locally advanced head and neck cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Eligibility required histologically or cytologically confirmed SCCHN with unresectable locally advanced disease. Patients had to meet all of the following inclusion criteria 1. primary lesion located in the nasopharynx, nasal cavity, paranasal sinuses, oropharynx, hypopharynx, larynx, oral cavity, or salivary gland fulfilling at least one of the following the conditions: a) primary lesion or cervical lymph node metastasis to the carotid space (bordering/encasing the artery), skull base, or cervical vertebra and/or its surrounding musculature ; b) T4 primary lesion located in the oropharynx 2. Age between 20 and 75 years 3. ECOG performance status of 0 or 1 4. sufficient organ function 5. normal electrocardiogram.
Exclusion criteria
Exclusion criteria: Exclusion criteria included fistulas, distant metastases, active bacterial or fungal infection; simultaneous or metachronous (within 5 years) second cancers except carcinoma in situ or intramucosal tumor (e.g., gastric or esophageal cancer curable by endoscopic mucosal resection); pregnancy or lactation; active gastrointestinal bleeding; pleural or pericardial effusion; massive ascites; history of severe heart disease, heart failure, myocardial infarction within 6 months, or angina pectoris attack within 6 months; cerebrovascular accident within 6 months; diabetes mellitus treated with insulin or poorly controlled; poorly controlled hypertension; chronic pancreatitis; positive HBs antigen; inability to refrain from smoking and drinking during treatment; and requirement for systemic steroids.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| comparison of 5-FU AUC SS between the initial and reduced dose of S-1 in the patients | — |
Secondary
| Measure | Time frame |
|---|---|
| adverse event tumor reduction rate overall survival progression free survival time to treatment failure | — |
Countries
Japan
Contacts
National Cancer Center Hospital East Division of Head and Neck Cancer Medical Oncology Division