Squamous Cell Head and Neck Carcinoma
Conditions
Keywords
induction chemotherapy, followed by irradiation and concurrent Erbitux, or radiochemotherapy
Brief summary
The purpose of this study is to demonstrate that induction chemotherapy followed by radiation therapy plus Cetuximab will give better results than the validated treatment (chemoradiotherapy), for treatment of locoregional advanced head and neck cancers.
Detailed description
Concurrent chemoradiotherapy (radiotherapy+ carboplatin + 5FU) is a validated treatment for patients with locoregional advanced head and neck cancers. This study evaluates the outcome of induction chemotherapy (docetaxel, cisplatin, 5 FU) followed by radiation therapy + Erbitux for patients with head and neck carcinoma with almost one measurable lesion by RMI or CT scan. We hope we can improve the progression free survival of 14% at two years .
Interventions
70 mg per m2 and per day for four days. day 1; day 22; day 43
600mg per m2 per day for four days. 3 cycles day 1; day 22; day 43
total dose: 70 grays. The patient receives 2 grays per day; five days a week during 7 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* head and neck locally advanced,non metastatic carcinoma * not suitable for surgery
Exclusion criteria
* non squamous cell head and neck cancer * previous malignancy * previous treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complete response rate of the treatment | by CT scan or MRI and endoscopy 2 years after the end of treatment | measure of the tumor |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The second focus of this study is to compare Overall survival between the two arms . It is defined as the time from the date of randomization to the date of death from any cause. | Date of death | Aftercare every six months |
Countries
France