Head and Neck Cancer, Squamous Cell Cancer
Conditions
Brief summary
The purpose of this study is to investigate the safety of zalutumumab in combination with chemotherapy and radiotherapy as treatment of patients with head and neck cancer
Interventions
Eight weekly infusions
Infusions
Daily in the treatment period
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with locoregionally advanced squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx or larynx
Exclusion criteria
* Prior treatment with radiotherapy in the head and neck area * Prior treatment with chemotherapy * Prior treatment with similar drugs (e.g. EGFr antibodies, EGFr inhibitors) * Previous surgery with curative intent for head and neck cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adverse Events | Overall Study | Number of participants with at least one adverse event. All adverse events were collected during the 8 week treatment period and the following 4 weeks. Serious adverse events were collected during 3 years after the patient was allocated to the trial. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Response | Up to 3 years | Tumour response according to RECIST criteria J Natl Cancer Inst 2000;92:205-16 assessed by CT/MRI. Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the longest diameter of target lesions; Overall Response (OR), CR+PR |
| Time to Response | Up to 3 years | Tumour response according to RECIST criteria J Natl Cancer Inst 2000;92:205-16 assessed by CT/MRI. Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the longest diameter of target lesions; Overall Response (OR), CR+PR |
| Best Overall Tumor Response | Up to 3 years | Tumour response according to RECIST criteria J Natl Cancer Inst 2000;92:205-16 assessed by CT/MRI. Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the longest diameter of target lesions; Overall Response (OR), CR+PR |
Countries
Belgium, France, Netherlands, Sweden, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Zalutumumab 4 mg/kg Zalutumumab 8 weekly infusions | 6 |
| Zalutumumab 8 mg/kg Zalutumumab 8 weeky infusions | 6 |
| Zalutumumab 12 mg/kg Zalutumumab 8 weekly infusions | 6 |
| Zalutumumab 16 mg/kg Zalutumumab 8 weekly infusions | 12 |
| Total | 30 |
Baseline characteristics
| Characteristic | Zalutumumab 4 mg/kg | Zalutumumab 8 mg/kg | Zalutumumab 12 mg/kg | Zalutumumab 16 mg/kg | Total |
|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 6 Participants | 6 Participants | 6 Participants | 12 Participants | 30 Participants |
| Age Continuous | 58 years | 54 years | 49 years | 52 years | 52 years |
| Region of Enrollment Belgium | 4 participants | 4 participants | 3 participants | 6 participants | 17 participants |
| Region of Enrollment France | 0 participants | 0 participants | 1 participants | 3 participants | 4 participants |
| Region of Enrollment Sweden | 2 participants | 2 participants | 2 participants | 2 participants | 8 participants |
| Region of Enrollment United States | 0 participants | 0 participants | 0 participants | 1 participants | 1 participants |
| Sex: Female, Male Female | 3 Participants | 1 Participants | 2 Participants | 1 Participants | 7 Participants |
| Sex: Female, Male Male | 3 Participants | 5 Participants | 4 Participants | 11 Participants | 23 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 6 / 6 | 6 / 6 | 6 / 6 | 12 / 12 |
| serious Total, serious adverse events | 5 / 6 | 6 / 6 | 5 / 6 | 11 / 12 |
Outcome results
Adverse Events
Number of participants with at least one adverse event. All adverse events were collected during the 8 week treatment period and the following 4 weeks. Serious adverse events were collected during 3 years after the patient was allocated to the trial.
Time frame: Overall Study
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Zalutumumab 4 mg/kg | Adverse Events | 6 participants |
| Zalutumumab 8 mg/kg | Adverse Events | 6 participants |
| Zalutumumab 12 mg/kg | Adverse Events | 6 participants |
| Zalutumumab 16 mg/kg | Adverse Events | 12 participants |
Best Overall Tumor Response
Tumour response according to RECIST criteria J Natl Cancer Inst 2000;92:205-16 assessed by CT/MRI. Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the longest diameter of target lesions; Overall Response (OR), CR+PR
Time frame: Up to 3 years
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Zalutumumab 4 mg/kg | Best Overall Tumor Response | Progressive disease | 0 Participants |
| Zalutumumab 4 mg/kg | Best Overall Tumor Response | Partial response | 5 Participants |
| Zalutumumab 4 mg/kg | Best Overall Tumor Response | Nonevaluable | 0 Participants |
| Zalutumumab 4 mg/kg | Best Overall Tumor Response | Stable disease | 0 Participants |
| Zalutumumab 4 mg/kg | Best Overall Tumor Response | Complete response | 1 Participants |
| Zalutumumab 8 mg/kg | Best Overall Tumor Response | Stable disease | 2 Participants |
| Zalutumumab 8 mg/kg | Best Overall Tumor Response | Progressive disease | 0 Participants |
| Zalutumumab 8 mg/kg | Best Overall Tumor Response | Nonevaluable | 0 Participants |
| Zalutumumab 8 mg/kg | Best Overall Tumor Response | Partial response | 3 Participants |
| Zalutumumab 8 mg/kg | Best Overall Tumor Response | Complete response | 1 Participants |
| Zalutumumab 12 mg/kg | Best Overall Tumor Response | Stable disease | 2 Participants |
| Zalutumumab 12 mg/kg | Best Overall Tumor Response | Complete response | 0 Participants |
| Zalutumumab 12 mg/kg | Best Overall Tumor Response | Partial response | 2 Participants |
| Zalutumumab 12 mg/kg | Best Overall Tumor Response | Progressive disease | 1 Participants |
| Zalutumumab 12 mg/kg | Best Overall Tumor Response | Nonevaluable | 1 Participants |
| Zalutumumab 16 mg/kg | Best Overall Tumor Response | Progressive disease | 0 Participants |
| Zalutumumab 16 mg/kg | Best Overall Tumor Response | Partial response | 0 Participants |
| Zalutumumab 16 mg/kg | Best Overall Tumor Response | Complete response | 5 Participants |
| Zalutumumab 16 mg/kg | Best Overall Tumor Response | Stable disease | 6 Participants |
| Zalutumumab 16 mg/kg | Best Overall Tumor Response | Nonevaluable | 1 Participants |
Overall Response
Tumour response according to RECIST criteria J Natl Cancer Inst 2000;92:205-16 assessed by CT/MRI. Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the longest diameter of target lesions; Overall Response (OR), CR+PR
Time frame: Up to 3 years
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Zalutumumab 4 mg/kg | Overall Response | 6 Participants |
| Zalutumumab 8 mg/kg | Overall Response | 4 Participants |
| Zalutumumab 12 mg/kg | Overall Response | 2 Participants |
| Zalutumumab 16 mg/kg | Overall Response | 5 Participants |
Time to Response
Tumour response according to RECIST criteria J Natl Cancer Inst 2000;92:205-16 assessed by CT/MRI. Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the longest diameter of target lesions; Overall Response (OR), CR+PR
Time frame: Up to 3 years
Population: Number of months between date of first infusion and date of best response
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Zalutumumab 4 mg/kg | Time to Response | 5.79 months |
| Zalutumumab 8 mg/kg | Time to Response | 3.98 months |
| Zalutumumab 12 mg/kg | Time to Response | 4.31 months |
| Zalutumumab 16 mg/kg | Time to Response | 5.80 months |