Health Condition 1: C01- Malignant neoplasm of base of tongue Health Condition 2: C04- Malignant neoplasm of floor of mouth Health Condition 3: C03- Malignant neoplasm of gum Health Condition 4: C13- Malignant neoplasm of hypopharynx Health Condition 5: C00- Malignant neoplasm of lip Health Condition 6: C10- Malignant neoplasm of oropharynx Health Condition 7: C14- Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx Health Condition 8: C08- Malignant neoplasm of
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion Criteria- 1. Patients over the age of 18. 2. Patients with squamous cell carcinoma of the head and neck, receiving curative radiation with or without concurrent chemotherapy in the definitive or adjuvant setting
Exclusion criteria
Exclusion criteria: Exclusion Criteria- 1. Patients who have received celecoxib within one week of start of radiation 2.Patients receiving palliative radiation 3. Patients with prior history of radiation to the head and neck 4.History of GI bleeding/ulcers or inflammatory bowel disease 5. History of severe hepatic (Child-Pugh Class C)/renal impairment (CrCl 6.History of allergy to Celecoxib 7.History of thromboembolic events (myocardial infarction, stroke), cardiac arrhythmia (atrial fibrillation), or revascularization procedures (CABG). 8. History of pre-existing cardiovascular disease (Congestive heart failure)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine if the proportion of patients developing acute mucositis of RTOG grade 3 or above is less in the celecoxib arm compared to the glutamine armTimepoint: To determine if the proportion of patients developing acute mucositis of RTOG grade 3 or above is less in the celecoxib arm compared to the glutamine arm | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine proportion of patients developing acute mucositis of RTOG grade 2 or above To determine time taken for developing acute RTOG grade 2,3, & 4 mucositis is less To determine NRS score of pain To determine proportion of patients requiring opioids is less To compare total dose of opioids in mg (morphine equivalent) in both arms To determine proportion of patients requiring tube feeding To compare the quality of life using EORTC QOL 30 & EOTC QOL 35 questionnaire version 3.0 To compare the side effect profile To compare the mean percentage, change in weight at the end of treatment To assess the locoregional recurrence at 6 monthsTimepoint: Patient will be reviewed every 5 fractions till completion of radiation Then the patient will be reviewed at 6 weeks post RT, 3 months post RT & 6 months post RT. | — |
Countries
India
Contacts
Jawaharlal Institute of Postgraduate Medical Education and Research