Head and Neck Squamous Cell Carcinoma
Conditions
Keywords
Tirapazamine, Head and Neck Cancer, Cisplatin, Radiation
Brief summary
The trial will compare the efficacy and safety of concomitant chemoradiation with tirapazamine, cisplatin and radiation versus cisplatin and radiation.
Interventions
with concomitant radiation
in combination with cisplatin and concomitant radiation
Sponsors
Study design
Eligibility
Inclusion criteria
* Previously untreated squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, or larynx. * Stage III or IV disease (excluding T1N1, and T2N1 and metastatic disease). * Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2. * Absolute neutrophil count at least 1.5 X 10\^9/L, platelet count at least 100 X 10\^9/L, and hemoglobin \> 9g/dL. * Serum bilirubin \< 1.25 times upper limit of normal (ULN) and aspartate aminotransferase (AST)/alanine transaminase (ALT) \< 2.5 times ULN. * Calculated creatinine clearance (Cockcroft-Gault) \> 55 mL/min.
Exclusion criteria
* Metastatic Disease * Primary cancers of the nasal and paranasal cavities and of the nasopharynx * Significant intercurrent illness that will interfere with the Chemotherapy or Radiation Therapy during the trial * Symptomatic peripheral neuropathy \> grade 2 * Clinically significant hearing impairment * Significant cardiac disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival | Study period |
Secondary
| Measure | Time frame |
|---|---|
| Failure Free Survival, Time To Loco-Regional Failure, Patterns of Failure | Study period |
| Initial Response Rates at 2 Months After Completion of Chemoradiation Therapy, Final complete response (CR) Rate at Six Months After Completion of Therapy | Study period |
| Change in QoL From Baseline, Percent of Patients Who Are Feeding Tube Dependent 12 Months After Completion of Therapy | Study period |
| Toxicity and Safety | Study period |
Countries
Argentina, Australia, Canada, Chile, France, Germany, Hong Kong, Hungary, Italy, New Zealand, Poland, Singapore, South Africa, Spain, Switzerland, Taiwan, United States