Head and Neck Cancer
Conditions
Keywords
head and neck cancer, stage III/IV, no prior radiotherapy of head and neck region
Brief summary
The purpose of the trial is to determine the feasibility of an induction chemotherapy with radio-immunotherapy in patients with head and neck cancer stage III/IV
Detailed description
3 Cycles of: Docetaxel 75 mg/m2 on d1, Cisplatin 75 mg/m2 on d1, 5-FU 750 mg/m2 on days 1-5 as continuous i.v. infusion, Duration of 1 cycle: 21 days; Followed by Cetuximab 400 mg/m2, Start of radiotherapy: 1 week after the first application of Cetuximab, During radiotherapy (35 x 2 Gy): Cetuximab 250 mg/m2 weekly, Up to 8 applications of Cetuximab.
Interventions
75mg/m² day 1
75mg/m² day 1
750mg/m²/day day 1-5
standard fraction up to a total dose of 70Gy/35 fractions/7weeks or accelerated regimen, up to a total dose of 72Gy/42 fractions over 6 weeks
250mg/m²/week after an initial loading dose of 400mg/m²
Sponsors
Study design
Eligibility
Inclusion criteria
* histologically confirmed, locally advanced head and neck cancer * stage III/IV * performance status: ECOG 0-1
Exclusion criteria
* distant metastases * prior radiotherapy of the head and neck region * myocardial infarct in the last six months * florid peptic ulcer * neuropathy grade III/IV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Locoregional tumour control | 12 months | Time without progression of locoregional disease, locoregional recurrence of disease or death from any cause after one year. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Response rate | 24 months | PET-CT or CT, RECIST criteria |
| Progression free survival | 24 months | PFS is calculated from start of therapy until disease progression or death from any cause. |
| Overall survival | 24 months | OS is calculated from start of therapy to death from any cause. |
| Toxicities | 24 months | The highest grade of a toxicity per patient is included in the analysis |
Countries
Austria