locally advanced squamous cell carcinoma of the head and neck
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histologically proven squamous cell carcinoma in resected specimen 2) Primary lesion located at oral cavity, oropharynx, hypopharynx, or larynx. 3) Pathological stage III, IVA or IVB (UICC 7th edition) 4) high risk of locoregional recurrence defined as fulfilling i) and/or ii) by pathological specimen after tumor resection and neck lymph node dissection i) Microscopically positive resection margin ii) Extracapsular nodal extension 5) Within 56 days from surgery. 6) No distant metastasis in computed tomography within 28 days before registration 7) Aged 20 to 75 years old 8) ECOG performance status (PS) of 0 or 1. 9) No prior radiation therapy, chemotherapy, nor hormonal therapy 10) Adequate organ functions 11) No clinically significant abnormal findings on electrocardiogram (ECG) within 28 days from the date of registration 12) Written informed consent
Exclusion criteria
Exclusion criteria: 1) Simultaneous or metachronous (within 5 years) double cancers except carcinoma in situ or intramucosal tumor. 2) Active systemic infections to be treated. 3) Body temperature of 38 or more degrees Celsius 4) Women during pregnancy, possible pregnancy, or breast-feeding 5) Psychiatric disease 6) Continuous systemic steroid treatment 7) Uncontrolled diabetes mellitus 8) History of unstable angina pectoris or myocardial infarction within 6 months 9) Uncontrolled hypertension 10) Pleural effusion, pericardiac effusion, or ascites to be drained 11) Positive HBs antigen 12) Impossiblility to refrain from smoking or drinking during protocol treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| overall survival (phase III), proportion of treatment completion (phase II) | — |
Secondary
| Measure | Time frame |
|---|---|
| relapse-free survival, local relapse-free survival, nutrition support free survival, adverse events, non-hospitalized treatment period during permissible treatment period, non-hospitalized treatment period during 90 days after the start of protocol treatment | — |
Countries
Japan
Contacts
JCOG1008 Coordinating Office Department of Medical Oncology and Hematology, Kobe University Hospital