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Optimum radiation dose for palliation in head and neck Squamous cell carcinoma ââ?¬â?? A phase 3 randomized controlled trial (OpRaH)

Phase 3
Conditions
Health Condition 1: C148- Malignant neoplasm of overlappingsites of lip, oral cavity and pharynx
Registration Number
CTRI/2020/06/025574
Lead Sponsor
AIIMS New Delhi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

cT4b disease not amenable to surgery in larynx/ Hypopharynx/ Nasopharynx/ Oropharynx/ Oral cavity

Histologically proven squamous cell carcinoma

Not suitable for curative radiation

Non-metastatic disease

Age > 18 years and < 75 years

ECOG PS < 3

Carotid encasement < 180 degree

Exclusion Criteria

Skin ulceration > 2 cm or fistula present

Carotid encasement > 180 degree

Skull base particularly foramen lacerum involvement

Metastatic disease

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare Progression free survival between high palliative radiation dose (30 Gy/ 5#/ on alternate days) versus low palliative dose (20 Gy/ 5#/ 5 days)Timepoint: To compare Progression free survival between high palliative radiation dose (30 Gy/ 5#/ on alternate days) versus low palliative dose (20 Gy/ 5#/ 5 days)
Secondary Outcome Measures
NameTimeMethod
To compare acute toxicity between the two radiation doses <br/ ><br>c) To compare Quality of life between the two arms with QOL ââ?¬â?? HN35 questionnaire <br/ ><br>d) To correlate effect of radiotherapy on immune function on flow cytometry of peripheral blood mononuclear cells and cytokine levels and survivalTimepoint: QOL every months after RT
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