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Feasibility study evaluating Paclitaxel, Carboplatin and Cetuximab (PCE) as induction chemotherapy followed by chemoradiation in patients with Unresectable Locally advanced Squamous Cell Carcinoma of the Head and Neck

Phase 2
Recruiting
Conditions
nresectable Locally advanced Squamous Cell Carcinoma of the Head and Neck
Head and neck cancer
Head and Neck Neoplasms
Registration Number
JPRN-jRCTs031180358
Lead Sponsor
Tahara Makoto
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
46
Inclusion Criteria

1)Histologically or cytological proven squamous cell carcinoma of the head and neck
2)Primary lesion located at the larynx, oropharynx or hypopharynx
3)Unresectable LASCCHN
4)No cancer fistula
5)Measurable disease
6)No evidence of distant metastasis.
7)ECOG PS 0 or 1
8)Age between 20 and 75 years
9)Adequate organ function
10)HBsAg negative
11)No abnormal finding on electrocardiogram
12)Women of child bearing potential and men who are able to father a child agree with using adequate contraception
13)Written informed consent to the study signed by the patient

Exclusion Criteria

1) Primary lesion located at the nasopharynx, oral cavity, nasal cavity, parasinus or salivary gland
2) Prior RT, CT or endocrine therapy for the current or any other malignancy
3) Current other synchronous primary double cancers and metachronous double cancers unless free of disease for at least five years (excluding superficial cancer that will be cured by endoscopic mucosal resection)
4) Severe myelosuppression or infection
5) Pulmonary fibrosis, acute lung injury or Intestinal pneumonia
6) Clinically relevant comorbidity included heart failure, renal failure, liver failure, uncontrolled hypertension or uncontrolled diabetes mellitus
7) Active gastrointestinal bleeding
8) Cardiac or peritoneal effusion that needs medical attention
9) History of severe hypersensitivity
10) Known hypersensitivity against any components of the trial treatment including excipients
11) Pregnancy or breast feeding
12) Current administration of disulfiram, Cyanamide, Carmofur or procarbazine hydrochloride
13) Previous treatment with cetuximab or monoclonal antibody
14) Other significant disease that in the investigator's opinion would exclude the subject from the trial

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion of chemoradiation completion
Secondary Outcome Measures
NameTimeMethod
Response rate <br>Frequency and types of adverse events<br>Time to local progression<br>Time to distant metastasis<br>Event free survival<br>Overall survival
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