Head-and-neck Squamous Cell Carcinoma, Oral Mucositis
Conditions
Keywords
head and neck, Squamous Cell Carcinoma, oral mucositis, Chemo-radiotherapy
Brief summary
The purpose of this study is to: * evaluate the activity of SAMITAL in reducing the incidence of severe mucositis in head-and-neck cancer patients undergoing chemo-radiotherapy. * assess tolerability of SAMITAL and the impact on patients reported outcomes.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically proven squamous cell carcinomas of the head-and-neck * Eligible primary tumor sites: oral cavity, oropharynx, larynx, hypopharynx * Stage III or IV disease without evidence of distant metastases * Patients candidate to definitive concurrent chemo-radiotherapy or induction chemotherapy followed by chemo-radiotherapy * Age ≥ 18 years * Karnofsky Performance Status ≥70 * Life expectancy ≥6 months * Able to swallow and retain oral medication * Good state of dentition * Patients must be available for treatment and follow-up * Confirmation of adequate contraception use by the patient and/or partner * Signed informed consent
Exclusion criteria
* Previous radiotherapy of the oral cavity, and/or oropharynx, larynx, hypopharynx * Serious co-morbidities: uncontrolled heart disease, heart failure within 6 months prior to study participation, history of serious neurological and/or psychiatric abnormalities. * Chronic administration of steroids or immunosuppressants * Pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of subjects with Grade III or IV of mucositis assessed by the WHO mucositis scale, developing at any time during the whole study period. | Within 19 weeks after starting Radiotherapy |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of adverse events assessed by NCI-Common Terminology Criteria for Adverse Effects (CTCAE version 4.0) | Within 19 weeks after starting Radiotherapy |
Other
| Measure | Time frame |
|---|---|
| Quality of life assessed by European Organization for Research and Treatment of Cancer quality of life core questionnaire (EORTC QLQ-C30) and specific head and neck module (QLQ-H&N35) | Within 19 weeks after starting Radiotherapy |
Countries
Italy