Head and Neck Cancer
Conditions
Brief summary
The purpose of this study is to determine safety and feasibility of Chemo-Immunotherapy using cyclophosphamide, docetaxel, OK-432, and autologous immature dendritic cells for patients with relapsed and refractory head and neck squamous cell carcinoma.
Interventions
Cyclophosphamide 50mg/day, day1-7 and 22-28 Docetaxel 30mg/m2, day6 and 27 OK-432 5KE/day, day7,14,28,35
Sponsors
Study design
Eligibility
Inclusion criteria
1. The patients with relapsed and refractory head and neck squamous cell carcinoma 2. 20 years and older 3. ECOG performance status 0-1 4. More than 4 weeks must have elapsed from the time of radiation therapy and the last dose of chemotherapy 5. Tumor lesions are accessible to intratumoral dendritic cells injection 6. Patients who are able to do oral ingestion 7. Patients must have normal organ and marrow functions as follows: * Hb\>9.0 mg/dl * Ht\>25% * WBC\>4000/mm3 * Platelet count\>100,000/mm3 * T-Bil\<1.5mg/dl * GOT\<x2.5 institutional upper limit of normal * GPT\<x2.5 institutional upper limit of normal * Creatinin\<1.5mg/dl 8. signed informed consent
Exclusion criteria
1. Less than 20 years 2. Patients who test positive for Hepatitis B virus, Hepatitis C virus or HIV. 3. Patients with clinically active infection 4. Patients with uncontrolled concurrent illness including cardiovascular disease, pulmonary disease, and bleeding tendency 5. Concomitant malignant diseases, brain metastases 6. Psychiatric illness 7. Treatment with steroids 8. Decision of unsuitableness by physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The safety and feasibility of chemo-immunotherapy | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| The number and function of immune effector cells in treated patients | 1 year |
Countries
Japan