HIPOCP: Hypofractionated Radiotherapy and Concurrent Cisplatin for Head and Neck Cancer

Sponsor
Barretos Cancer Hospital (Other)
Overall Status
Unknown status
CT.gov ID
NCT03194061
Collaborator
(none)
20
1
56

Study Details

Study Description

Brief Summary

The aim of this study is to evaluate the feasibility of hypofractionated radiation therapy and concomitant chemotherapy with cisplatin for locally advanced head and neck cancer in a high volume brazilian center.

Condition or Disease Intervention/Treatment Phase
  • Radiation: Hypofractionated Radiotherapy
  • Drug: Weekly cisplatin
N/A

Detailed Description

To evaluate if concomitant cisplatin and hypofractionated radiation therapy wold be feasible in a brazilian population.

Patients eligibility criteria:

older than 18 years old Biopsy proven squamous cell carcinoma of oropharynx, larynx and hypopharynx. Stage III an IV, with no distant metastasis. ECOG performance status 0-2. Adequate renal and liver function. Good status for radical treatment

Treatment considered feasible if:
  1. Patient receive at least 90% of radiation dose (18 of 20 fractions of 275cGy)

  2. Patients receive at least 3 of 4 weekly cycles of cisplatin (35mg/m2)

  3. Treatment length up to 35 days.

  4. Grade 4 toxicity lower than 25%

Study Design

Study Type:
Interventional
Actual Enrollment :
20 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Hypofractionated Radiotherapy and Concurrent Cisplatin for Locally Advanced Head and Neck Cancer: A Feasibility Trial
Actual Study Start Date :
Jan 1, 2015
Anticipated Primary Completion Date :
Aug 31, 2019
Anticipated Study Completion Date :
Aug 31, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: Hypofractionated chemoradiation

20 fractions of 275cGy and concomitant weekly cisplatin 35mg/m2 x 4 cycles

Radiation: Hypofractionated Radiotherapy
20 fractions of 275cGy 5 days/week

Drug: Weekly cisplatin
Concomitant weekly cisplatin 35mg/m2 x 4 weeks

Outcome Measures

Primary Outcome Measures

  1. To evaluate the rate of patient who could complete the treatment. [up to 5 years after patient accrual]

    The treatment is considered completed when patients receive at least 90% of radiation dose (49,5Gy) with a cumulative cisplatin dose of 105mg/m2 or more (3 of 4 cycles) and the treatment duration is inferior to 35 consecutive days.

  2. To evaluate the rate of participants with treatment-related adverse events [up to 5 years after patient accrual]

    as assessed by investigators using the CTCAE v4.0 criteria

Secondary Outcome Measures

  1. Quality of life according to the EORTC C30 questionaire and EORTC H&N 35 (evaluated together) [up to 18 months from treatment]

    Frequency and intensity of symptoms as described by patients before treatment (baseline), at the end of treatment, 1 month, 7 months and after 1 year following the treatment.

  2. Response rate [up to 4 months after patient accrual]

    as determined by investigators using RECIST v1.1 criteria

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Biopsy proven squamous cell carcinoma of oropharynx, larynx and hypopharynx.

  • Stage III an IV, with no distant metastasis.

  • ECOG performance status 0-2.

  • Adequate renal and liver function.

  • Good status for radical treatment

Exclusion Criteria:
  • Other oncologic treatment before

  • Distant metastasis

  • History of previous malignancy

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Barretos Cancer Hospital

Investigators

  • Principal Investigator: Alexandre A Jacinto, MD, Barretos Cancer Hospital
  • Study Director: Andre Lopes Carvalho, Phd, Barretos Cancer Hospital
  • Study Chair: Luciano Souza Viana, Phd, Barretos Cancer Hospital
  • Study Chair: Pedro de Marchi, Barretos Cancer Hospital
  • Study Chair: Eronides Salustiano Batalha, Barretos Cancer Hospital

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Barretos Cancer Hospital
ClinicalTrials.gov Identifier:
NCT03194061
Other Study ID Numbers:
  • HIPO CP.
First Posted:
Jun 21, 2017
Last Update Posted:
Jan 19, 2018
Last Verified:
Jun 1, 2017
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Barretos Cancer Hospital
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jan 19, 2018