Treatment Selection According to Skin Reaction to Cetuximab
Skin Reaction to Cetuximab as Criteria for Treatment Selection in Patients With Locally Advanced Squamous Cell Carcinoma of the Head and Neck: Phase 2 Study
1 other identifier
interventional
120
1 country
1
Brief Summary
The therapy of patients with locally advanced head and neck cancer will be adjusted to the grade of skin rush as recorded after the first two cycles of Cetuximab and Cisplatin, i.e. either with radioimmunotherapy (radiotherapy and Cetuximab) or radiochemotherapy (radiotherapy and Cisplatin.
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 2011
Typical duration for phase_2 head-and-neck-cancer
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
First Submitted
Initial submission to the registry
October 23, 2011
CompletedFirst Posted
Study publicly available on registry
November 16, 2011
CompletedStudy Start
First participant enrolled
December 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedDecember 13, 2011
December 1, 2011
2.2 years
October 23, 2011
December 11, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
locoregional complete response rate
The primary objective of the study is to determine radiologically the complete response rate 12-14 weeks after therapy.
12-14 weeks after therapy
Secondary Outcomes (5)
feasibility (toxicity profile) of the proposed regimen
participants will be followed for the duration of treatment (an expected average of 20 weeks)
locoregional control
at 2 years after thapy
progression-free survival
2 years after therapy
overall survival
2 years after therapy
late toxicity including thyroid function
up to 2 years post-therapy
Interventions
cisplatin 30 mg/m2/week I.V. during radiotherapy
3-dimensional conformal radiotherapy planning and delivery, 35x2 Gy/day over 7 weeks
cetuximab 400 mg/m2 I.V. 1 week before the start of radiotherapy, cetuximab 250 mg2/week I.V. during radiotherapy
Eligibility Criteria
You may qualify if:
- Squamous cell carcinoma, histologically proven (with HPV-status determined in patients with oropharyngeal primary)
- Tumour site: oral cavity, oropharynx, hypopharynx or larynx.
- Locally and/or regionally operable and inoperable tumors (UICC TNM stages III, IVa or IVb), without distant metastases (M0-stage)
- Male or female ≥18 years of age
- Expected survival \>6 months
- WHO performance status 0-2
- Laboratory parameters:
- hemoglobin ≥100 g/L; leukocyte count \> 3.5x109/L, absolute neutrophil count ≥ 1.5x109/L; platelet count \> 100x109/L; total bilirubin \< 1.25x upper normal limit; transaminases (ALT, AST) \< 5x upper normal limit; creatinine clearance (ECC) ≥ 60 ml/minute;
- Presence of at least one bidimensionally measurable index lesion
- Effective contraception for both male and female subjects if risk of conception exists
- Signed written informed consent
You may not qualify if:
- Other previous malignancy within 5 years, with exception of a history of a previously adequately treated basal cell carcinoma of the skin or pre- invasive carcinoma of the cervix
- Chemotherapy ineligibility:
- unstable cardiopulmonary, renal and liver disease likely to compromise the safe delivery of I.V. infusion (chemotherapy); haematologic diseases; clinically evident hearing impairment; pre-existing motor or sensory neurotoxicity grade ≥ 2 according to the CTCAE v3.0; previous administration of Cetuximab or Cisplatin;
- Active, uncontrolled infection
- Medical or psychological condition which in the opinion of the investigator precludes the safe administration of the planned radiotherapy or systemic therapy
- Known drug abuse or severe alcohol abuse
- Pregnancy or breast feeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Institute of Oncology Ljubljana
Ljubljana, SI-1000, Slovenia
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Primož Strojan, Prof.
Dept. of Radiation Oncology, Institute of Oncology Ljubljana, Slovenia
- PRINCIPAL INVESTIGATOR
Branko Zakotnik, Prof.
Dept. of Medical Oncology, Institute of Oncology Ljubljana, Slovenia
Central Study Contacts
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
October 23, 2011
First Posted
November 16, 2011
Study Start
December 1, 2011
Primary Completion
March 1, 2014
Study Completion
December 1, 2016
Last Updated
December 13, 2011
Record last verified: 2011-12