a total laryngectomy.
- T3, T4A, T4B or T2 not candidate to a partial laryngectomy. In case of T2 of both locations it will be required III or IVA stage.
- Patients in medical conditions to receive neoadjuvant treatment with TPF followed by hyperfractionated radiotherapy combined with cetuximab.
- Presence of a injury measurable with RECIST criteria.
- Neutrophils \> or = 1500/mm3, platelets \> or = 150.000/mm3 and haemoglobin \> or =10 g/dL.
- Renal Function appropriate
- Hepatic Function appropriate
- Serum Calcium tight to albumine \< or = 1,25 x upper normal limit (UNL).
- Nutritional status appropriate: weight loss \< 20% and albumine \> or = 35 g/L.
- Women of childbearing potential and men must agree to use adequate contraception prior to study entry and for the duration of study participation.
You may not qualify if:
- Metastatic disease.
- Surgical treatment, radiotherapy and/or previous chemotherapy.
- Another tumour locations in head and neck area different from larynx or hypo larynx.
- Another stages different from III or IVa without distant metastasis and resectable disease.
- Another previous scaly carcinoma
- Diagnosis of another neoplasia in last 5 years, except cervix carcinoma in situ and/or basocellular cutaneous carcinoma adequately treated.
- Active infection treated by ATB IV, including active tuberculosis and VIH.
- Hypertension not controled defined as systolic \> or = 180 mm Hg and/or diastolic \> or =130 mm Hg at rest.
- Pregnant/lactating women.
- Systemic immune treatment, chronic and concomitant, or cancer hormone treatment.
- Another antineoplastics concomitant treatments.
- Coronary artery disease or history of heart attack in the last 12 months or high risk of arrythmia uncontrolled or cardiac insufficiency uncontrolled.
- EPOC that required more than 3 hospitalizations in the last 12 months.
- Active ulcus not controled.
- Psychiatric illness/social situations that would limit compliance with study requirements
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fundacion Miguel Servetlead
- Salutis Research, SLcollaborator
- Unidad de Genética Clínica (Clínica Universitaria de Navarra)collaborator
Study Sites (4)
Hospital Carlos Haya
Málaga, Andalusia, 29010, Spain
Fundación Jiménez Díaz
Madrid, Madrid, 28040, Spain
Clinica Universitaria de Navarra
Pamplona, Navarre, 31008, Spain
Hospital de Navarra
Pamplona, Navarre, 31008, Spain
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Fernando Arias, MD
Hospital de Navarra
- PRINCIPAL INVESTIGATOR
Ruth Vera, MD
Hospital de Navarra
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 15, 2009
First Posted
July 17, 2009
Study Start
May 1, 2009
Primary Completion
May 1, 2013
Study Completion
May 1, 2013
Last Updated
September 29, 2011
Record last verified: 2011-09