Status:

UNKNOWN

Cetuximab & Concomitant-Boost Accelerated RT in Patients With Locally Advanced Oropharynx Squamous Cell Carcinoma.

Lead Sponsor:

Trial Form Support S.L.

Collaborating Sponsors:

Merck KGaA, Darmstadt, Germany

Conditions:

Oropharyngeal Neoplasms

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to determine the 1-year rate of locoregional disease control in the experimental arm, using a control arm to avoid selection bias.

Detailed Description

* To determine the 1-year rate of locoregional disease control in the experimental arm, using a control arm to avoid selection bias. * To determine the 2 and 3 year rate of locoregional disease contro...

Eligibility Criteria

Inclusion

  • Written informed consent.
  • Aged between 18 and 80, inclusive.
  • Karnofsky functional status \>= 70% at the time of enrolment in study.
  • Life expectancy of more than 3 months.
  • Histologically confirmed diagnosis of oropharyngeal squamous cell carcinoma: base of tongue, vallecula, tonsil and tonsillar fossa and pillars, glossotonsillar sulcus, inferior surface of the soft palate, uvula and lateral and posterior oropharyngeal wall.
  • Stage III or IV with no evidence of distant metastasis (IVA or IV B)
  • Patients in medical conditions to receive a radical concomitant-boost accelerated radiotherapy treatment.
  • Neutrophils \>= 1500/ mm3, platelet count \>= 100 000/ mm3 and haemoglobin \>= 10 g/ dL.
  • Proper liver function: total bilirubin \<= 1.5 x upper limit of normal (ULN); aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \<= 2.5 x ULN.
  • Proper renal function: serum creatinine \<= 1.5 x ULN; if the values are \> 1.5 x ULN, creatinine clearance should be \>= 55 ml/min.
  • Serum calcium within normal limits.
  • Adequate nutritional state: weight loss \< 20% with respect to usual weight and serum albumin \> 35 g/l.
  • Effective birth control method if there is possibility of conception and/or pregnancy.
  • Availability of tumour tissue for immunohistochemical analysis of EGFR expression.

Exclusion

  • Metastatic disease.
  • Previous surgical, radiotherapy and/or chemotherapy treatment for the disease in the study.
  • Other non-oropharyngeal tumour sites in the head and neck area.
  • Other previous and/or simultaneous squamous cell carcinoma.
  • Diagnosis of any other cancer in the previous 5 years, except properly treated carcinoma in situ of the uterine cervix and/or basal cell skin carcinoma.
  • Active infection (infection requiring intravenous antibiotics), including active tuberculosis and diagnosed HIV.
  • Uncontrolled hypertension defined as systolic blood pressure \>= 180 mm Hg and/or diastolic blood pressure \>= 130 mm Hg at rest.
  • Pregnancy (absence of pregnancy must be confirmed with the serum-HCG test) or breast-feeding women.
  • Chronic, concomitant systemic immunotherapy, or hormonal treatment for the cancer.
  • Other concomitant anti-cancer treatments.
  • Clinically significant coronary artery disease, history of myocardial infarction in the previous 12 months or high risk of out of control arrhythmia or cardiac insufficiency.
  • Chronic obstructive pulmonary disease which may have required \> 3 hospitalisations in the previous 12 months.
  • Out of control active peptic ulcer.
  • Presence of a psychological or medical illness which might impede the patient from carrying out the study or giving his or her signature on the informed consent
  • Known drug abuse (with the exception of excessive alcohol consumption)
  • Known allergic reaction to any of the components of the treatment to be studied.
  • Previous treatment with monoclonal antibodies or signal transduction inhibitors or other EGFR-targeted treatment.
  • Any experimental treatment in the 30 days prior to enrolment in the study.

Key Trial Info

Start Date :

November 1 2005

Trial Type :

INTERVENTIONAL

End Date :

November 1 2009

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT00251381

Start Date

November 1 2005

End Date

November 1 2009

Last Update

October 26 2006

Active Locations (18)

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Page 1 of 5 (18 locations)

1

Hospital Germans Tries i Pujol

Badalona, Barcelona, Spain, 08196

2

H. del Mar / H. de la Esperanza

Barcelona, Barcelona, Spain, 08003

3

H. de la Santa Creu I Sant Pau

Barcelona, Barcelona, Spain, 08025

4

Institut Catala Oncologia: Hospital Duran y Reynals

L'Hospitalet de Llobregat, Barcelona, Spain, 08097