NCT01553032

Brief Summary

This is a national multicenter phase IV study to assess acute radiation dermatitis of combined radioimmuno(chemo)therapy with Cetuximab in patients with locally advanced, non-metastatic squamous cell carcinoma of the head and neck (LASCCHN).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
139

participants targeted

Target at P50-P75 for phase_4 head-and-neck-cancer

Timeline
Completed

Started Jun 2011

Longer than P75 for phase_4 head-and-neck-cancer

Geographic Reach
1 country

1 active site

Status
completed

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

May 31, 2011

Completed
1 day until next milestone

Study Start

First participant enrolled

June 1, 2011

Completed
10 months until next milestone

First Posted

Study publicly available on registry

March 13, 2012

Completed
5.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2017

Completed
Last Updated

May 25, 2022

Status Verified

May 1, 2022

Enrollment Period

5.9 years

First QC Date

May 31, 2011

Last Update Submit

May 18, 2022

Conditions

Keywords

Immuno-(Chemo-)and RadiotherapyErbitux®Skin changes in Head and neck cancer

Outcome Measures

Primary Outcomes (1)

  • Rate of radiation dermatitis Grade 3/4

    Criteria for Adverse Events v4.0 (CTCAE) Grade 1: Mild Grade 2: Moderate Grade 3: Severe Grade 4: Life-theatening consequences Grade 5: Death

    2 years after LPI

Secondary Outcomes (8)

  • Rate of radiation dermatitis Grade1/2

    2 years after LPI

  • Rate of cetuximab-mediated acneiform rash Grade 1-4

    2 years after LPI

  • Rate of cetuximab-mediated rhagades

    2 years after LPI

  • Rate of cetuximab-mediated nail changes

    2 years after LPI

  • ORR; LRC; PFS; OS

    2 years after LPI

  • +3 more secondary outcomes

Study Arms (2)

Erbitux®

ACTIVE COMPARATOR
Drug: Erbitux®

Fractionated Radiotherapy

ACTIVE COMPARATOR
Radiation: Fractionated Radiotherapy

Interventions

400mg/m2 initial dose, followed by weekly doses of 250mg/m2 Treatment duration: 7-8 weeks

Erbitux®

30-35 fractions of radiotherapy (6-7 weeks)

Also known as: 3D-conventional or IMRT
Fractionated Radiotherapy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically confirmed, locally advanced (stage III, IVA or IVB) non-metastatic squamous-cell carcinoma of the oral cavity, oro- or hypopharynx and larynx
  • ECOG Performance Status of 0-2
  • ≥ 18 years of age
  • Life expectancy of at least 6 months.
  • Adequate bone marrow, liver and renal function (according to SmPC of Cetuximab) based on laboratory assessments raised within 7 days prior to start of study treatment.
  • Signed and dated informed consent before the start of specific protocol procedures.
  • Women of childbearing potential must have had a negative serum or urine beta-HCG pregnancy test within 7 days prior to the first administration of study treatment or must have a documented condition that prohibits pregnancy (e.g. post-menopausal; hysterectomy).
  • Patients enrolled in this trial must be willing to use effective birth control measures during the course of the trial and the subsequent 2 months

You may not qualify if:

  • Nasopharyngeal carcinoma
  • Distant metastases
  • Previous radiotherapy for carcinoma of the head and neck
  • Participation in other clinical trial (according to the German Drug Law (Arzneimittelgesetz - AMG) within 30 days prior to start of study treatment
  • Previous exposure to epidermal growth factor (EGFR) targeted therapy
  • Known hypersensitive reaction to any of the components of study treatments
  • Previous or concurrent cancer within 5 years prior to study entry that is distinct in primary site or histology except adequately treated basal cell carcinoma or preinvasive cervical carcinoma.
  • Pregnant or breast-feeding patients
  • Substance abuse, medical, psychological or social conditions that may interfere with the patient's participation in the study or evaluation of the study results as judged by the investigator
  • Any condition that is unstable or could jeopardise the safety of the patient and their compliance in the study as judged by the investigator
  • Incapacity to consent or limited legal capacity to consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Heidelberg Medical Center

Heidelberg, Baden-Wurttemberg, 69120, Germany

Location

Related Publications (1)

  • Habl G, Potthoff K, Haefner MF, Abdollahi A, Hassel JC, Boller E, Indorf M, Debus J. Differentiation of irradiation and cetuximab induced skin reactions in patients with locally advanced head and neck cancer undergoing radioimmunotherapy: the HICARE protocol (head and neck cancer: immunochemo and radiotherapy with erbitux) - a multicenter phase IV trial. BMC Cancer. 2013 Jul 15;13:345. doi: 10.1186/1471-2407-13-345.

MeSH Terms

Conditions

Head and Neck Neoplasms

Interventions

CetuximabRadiotherapy, Intensity-Modulated

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasms

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsRadiotherapy, ConformalRadiotherapy, Computer-AssistedRadiotherapyTherapeutics

Study Officials

  • Jürgen Debus, Prof. Dr. Dr

    University Heidelberg, Klinik für Radioonkologie und Strahlentherapie, Im Neuenheimer Feld 400, 69120 Heidelberg

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Prof. Dr. Dr.

Study Record Dates

First Submitted

May 31, 2011

First Posted

March 13, 2012

Study Start

June 1, 2011

Primary Completion

May 1, 2017

Study Completion

May 1, 2017

Last Updated

May 25, 2022

Record last verified: 2022-05

Locations