Health Condition 1: C01- Malignant neoplasm of base of tongue Health Condition 2: C05- Malignant neoplasm of palate Health Condition 3: C09- Malignant neoplasm of tonsil Health Condition 4: C10- Malignant neoplasm of oropharynx Health Condition 5: C12- Malignant neoplasm of pyriform sinus Health Condition 6: C13- Malignant neoplasm of hypopharynx Health Condition 7: C14- Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically proven HNSCC (Except Oral cavity) 2. Age - 18 to 70 years 3. Both sexes 4. ECOG Score 2 or less 5. Non-metastatic disease (T1-T4a, N0-3b). 6. Patients planned for radical treatment with chemo-radiation with dose of RT 66Gy in 30 fractions 7. Patient being treated using VMAT-SIB technique with concurrent cisplatin. 8. Willingness to sign informed consent form.
Exclusion criteria
Exclusion criteria: 1. Any histopathology other than SCC 2. Previous radiotherapy to the head and neck region 3. Synchronous or metachronous malignancy 4. Pregnant or lactating women 5. Evidence of distant metastasis (any T, any N, M1). 6. Recurrent or residual disease 7. Oral cavity SCC patients 8. Previously operated patient in HN region. 9. Any other concurrent chemotherapy other than cisplatin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate severe oral mucositis RTOG grade less than and equal to grade 3 in unresectable HNSCC treated with VMAT SIB along with concurrent cisplatin using RTOG Acute Morbidity Criteria Objective criteria and Mouth and Throat soreness score MTS and QLQ C30 HN questionnaires subjective patient reported criteria and their correlation.Timepoint: Patients will be assessed at least once weekly during radiation. The first post treatment visit will be 1 weeks after completion of radiotherapy. Subsequent visits will be 1 month and 3 month post RT. | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate other acute toxicities like skin reaction, dysphagia, odynophagia. • To assess the need of – Feeding tube placement – Hospitalization – Opioid use – Significant weight loss (> 5 kg) • To assess the correlation between various host and tumour related factors with treatment response and outcome.Timepoint: Patients will be assessed at least once weekly during radiation. The first post treatment visit will be 1 weeks after completion of radiotherapy. Subsequent visits will be 1 month and 3 month post RT. | — |
Countries
India
Contacts
Mahamana Pandit Madan Mohan Malaviya Cancer Centre and Homi Bhabha Cancer Hospital