Advanced squamous cell carcinoma of the head and neck Cancer Squamous cell carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. International Union Against Cancer (UICC) classification stage IVb 2. Histologically proven and measurable squamous cell carcinoma of the head and neck (oral cavity, oropharynx, larynx, hypopharynx) 3. Previously untreated 4. Unresectable disease (when surgical resection was considered technically not feasible or surgical resection with clear margins was estimated to produce significant organ and/or function loss) or refused surgery 5. Aged 18 to 70 years 6. Squamous cell carcinoma of the head and neck without distant metastases 7. Karnofsky performance status score greater than or equal to 70% 8. Normal renal, hepatic and haematological function 9. Negative pregnancy 10. Informed consent
Exclusion criteria
Exclusion criteria: 1. Surgery and chemotherapy previously 2. Previous malignancy except non-melanoma skin cancer and cervical carcinoma in situ 3. Any clinical manifestation of distant metastases 4. Therapy concurrent 30 days previous with other experimental anti-neoplastic treatment 5. Systemic and/or uncontrolled disease that precludes the use of chemotherapy 6. Hypersensibility to gemcitabine or cisplatin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Data of interest (haematologic toxicity, presence of mucositis, skin rash, nausea/vomiting, dysphagia, odynophagia, etc) is assessed and collected at the time of each visit. The first timepoint at which the outcomes will be measured will be at 6 months after inclusion in the study. Toxicity is evaluated according to the National Cancer Institute - Common Toxicity Criteria version 3 (NCI-CTC v.3.0). | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy in terms of overall and progression free-survival, will be determined with clinical examination, Computed Tomography (CT)-scans, medical lab tests (metabolic profile, Complete Blood Count [CBC], blood chemistry), endoscopy and biopsy studies. | — |
Countries
Mexico