unresectable locally advanced squamous cell carcinoma of the head and neck
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histologically proven squamous cell carcinoma 2) Primary lesion located at oropharynx, hypopharynx, or larynx 3) Unrespectable locally advanced head and neck cancer 4) No fistula of primary lesion or cervical lymph node metastasis 5) No distant metastasis 6) Aged 20 to 75 years old 7) Performance status of 0 or 1 8) No prior radical surgery for head and neck cancer 9) No prior treatment of chemotherapy, radiation therapy, or endocrine tumor against any other malignancies 10) Adequate organ functions defined as indicated below; (1) WBC >= 4,000 /mm3 , WBC <= 12,000 /mm3, (2) Plt >=100,000 /mm3, (3) Hb >=9.5 g/dL, (4) Ccr >= 60 mL/min, (5) Cr <= 1.2 mg/dL, (6) AST <= 100 IU/L, (7) ALT <= 100 IU/L, (8) T.Bil <= 2.0 mg/dL 11) Normal electrocardiogram 12) Written informed consent
Exclusion criteria
Exclusion criteria: 1) Active bacterial or fungous infection 2) Simultaneous or metachronous (within 5 years) double cancers except carcinoma in situ or intramucosal tumor. 3) Pregnant or lactating women or women of childbearing potential 4) Active gastrointestinal bleeding 5) Pleural effusion, pericardial effusion, or severe ascites 6) History of severe heart disease, heart failure, myocardial infarction within 6 months or attack of angina pectoris within 6 months. 7) Cerebrovascular disease within 6 months 8) Uncontrollable diabetes mellitus or requiring administration of insulin 9) Uncontrollable hypertension 10) Chronic pancreatitis 11) Positive HBs antigen 12) Impossible to refrain from smoking and drinking during treatment 13) Requiring systemic steroids medication
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| local progression-free survival, progression-free survival, time to treatment failure, overall survival, proportion of nutritional support-free survival, adverse events | — |
Primary
| Measure | Time frame |
|---|---|
| complete clinical remission rate | — |
Countries
Japan
Contacts
JCOG0706 Coordinating Office Department of gastrointestinal onclolgy, National Cancer Center Hospital East