Head and Neck Cancer
Conditions
Brief summary
The purpose of this research study is to test the safety of a chemotherapy drug called docetaxel and focused radiation therapy (SBRT) and see what effects (good and bad) it has on recurrent head and neck cancer that is not surgically removable.
Interventions
Docetaxel 15mg/m2 IV, given days 1, 8, and 15 during SBRT
SBRT will be given over 5 fractions separated by \> 48 hours. Dose will be determined based upon dose escalation schedule and will range from 25-40 Gy.
Sponsors
Study design
Eligibility
Inclusion criteria
* Recurrent or second primary squamous cell head and neck cancer * Defined area of recurrence on imaging * Previous head and neck radiation (RT) to \>/= 50 Gy * Performance status score 0-1 * Time interval from previous RT \>/= 9 months * Volume of disease appropriate for protocol treatment * Minimum estimated survival of \>/= 3 months * Age \>/= 18 * Adequate labs
Exclusion criteria
* Primary tumors of the salivary gland * Original pathology report and radiation therapy records not available * Prior spinal cord dose \> 45 Gy * Surgery or chemotherapy within 4 weeks * Prior invasive malignancy (except non-melanomatous skin cancer) unless disease free for a minimum of 3 years; noninvasive cancers are permitted
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of acute dose limiting toxicities | 3 months | Acute dose limiting toxicity is defined as grade 4 or 5 toxicity measured by the Common Toxicity Criteria for Adverse Effects (CTCAE) v 4.0, including carotid arterial rupture |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Locoregional control | 2 years | Time from enrollment until local failure or death (whichever comes first) |
| Disease-free survival | 2 years | Time from enrollment until disease progression anywhere in the body or death (whichever comes first) |
| overall survival | 2 years | Time from enrollment to death from any cause |
| Number of late effect dose limiting toxicities | 2 years | Occuring \> 3 months after treatment completion, including grade 4 and 5 toxicities measured by CTCAE v 4.0 involving skin, mucosa, larynx, pharynx, spinal cord, cranial nerves, and incidence of caroid blowout. |
Countries
United States