IRESSA in Combination With Cisplatin & Radiotherapy in Patients With Advanced Head & Neck Carcinoma
Phase 2
Completed
- Conditions
- Cancer of Head and Neck
- Registration Number
- NCT00242749
- Lead Sponsor
- AstraZeneca
- Brief Summary
· To evaluate the disease free survival rate at 2 years of patients with advanced head and neck carcinoma treated with ZD1839 250 mg administered once daily in combination with cisplatin and a standard course of radiotherapy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 47
Inclusion Criteria
- Histologically confirmed squamous head and neck carcinoma
- Extra-laryngeal tumour or laryngeal tumour that is inoperable (not resectable) considered by Head and Neck Cancer Committee
- Stage III-IV (IVa and IVb) disease
- Measurable disease according to RECIST criteria
- Aged 18 years or older
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1
- Normal renal, haematological (neutrophils >1´5 x 109/ L and platelets > 100 x 109/L) and liver function
Exclusion Criteria
-
- Previous treatment for initial disease (neck dissection in N3 is allowed) 2. Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of basal cell carcinoma or cervical cancer in situ 3. Incomplete healing from previous oncologic or other surgery 4. Absolute neutrophil count (ANC) less than 1.5 x 109/ L, or platelets less than 100x 109/L 5. Serum bilirubin greater than 1.25 times the upper limit of reference range (ULRR) 6. In the opinion of the investigator, any evidence of severe or uncontrolled systemic disease (e.g. unstable or uncompensated respiratory, cardiac, hepatic or renal disease) 7. Serum creatinine greater than 1.25 times the ULRR 8. ALT or AST greater than 2.5 times the ULRR 9. Evidence of any other significant clinical disorder or laboratory finding that makes it undesirable for the patient to participate in the trial 10. Active dermatoses (e.g. psoriasis, eczema) 11. Corneal abnormalities (other than scars, congenital abnormality or corneal tear film), history of dry eye syndrome or ocular surface diseases and neurological disorders 12. Concomitant use of phenytoin, carbamazepine, barbiturates, rifampicin or drugs with known corneal toxicity 13. Pregnancy or breastfeeding (women of child-bearing potential) 14. Patient incapacity to reliably follow the treatment or follow up for family, economic or geographical reasons.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Disease-free survival at 2 years
- Secondary Outcome Measures
Name Time Method Objective tumour response (CR and PR) at 6 months after the start of treatment based on the Response Evaluation Criteria in Solid Tumours (RECIST) criteria PFS Nature, incidence and severity of adverse events (AEs) Overall survival
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie ZD1839's synergy with cisplatin and radiotherapy in advanced head and neck carcinoma?
How does the IRESSA-cisplatin-radiation regimen compare to standard-of-care therapies for unresectable head and neck cancer?
Which biomarkers correlate with improved disease-free survival in NCT00242749's EGFR-targeted combination therapy?
What are the most common adverse events and management strategies for ZD1839 plus platinum-based chemoradiotherapy in HNSCC?
How do other EGFR inhibitors like erlotinib or gefitinib perform in combination with chemoradiotherapy for inoperable head and neck cancer?
Trial Locations
- Locations (1)
Research Site
🇪🇸Santander, Spain