Health Condition 1: null- Locally advance Head and Neck Squamous Cell Carcinoma Cancer Patients
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Newly diagnosed, chemo/radiotherapy na�¯ve, biopsy or cytology proven, locally advanced head and neck squamous cell carcinoma excluding nasopharyngeal carcinoma (stage III and IV without distant metastases) 2. Patients who are considered suitable for either definitive chemo-radiation after discussion in combined clinic(HN clinic) 3. No evidence of distant metastases on clinical examination or on chest x-ray 4. Age 18-70 years 5. ECOG PS 0-2 6. No contraindication to Cisplatin or radiotherapy 7. Adequate organ function at time of participation, defined as A. Hematological: Hemoglobin > 9gm/dl, ANC â�¥ 1500/cmm3, Platelet â�¥100000/cmm3 B. Liver Function test: Bilirubin â�¤2 x upper limit normal (ULN), AST/ALT/ ALP â�¤ 2.5 x ULN C. Renal Function test: Creatinine â�¤ 1.5 ULN, Creatinine Clearance â�¥60 ml/mins
Exclusion criteria
Exclusion criteria: 1. Uncontrolled concomitant other systemic disease 2. History of moderate to severe hearing loss 3. History of previous malignancy excluding non-melanoma skin cancers or cervical carcinoma in situ 4. Documented Weight loss of more than 15% in last 6 months 5. Patients with known HIV, hepatitis B or C infection 6. Patients with known distant metastases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Loco Regional Control Rate at 2 yearsTimepoint: Loco Regional Control Rate at 2 years | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Overall Survival 2. Progression Free survival 3. Grade 3-4chemotherapy toxicityas per CTCAE 4 criteria 4. Early or Late Radiation toxicityas per RTOG criteria 5. Compliance to the treatment 6. Baseline cardiac functions as estimated by 2D Echocardiography and serum lipid profile 7. Prognostic significance of pre-treatment LDH on survival and LRC Timepoint: 2 years | — |
Countries
India
Contacts
All India Institute of Medical Sciences