head and neck cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (i) Age over 20 years (ii) Eastern Cooperative Oncology Group performance status (PS) of 0 or 1 (iii) Patients with head and neck cancer who will undergo definitive chemoradiotherapy or postoperative adjuvant chemoradiotherapy (iv) Be to receive over 50 Gy of irradiation for pharyngeal space or oral space (v) Be to receive cisplatin-based chemoradiotherapy (vi) Adequate hematological, liver and renal functions. (vii) Sufficient eating ability, normalcy of diet in performance status scale for head and neck cancer patients (PSSHN)>=50 (viii) Able to obtain more than 80% of required calorie calculated by Harris-Benedict Equation via oral intake at the initiation of chemoradiotherapy (ix) Absence of oral mucositis and dry mouth evaluated by CTCAE version 5.0 (x) Written informed consent was obtained from each patient
Exclusion criteria
Exclusion criteria: i. Patients who are taking supplement or drugs containing collagen peptide, and who will continue to take them throughout the chemotherapy ii. Patients who will receive palliative chemoradiotherapy iii. Women who are pregnant, contemplating pregnancy or amid breast-feeding iv. Mental disorders which is considered inappropriate for inclusion in the study v. Protein intake restriction vi. Hypersensitivity to the element of V CRESC vii. Unable to take V CRESC per oral viii. Any other cases who are regarded as inadequate for study enrollment by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients able to obtain adequate nutrition via oral intake when the total radiation dose reached 42-50 Gy | — |
Secondary
| Measure | Time frame |
|---|---|
| Frequency of use of percutaneous endoscopic gastrostomy (PEG) for nutrition support Compliance with collagen peptide-containing beverage (V CRESC) use Serum albumin, total protein, and C-reactive protein at the initiation and the end of chemoradiotherapy Body weight loss from the initiation to the end of chemoradiotherapy Maximum dose of opioid used Adverse events associated with chemoradiotherapy, including oral mucositis, loss of appetite, nausea, vomiting, diarrhea, aspiration, and infection PRO-CTCAE Compliance with chemoradiotherapy Weekly total calories (kcal/day) and protein (kcal/day) during chemoradiotherapy surveyed by dieticians | — |
Countries
Japan
Contacts
Shizuoka Cancer Center Division of Gastrointestinal Oncology