Locally Recurrent Head and Neck Cancer
Conditions
Keywords
head and neck cancer, Locally recurrent head and neck cancer, Brachytherapy, Hyperthermia
Brief summary
The aim of the present trial is to assess the prospective results of protocol-based interstitial pulsed-dose-rate (PDR) brachytherapy with interstitial hyperthermia (iHT) in a group of selected patients where salvage surgery with clear resection margins was not possible.
Interventions
Brachytherapy d 1-5(6)
Hyperthermia d 2 + 5
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed recurrent carcinoma of the head and neck region * Stage rcT1-3 * Tumor anatomy and location suitable for brachytherapy techniques. * cN0/pN0 or rpN+ & R0 with \<3 pos. LND & without invasion of capsula. * M0 * ECOG 0-2 * Previous radiation therapy up to at least 50 Gy * Previous radiation therapy completed more than 6 months ago * Written study-specific informed consent
Exclusion criteria
* cT4 * rpN+ with \>2 pos. LND or invasion of capsula * Pregnant or lactating women * Collagen vascular disease * The presence of congenital diseases with increased radiation sensitivity, for example Ataxia telangiectatica or similar * Psychiatric disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Late side effects | Effects are followed up to 5 years after therapy | Comparison late side effects to standard therapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life | up to 5 years after therapy | Assessment of quality of life with EORTC questionnaires |
| Rate of local recurrencies | up to 5 years after therapy | Assessment of cumulative local recurrence rate |
| Overall survival | up to 5 years after therapy | Rate of Overall survival |
Countries
Germany