Health Condition 1: C139- Malignant neoplasm of hypopharynx,unspecified Health Condition 2: C329- Malignant neoplasm of larynx, unspecified Health Condition 3: C109- Malignant neoplasm of oropharynx,unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically confirmed inoperable SCC of oropharynx, hypopharynx, or larynx with cN3b nodal status. 2. ECOG performance 0–1 3. Age 18–70 years 4. Written Informed Consent Obtained
Exclusion criteria
Exclusion criteria: 1. Nodal disease with skin ulceration/fungation/bleeding 2. Prior Radiotherapy for head and neck area 3. Deranged renal function at baseline (Creatinine Clearance less than 50 ml/min) 4. Cases with radiological evidence of Cartilage or Bony Erosion 5. Baseline Non-Functional Larynx based on FEES Test 6. Unable to come for follow-up as per study protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the progression-free survival (PFS) at 2 year Timepoint: To assess the progression-free survival (PFS) at 2 year | — |
Secondary
| Measure | Time frame |
|---|---|
| To estimate treatment related toxicities during radiotherapy, at completion and at every follow up using CTCAE 5.0 scale During and at the end of Radiotherapy- Oral mucositis, Dermatitis, Dysphagia, Acute Xerostomia, Neutropenia, Thrombocytopenia, Anaemia, Electrolyte imbalance At follow ups- Xerostomia, Subcutaneous Fibrosis, Dysphagia Timepoint: ;To measure the QOL using instruments (Validated QOL Instruments) EORTC QOL tool QLQ-C30 Quality of Life of Cancer Patients (in English and Assamese) QLQ-H&N35 specific for Head and neck cancer (In English and Assamese) Patient reported HRQOL will be recorded at baseline and at 3 months,6 months and 1 year after completion of Radiotherapy. Timepoint: at baseline, 3 months, 6 months, and 1 year post RT completion;To estimate various prognostic factors associated with treatment response eg. Age, Gender, Size of the Node, T-stage, HPV status for oropharyngeal primary, history of smoking, alcohol consumption etc.Timepoint: ;to estimate the Patterns of Failure:- 1. Locoregional Failure 2. Distant Metastases Timepoint: | — |
Countries
India
Contacts
Dr. B. Borooah Cancer Institute, Guwahati, Assam