Health Condition 1: C139- Malignant neoplasm of hypopharynx,unspecified Health Condition 2: C119- Malignant neoplasm of nasopharynx,unspecified Health Condition 3: C109- Malignant neoplasm of oropharynx,unspecified Health Condition 4: C148- Malignant neoplasm of overlappingsites of lip, oral cavity and pharynx
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: A.Patients with histologically proven Squamous Cell Carcinoma of the Oropharynx, Nasopharynx, Oral Cavity, Larynx and Hypopharynx planned for curative intent RT (either definitive or post-op). B. Patients who have not received any other cancer directed treatment in the past. C. Patients willing to sign the informed consent form.
Exclusion criteria
Exclusion criteria: A. Patients who have received NACT before local therapy B. Patients > 70 years of age C. Patients with severe comorbidities ( > 2 ACE 27 score) D. Patients with baseline feeding tube E. Synchronous / Metachronous Primaries F. Non-Squamous Histology G. Patients receiving non-platinum concurrent chemotherapy H. Treated with palliative intent I. Not reliable for follow up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patient with any incidence of grade 3 or higher toxicity in 4 domains: Dermatitis, Mucositis, Dysphagia, Xerostomia) by CTCAE v 5.0 assessed during the course of RT to after 3 months post Ral Acute toxicity burdenTimepoint: After 3 months of Radiation Therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| A. Acute grade 2 dermatitis, Acute grade 2 mucositis Acute grade 2 dysphagia Acute grade 2 xerostomia assessed by CTCAE version 5.0 scintigraphy. B. Acute grade 2 hematologic toxicities. C. Late grade 2 skin toxicity late grade 2 subcutaneous fibrosis Late grade 2 dysphagia, Late grade 2 xerostomia, Late Grade 2 Hypothyroidism. D. EORTC QLQC 30 & HN 43 questionnaire at baseline conclusion & at all follow ups. E. Local Control Locoregional Control, Disease free survival and Overall survival F. Compliance to treatment G. TAME score comparisonTimepoint: at any time during the course of RT to 3 months post completion of RT | — |
Countries
India
Contacts
Tata Memorial Hospital