HIPOCP: Hypofractionated Radiotherapy and Concurrent Cisplatin for Head and Neck Cancer
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 |
---|---|---|
|
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:
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Patient receive at least 90% of radiation dose (18 of 20 fractions of 275cGy)
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Patients receive at least 3 of 4 weekly cycles of cisplatin (35mg/m2)
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Treatment length up to 35 days.
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Grade 4 toxicity lower than 25%
Study Design
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
- 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.
- 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
- 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.
- Response rate [up to 4 months after patient accrual]
as determined by investigators using RECIST v1.1 criteria
Eligibility Criteria
Criteria
Inclusion Criteria:
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Biopsy proven squamous cell carcinoma of oropharynx, larynx and hypopharynx.
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Stage III an IV, with no distant metastasis.
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ECOG performance status 0-2.
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Adequate renal and liver function.
-
Good status for radical treatment
Exclusion Criteria:
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Other oncologic treatment before
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Distant metastasis
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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.- HIPO CP.