Head and Neck Squamous Cell Cancer
Conditions
Brief summary
This study is a multicenter phase Ⅲ trial. The objective is to compare the efficacy and toxicity of cisplatin plus raltitrexed or 5-fluorouracil in concurrence with IMRT for patients with locoregionally advanced head and neck squamous cell cancer.
Detailed description
The objective is to compare the efficacy and toxicity of cisplatin plus raltitrexed or 5-fluorouracil in concurrence with IMRT for patients with locoregionally advanced head and neck squamous cell cancer.
Interventions
Patients will receive IMRT and concurrent raltitrexed and cisplatin
Patients will receive IMRT and concurrent 5-Fu and cisplatin
All patients will receive concurrent cisplatin.
All patients will receive IMRT
Sponsors
Study design
Eligibility
Inclusion criteria
* Pathologically confirmed untreated head and neck squamous cell cancer patients * 18-70 years * Clinical stage: T3-4N0-3M0 or T1-4N1-3M0 * Hematologic function: WBC ≥ 4.0×109/L, PLT ≥ 80×109/L, Hb ≥ 10mg/dL * Renal function: Cr ≤ 1.25×UNL * Hepatic function: BIL ≤ 1.5×UNL, ALT/AST ≤ 2.5×UNL * ECOG ≤ 1 * Woman and man of childbearing age must adopt contraception * With written consent
Exclusion criteria
* Malignant history * Pregnant or lactating women * With other severe diseases (blood, liver ,kidney or heart diseases) * Subjects not suitable for chemo-radiotherapy * Without written consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression-free survival (PFS) | 36 months |
Secondary
| Measure | Time frame |
|---|---|
| Overall Survival (OS) | 36 months |
| Locoregional and distant control rate | 36 months |
| Percentage of participants experiencing grade 3-5 adverse events(AEs) | 36 months |
Countries
China