Head and Neck Cancer, Palliative Care, Radiotherapy
Conditions
Keywords
Short Course Radiotherapy, Symptomatic head and neck lesions
Brief summary
Aim of the study is to assess efficacy of a short course radiation treatment in patients with symptomatic head and neck (H&N) malignant lesions
Detailed description
Standard treatment for H&N lesions (3000 cGy in 10 daily fractions of 300 cGy each) is compared with experimental treatment (2000 cGy in 4 fractions of 500 cGy twice a day) to demonstrate non-inferiority of this scheme
Interventions
3000 cGy in 10 daily fractions
2000 cGy in 4 fractions administered twice a day
Sponsors
Study design
Eligibility
Inclusion criteria
* symptomatic H&N malignant lesions (primary solid tumors or metastases from solid tumor) * age\>18 years * Eastern Cooperative Oncology Group (ECOG) Performance Status 0-3 * no changes in supportive care in the week before radiotherapy
Exclusion criteria
* pregnancy * previous irradiation of the same region
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of palliation using the short course scheme compared with the standard scheme | 3 months | reduction of initial symptoms (pain, bleeding, dysphagia, hoarseness, stridor, dehydration, malnutrition) after radiotherapy, evaluated as none-mild-moderate-severe before and after treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| acute toxicity in the two treatment groups | 3 months | incidence of treatment-related acute adverse events in the two arms of the study registered using Radiation Therapy Oncology Group (RTOG) Cooperative Group Common Toxicity Criteria |
| late toxicity in the two treatment groups | 12 months | incidence of treatment-related adverse events in the two arms of the study registered using RTOG/European Organisation for Research and Treatment of Cancer(EORTC) Late Radiation Morbility Scoring Schema |
| Quality of Life (QoL) assessment in the two groups | 12 months | changes in QoL after treatment assessed using a specific EORTC questionnaire developed to assess the quality of life of palliative cancer care patients (C15-PAL) |
Countries
Italy