Explore the impact of pre-treatment information and dose redistribution on locoregional control in patients with locally advanced SCCHN. ARREGLAR
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Stage III-IV, T3-4, SCC Head and Neck, 60, Performance status: WHO 0-1 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 200 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 68
Exclusion criteria
Exclusion criteria: Inability to receive one of the treatment arms, laryngeal cancer, known active symptomatic infections, prior surgery, radiotherapy or chemotherapy for this tumor
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine the effect and toxicity of concomitant chemoradiation or Cetuximab with standard dose distribution versus concomitant chemoradiation or Cetuximab with adaptive inhomogeneous dose distribution (redistribution) on locoregional progression free survival.;Secondary Objective: Zr89-Cetuximab uptake (on FDG-PET) predicts treatment-specific outcome.;Primary end point(s): 1. Locoregional recurrence-free survival at 2 years. 2. Correlation of anatomical distribution of ZR89-cetuximab uptake with treatment arm and anatomical location of recurrence 3. Toxicity Interim analysis on safety planned after 100 patients.;Timepoint(s) of evaluation of this end point: 2 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Quality of life during and after treatment, at 6 months and 1 yr. 2. Swallowing function preservation at 1 yr. 3. Progression-free survival, overall survival, toxicity.;Timepoint(s) of evaluation of this end point: 6 and 12 months | — |
Countries
Netherlands, Spain
Contacts
Dr. Jordi Giralt