Cancer
Conditions
Keywords
Head and Neck Cancer, Induction, Chemotherapy, Chemoradiotherapy
Brief summary
* 1.To compare overall survival after treatment with the test tri-therapy (TPF: docetaxel plus cisplatin and 5FU) or the control treatment (PF: cisplatin plus 5-FU) followed by chemoradiotherapy in patients with locally advanced SCCHN. * 2.The main secondary endpoint is progression free survival (PFS). The other secondary endpoints are to evaluate and compare improvement of local symptoms; time-to-treatment failure; quality of life; clinical complete response rate (CR and CR/PR); toxicity and to evaluate the relationship of tumor markers and response to therapy.
Interventions
DRUGXRP6976 (Docetaxel/Taxotere)
Sponsors
Sanofi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 1.Histologically or cytologically proven squamous cell carcinoma of the head/neck. * 2.Primary tumor sites eligible: oral cavity, oropharynx, hypopharynx, larynx. Although they are admittedly of squamous cell types, the following tumors will be excluded because their responsiveness to chemotherapy may differ: nasal, paranasal cavities; nasopharynx. * 3.Stage 3 or 4 disease without evidence of distant metastases verified with Chest X-Ray, abdominal ultrasound or CT (liver function test abnormalities); bone scan in case of local symptoms. * 4.At least one uni or bidimensionally measurable lesion. * 5.Tumor considered as inoperable after evaluation by a multidisciplinary team (surgeon, medical oncologist and radiation oncologist). Criteria include : Technical unresectablility-ie tumor fixation/invasion to base of the skull or cervical vertebrae involvement of the nasopharynx and fixed lymph nodes; Physician's decision based on low surgical curability which includes all T3-4 stages, all N2-3 stages excluding T1N2; organ preservation. * 6.No previous chemotherapy or radiotherapy for any reason and no previous surgery for SCCHN (other than biopsy) are allowed at time of study entry. * 7.Age ³ 18 years. * 8.WHO performance status of 0-1 * 9.No active alcohol addiction * 10.Life expectancy ³ 12 weeks * 11.Signed informed consent prior to beginning protocol specific procedures * 12.Adequate bone marrow, hepatic and renal functions as evidenced by the following: Hematology (Bone Marrow): Neutrophil count ³ 2.0 x 10 9/L; Platelet count ³ 100 X 10 9/L; Hemoglobin ³ 10g/dL; Hepatic function : Total bilirubin WNL; ASAT (SGOT) and ALAT (SGPT) £ 2.5 X ULN; Alkaline phosphatase £ 5 X ULN; patients with ASAT or ALAT \> 1.5 x ULN associated with alkaline phosphatase \> 2.5 x ULN are not eligible for the study; Renal function: the creatinine clearance ³ 60 ml/min (actual or calculated by the Cockcroft-Gault method as follows: Weight (kg) X (140-age)/K x serum creatinine. * 13.Patients must be available for treatment and follow up. Patients registered on this trial must be treated and followed at the participating center.
Exclusion criteria
* 1.Pregnant or lactating women or women of childbearing potential not using adequate contraception. * 2.Previous or current malignancies at other sites, with the exception of adequately treated in situ carcinoma of the cervix uteri, basal or squamous cell carcinoma of the skin or other cancer curatively treated by surgery and with no evidence of disease for at least 5 years. Any prior treatment with radiotherapy or chemotherapy is an exclusion criterion. * 3.Symptomatic peripheral neuropathy ³ grade 2 by NCIC-CTG criteria. * 4.Symptomatic altered hearing \> grade 2 by NCIC-CTG criteria. * 5.Other serious illnesses or medical conditions including but no limited to: Unstable cardiac disease despite treatment, myocardial infarction within 6 months prior to study entry; History of significant neurologic or psychiatric disorders including dementia or seizures; Active uncontrolled infection; Active peptic ulcer; Hypercalcemia; Chronic obstructive pulmonary disease requiring hospitalization during the year preceding study entry. * 6.Patients requiring intravenous alimentation. * 7.Patients who experienced a weight loss of more than 20% of their body weight in the 3 months preceding study entry. * 8.Concurrent treatment with any other anticancer therapy * 9.Participation in an investigational trial within 30 days of study entry.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival after treatment with the test tri-therapy (TPF: docetaxel plus cisplatin and 5-FU) or the control treatment (PF: Cisplatin plus 5-FU) followed by chemoradiotherapy. | — |
Secondary
| Measure | Time frame |
|---|---|
| The main secondary outcome is progression free survival (PFS). | — |
| The other secondary endpoints are improvement of local symptoms;time-to-treatment failure;quality of life; | — |
| clinical complete response rate (CR) and overall response rate(PR+CR) after chemotherapy and after locoregional therapy(chemoradiotherapy); | — |
| duration of response(CR and CR+PR); toxicity. | — |
Countries
Argentina, Canada, France, Portugal, Russia, United States
Outcome results
None listed