Malignant Neoplasm of Head and Neck, Locally Advanced Malignant Neoplasm
Conditions
Brief summary
Open multicentric study assessing predictive value of 18-FDG PET (SUV max) at 20 Gy during radio-chemotherapy, on the loco-regional control after 2 years
Interventions
Every patients will be treated with radiochemotherapy as a standard of care
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years and ≤ 75 years * invasive epidermoid carcinoma of head and neck (excluding nasopharyngeal), confirmed by histology * locally advanced disease (non-metastatic stages AJCC III-IV). AJCC = American Joint Committee on Cancer * performance status ECOG ≤ 2. ECOG = Eastern Cooperative Oncology Group * no history of irradiation of the head and neck * start of radiotherapy within 8 weeks after the pretreatment PET Scan * no surgery other than biopsy * pregnancy test: negative for women of childbearing potential * reliable contraception for a childbearing couple, men and woman must have a reliable contraception during treatment * signed informed consent form * patient with national health insurance
Exclusion criteria
* prior radiotherapy or chemotherapy * history of other cancer except: cutaneous non-melanoma tumor and cervix in situ carcinoma * unstable conditions (cardiovascular, renal, pulmonary) or systemic (lupus erythematosus, scleroderma) * pregnant patient or patient with breastfeeding * patient unable to give his consent * patient under administrative supervision * patient who participates to another clinical trial on experimental drug * regular follow-up impossible for various reasons (familial, economical, social, ...) * diabetes * accelerated radiotherapy protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Locoregional relapse | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of TEP scan values (Standardized Update Value max, Metabolic Tumor Volume) | pretreatment, 15 days, 29 days, 3 months post treatment |
Countries
France