Head and Neck Neoplasms
Conditions
Keywords
Platinum-resistent head and neck cancer, Cetuximab, Carboplatin, Navelbine, Phase II trial, Combination chemotherapy
Brief summary
This is an open, multicenter phase II study. The purpose is to demonstrate the efficacy of cetuximab in combination with carboplatin and vinorelbine as second line treatment in patients with recurrent or metastatic head and neck cancer who have progressed during or after treatment with first line cisplatinum.
Interventions
Cetuximab 500 mg/m² i.v. day 1, every 2nd week
Carboplatin AUC = 3 i.v. day 1, every 21nd week
Vinorelbine 25 mg/m² i.v. day 1, every 2nd week
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically verified squamous cell carcinoma of the head and neck where curatively intended local treatment is not possible. * Measurable or non-measurable disease. * Disease progression during or after first line palliative chemotherapy with cisplatinum or patients with recurrence \< 6 months after primary concomitant chemo-radiotherapy with cisplatinum. * WHO Performance Status 0-2. * Age ≥ 18 years. * Neutrophil count (ANC) ≥ 1.5 x 10\^9/l and platelets ≥ 100 x 10\^9/l. * Normal liver function with bilirubin \< 1.5 x UNL (Upper Normal Limit), no UNL for ALAT with liver metastases. * Creatinin clearance ≥ 50 ml/min. * Signed informed consent.
Exclusion criteria
* Other active malignant disease. * Patients who are considered unable to follow the treatment plan or follow-up visits. * Other serious disease (e.g. severe heart disease, myocardial infarction (MI) within 1 year, active infection). * Any condition or treatment which after the opinion of the investigator may expose the patient to a risk or may influence the purpose of the trial. * Pregnant or lactating women. * Known hypersensitivity towards one or more of the components of the treatment. * Prior treatment with either cetuximab or other inhibitors of EGFR.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression-free survival | 2.5 years |
| Response rate | 3 years |
Secondary
| Measure | Time frame |
|---|---|
| Toxicity | 2.5 years |
| Median survival | 3 years |
| Correlation between response and evolvement in tumor biology markers. | 3 years |
Countries
Denmark