Head and neck cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Pathologic or cytologic diagnosis of head and neck squamous cell carcinoma treated with radical CCRT, ie, 3 courses of CDDP every 3 weeks plus whole-neck irradiation, including bilateral levels II-IV 2) Initial chemotherapy 3) Measurable or evaluable lesions 4) Performance status (PS) 0-1 5) Age 20-75 years 6) No complications that might affect treatment 7) No other cancer 8) Normal liver, kidney, and marrow function White blood cells >3,000/mm3 Neutrophils >1,500/mm3 Blood platelet >100,000mm3 Total bilirubin normal AST and ALT normal Creatinine normal Ccr or eGFR >60 ml/min 9) Written informed consent
Exclusion criteria
Exclusion criteria: 1) Past history of serious drug hypersensitivity 2) Presence of other cancer 3) Clinically problematic infectious disease 4) >1 complication that might affect treatment 5) Nonradical treatment indicated 6) Pregnant or nursing women and those with the possibility of pregnancy 7) Mental or neurologic disease that might affect participation 8) Abnormality in amino acid metabolism 9) Severe diabetes or possibility of glucose metabolism abnormality due to high-dose steroid treatment 10) Participation judged by physician to be inadvisable
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CTCAE score for inflammation of oral/pharyngeal mucosa | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of CCRT completion, duration of cessation of oral-intake, duration and dosage of opioids, days of Elental administration, days of hospitalization after CCRT, body weight, total protein, albumin decrease (%) | — |
Countries
Japan
Contacts
Niigata University, Faculty of Medicine Otolaryngology, Head and Neck