Postoperative Radiation and Concurrent Chemotherapy With Weekly Docetaxel Versus Cisplatin in Patients With High-risk Oral Cavity Cancer: a Randomized Phase II Clinical Trial
Overview
- Phase
- Phase 2
- Intervention
- Cisplatin
- Conditions
- Oral Cavity Squamous Cell Carcinoma
- Sponsor
- Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University
- Enrollment
- 224
- Locations
- 1
- Primary Endpoint
- Disease-free survival (DFS)
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This is a randomized,controled, phase II, open label study of postoperative concurrent chemoradiotherapy with Docetaxel versus Cisplatin for high-risk squamous cell carcinoma of the oral cavity cancer.The primary purpose of this study is to evaluate the efficacy of concurrent chemoradiotherapy with docetaxel in OCC patients.
Investigators
Guopei Zhu
MD
Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University
Eligibility Criteria
Inclusion Criteria
- •1.Histologically confirmed squamous cell carcinoma of the oral cavity
- •Gross total resection, with pathology demonstrating one or more of the following risk factors:
- •Histologic extracapsular nodal extension
- •Histologic involvement of ≥ 2 regional lymph nodes
- •Invasive cancer is seen on microscopic evaluation of the resection margin, with no evidence of gross tumor residual
- •No evidence of distant metastases
- •No synchronous or concurrent head and neck primary tumors
- •Adequate organ function including the following:
- •Absolute neutrophil count (ANC) \>= 1.5 \* 10\^9/l
- •Platelets count \>= 100 \* 10\^9/l
Exclusion Criteria
- •Evidence of distant metastasis
- •Prior chemotherapy or anti-cancer biologic therapy for any type of cancer, or prior radiotherapy to the head and neck region
- •Other previous cancer, except for in situ cervical cancer and cutaneous basal cell carcinoma
- •Pregnant or breast-feeding females, or females and males of childbearing potential not taking adequate contraceptive measures 5.Presence of an uncontrolled concomitant illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia
Arms & Interventions
Control
Concurrent Chemoradiotherapy With Cisplatinum and IMRT
Intervention: Cisplatin
Experimental
Concurrent Chemoradiotherapy With Docetaxel and IMRT
Intervention: Docetaxel
Experimental
Concurrent Chemoradiotherapy With Docetaxel and IMRT
Intervention: IMRT
Control
Concurrent Chemoradiotherapy With Cisplatinum and IMRT
Intervention: IMRT
Outcomes
Primary Outcomes
Disease-free survival (DFS)
Time Frame: 2 years
Secondary Outcomes
- Adverse Events (AE)(3 months)
- Overall Survival (OS)(2 years)
- Locoregional failure-free survival (LRFS)(2 years)
- distant metastasis free survival (DMFS)(2 years)