head and neck cancer squamous cell carcinoma of the head and neck
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: *Histologically or cytologically confirmed loco-regionally advanced squamous cell carcinoma, stage III, IVa, or IVb, of the oral cavity, oropharynx, or hypopharynx, or larynx stage IVa or IVb ;*Unresected tumour prior to chemo-radiotherapy due to:;o Technical unresectability (e.g. tumour fixation/invasion to either base of the skull, cervical vertebrae, nasopharynx, or fixed lymph nodes); and/or; o Low surgical curability (T3-T4, N2-N3 excluding T1N2); and/or; o Organ preservation; *Concomitant platinum-based chemo-radiotherapy (for minimum requirements see the protocol) completed no longer than 24 weeks prior to randomisation. At randomisation, chemo-radiotherapy induced side effects CTCAE grade * 2; *No evidence of disease (NED), defined as no measurable or palpable tumour on clinical and radiographic (e.g. CT scan or MRI) examinations as judged by the investigator in either of the following: a) No residual tumour after CRT; b) No residual tumour after CRT followed by R0 tumour resection; c) No evidence of nodal disease after CRT followed by neck dissection; In case of palpable mass, NED must be confirmed by biopsy; *ECOG performance status 0 or 1 at the time of randomisation
Exclusion criteria
Exclusion criteria: -Exclusion 1 is deleted with amendment 2 (protocol revision 03) -Patients with smoking history of * 10 pack years and with primary tumour site base of tongue -Patients with smoking history of * 10 pack years and with primary tumour site tonsil -Primary cancer of nasopharynx, sinuses, or salivary glands -Prior treatment with EGFR-targeted small molecules, EGFR-targeted antibodies, and/or any investigational agents for treatment of HNSCC
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint of this trial is Disease Free Survival (DFS), defined as the time from randomisation until recurrence of tumour or death of any cause, whichever occurs first. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary endpoints DFS rate at 2 years Overall survival (OS), defined as the time from randomisation until death (irrespective of reason) Health related quality of life (HRQOL) | — |
Countries
Netherlands