Feasibility Study of Incorporating 18F-FDG-PET Imaging in Radiotherapy for Head and Neck Cancer
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Head and Neck Neoplasms
- Sponsor
- University Hospital, Ghent
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Acute toxicity during radiotherapy until 3 months after the end of the radiotherapy
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this trial is to study fluorodeoxyglucose-positron emission tomography (FDG-PET)-based dose escalation using intensity modulated radiation therapy (IMRT).
Detailed Description
The dose escalation, based on the FDG-PET signal, is incorporated in the first ten fractions of the radiotherapeutic treatment. The total amount of fractions is 32, equal to a standard radiotherapeutic treatment for these types of cancers.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients with a proven histological squamous cell carcinoma of the larynx (only T3-4 NO or Tany N+), hypopharynx, oropharynx
- •Patients who did not undergo surgery for the primary tumor location
- •Patients with a Karnofsky performance score of 70% or more
- •Written informed consent for participation in this trial
Exclusion Criteria
- •Other malignancy except for non-melanoma skin cancer
- •Prior irradiation to the head and neck region
Outcomes
Primary Outcomes
Acute toxicity during radiotherapy until 3 months after the end of the radiotherapy
Time Frame: until 3 months after the end of the radiotherapy
Observation of chronic toxicity
Time Frame: until 3 months after the end of the radiotherapy
Secondary Outcomes
- Local control at 2 years(at 2 years)
- Therapy response (2-4 months after end of radiotherapy)(2-4 months after end of radiotherapy)
- Pattern of recurrence(at 2 years)