Hypoxic Radioresistance, Locally Advanced Head and Neck Cancer, Radiotherapy
Conditions
Brief summary
Aim: To improve curability of radiotherapy in HNSCC patients identified by hypoxic FAZA-PET scanning
Detailed description
Prospective phase II study aiming to improve the outcome in hypoxic resistent patients identified by FAZA-PET. Inclusion: Patients must fulfill the following: Positive hypoxic FAZA-PET Scanning (as described in DAHANCA 24 - see citation) Stage III-IV, Squamous cell carcinoma of the larynx, pharynx or oral cavity (HPVneg (oropharynx) Indication for hyperfractionated accelerated radiotherapy with concommitant cis-platin and nimorazole
Interventions
HART-CN: Hyperfractionated accelerated radiotherapy with weekly concommitant cis-platin and daily nimorazole
Sponsors
Study design
Eligibility
Inclusion criteria
* Stage III-IV larynx, pharynx, oral cavity * Hypoxic FAZA-PET positive * Indication for primary radio-chemotherapy * Informed consent
Exclusion criteria
* HPV positive oropharynx cancer * Primary surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Loco-regional failure | Year 3 | loco-regional failure defined as persistent or recurrent disease in tumor and/or regional lymphnode sites (within the radiotherapy treated volume). The primary endpoint did not include the effect of a successful procedure with salvage surgery (no primary neck dissection was allowed). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | Year 3 | Death from all causes |
| Acute radiation related morbidity | Month 3 | — |
| Late radiation related morbidity | Year 3 | — |
| Disease-specific death | Year 3 | Disease-specific death is defined as death from or with the cancer in question; |
Countries
Denmark