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Adaptive Dose-Escalated Multi-modality Image-guided RadiothErapy (ADMIRE) for head and neck cancer by twice re-imaging, re-delineation and re-planning during the course of radiotherapy

Completed
Conditions
Head and neck cancer
10027655
Registration Number
NL-OMON47484
Lead Sponsor
Antoni van Leeuwenhoek Ziekenhuis
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
20
Inclusion Criteria

Histologic biopsy confirmed squamous cell carcinoma of the oral cavity, HPV-negative oropharynx, hypopharynx or larynx
T2-T4
Scheduled for radiotherapy or radiotherapy with cisplatin or cetuximab

Exclusion Criteria

GFR<30
Other neoplasms with metastases in the previous 3 years

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The feasibility of the adaptive radiotherapy schedule will be rejected in case<br /><br>of:<br /><br>- Occurrence of intolerable radiation-induced acute toxicities.<br /><br>- The inability to implement 80% of the adaptive treatment plans within 2 days<br /><br>from the intended starting day (day 13 and day 23 of treatment).</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>To examine the toxicity of the adaptive radiotherapy scheme according to the<br /><br>CTCAE v4.0 scoring system<br /><br>The locoregional tumor control<br /><br>The mean value of the different imaging modalities within the tumor will be<br /><br>measured at baseline and during week 2 and 4. Using these, the relative<br /><br>response will be calculated for the following modalities:<br /><br>- FDG-PET: decrease of the SUV-value</p><br>
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