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A randomized, open-label Phase II study of BIBW 2992 versus cetuximab (Erbitux®) in patients with metastatic or recurrent Head and Neck Squamous Cell Carcinoma (HNSCC) after failure of platinum-containing therapy with a cross-over period for progressing patients.

Phase 1
Conditions
Metastatic or recurrent Head and Neck Squamous Cell Carcinoma
Registration Number
EUCTR2008-007097-38-FR
Lead Sponsor
Boehringer-Ingelheim France
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
146
Inclusion Criteria

Metastatic (stage IV) or recurrent HNSCC
Histologically or cytologically confirmed diagnosis of squamous cell carcinomas of the head and the neck.
Patients must have documented progressive disease following receipt of prior platinum-based therapy.
Patients must have measurable disease as defined by RECIST criteria.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Progressive disease within 3 months after completion of curative intent treatment for localized/locoregionally advanced disease.
Prior use of an EGFR or erbB2 inhibitor in the recurrent/metastatic disease setting
More than 2 chemotherapeutic regimens given for recurrent/metastatic disease.
Gastrointestinal disorders that may interfere with the absorption of the study drug or chronic diarrhea.
Use of alcohol or drugs incompatible with patient participation in the study in the investigator's opinion.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: Tumor Shrinkage before cross-over (Stage 1) of the trial: maximum decrease in the sum of the longest diameters of the target lesions (according to RECIST) compared to baseline, with baseline defined as the sum of tumor measurement of the target lesion longest diameters measured before the patient start the first administration of the randomized treatment. The effect of EGFRvIII mutation on tumor shrinkage will be explored.;Secondary Objective: Tumor shrinkage after cross-over (stage 2) of the trial. <br>Best RECIST assessment<br>Progression-free survival<br>Overall survival<br>Quality of life<br>Occurrence and intensity of adverse events<br>Change from baseline for all laboratory tests<br>Analysis of Pharmacokinetics<br>Analysis of Biomarkers;Primary end point(s): Tumor shrinkage before cross-over (stage 1) of the trial
Secondary Outcome Measures
NameTimeMethod
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