Palliative Care
Conditions
Keywords
palliative care, head and neck cancer, radiotherapy, pain, quality of life
Brief summary
The study wants to define the maximum tolerated dose (MTD), safety and efficacy of a short course radiation treatment in patients with symptomatic advanced head and neck cancer.
Detailed description
The study wants to define the maximum tolerated dose (MTD) of a conformal short course accelerated radiation therapy delivered in twice daily fractions and 2 consecutive days, and the feasibility of this fractionation in term of safety and efficacy for symptomatic palliation of metastatic or locally advanced head and neck cancer.
Interventions
An accelerated hypo-fractionation radiotherapy is delivered for palliation in patients with metastatic or locally advanced head and neck cancer.
Sponsors
Study design
Eligibility
Inclusion criteria
* histologically proven locally advanced or metastatic H&N cancer * excluded from curative therapy because of disease stage and/or presence of multiple comorbidities and/or poor performance status * age \> 18 years * Eastern Cooperative Oncology Group (ECOG) performance status \< 3
Exclusion criteria
* prior RT to the same region.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum tolerated dose | 1 year | The maximum tolerated dose is defined as the dose level below the highest administered dose associated with dose limiting toxicity (DLT) in at least one third of patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acute toxicity | 1 year | Acute toxicity after treatment is evaluated with CTCAE scale |
| Quality of life | 1 year | Quality of life after the treatment is evaluated according to CLAS scale |
| Pain relief | 1 year | Pain after the therapy is evaluated with the visual analogic scale |
| Late toxicity | 1 year | Late toxicity after the treatment is evaluated with EORTC-RTOG scale |