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Cisplatin Plus Gemcitabine in Treating Patients With Advanced Squamous Cell Head and Neck Cancer

Phase 2
Completed
Conditions
Head and Neck Cancer
Registration Number
NCT00003264
Lead Sponsor
Fox Chase Cancer Center
Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of cisplatin plus gemcitabine in treating patients with advanced squamous cell head and neck cancer that cannot be treated by surgery or radiation therapy.

Detailed Description

OBJECTIVES: I. Evaluate the response rate and toxicity of weekly cisplatin and gemcitabine in patients with recurrent or metastatic squamous cell carcinoma of the head and neck who have received either no prior chemotherapy or no more than one prior chemotherapy regimen for advanced disease.

OUTLINE: Patients are stratified according to prior chemotherapy status: chemotherapy naive (no prior chemotherapy, or prior neoadjuvant or adjuvant chemotherapy at least 6 months prior to recurrence, or prior biologic agents only) vs chemotherapy exposed (one prior chemotherapy regimen directed at recurrent or newly diagnosed metastatic disease and/or prior neoadjuvant or adjuvant chemotherapy less than 6 months prior to recurrence). Patients receive gemcitabine as a 30 minute infusion weekly for 3 weeks followed by one week of rest. Cisplatin is administered as a 30-60 minute infusion immediately preceding gemcitabine. Treatment repeats every 28 days for 2-6 courses, depending on response. Patients with previously untreated metastatic disease may have treatment interrupted to receive radiation therapy to locoregional disease sites. Patients may continue treatment beyond 6 courses at the discretion of the physician. Patients are followed every 3 months.

PROJECTED ACCRUAL: This study will accrue approximately 36 patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
22
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (12)

Hunterdon Regional Cancer Center

πŸ‡ΊπŸ‡Έ

Flemington, New Jersey, United States

Fox Chase Cancer Center at Virtua Memorial Hospital Burlington County

πŸ‡ΊπŸ‡Έ

Mount Holly, New Jersey, United States

Riverview Medical Center - Booker Cancer Center

πŸ‡ΊπŸ‡Έ

Red Bank, New Jersey, United States

St. Francis Medical Center

πŸ‡ΊπŸ‡Έ

Trenton, New Jersey, United States

St. Luke's Network - Bethlehem

πŸ‡ΊπŸ‡Έ

Bethlehem, Pennsylvania, United States

Delaware County Memorial Hospital

πŸ‡ΊπŸ‡Έ

Drexel Hill, Pennsylvania, United States

Harrisburg Polyclinic Medical Center

πŸ‡ΊπŸ‡Έ

Harrisburg, Pennsylvania, United States

Saint Mary Regional Center

πŸ‡ΊπŸ‡Έ

Langhorne, Pennsylvania, United States

North Penn Hospital

πŸ‡ΊπŸ‡Έ

Lansdale, Pennsylvania, United States

Paoli Memorial Hospital

πŸ‡ΊπŸ‡Έ

Paoli, Pennsylvania, United States

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Hunterdon Regional Cancer Center
πŸ‡ΊπŸ‡ΈFlemington, New Jersey, United States

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