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 cancer10027655
- 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
Name Time Method <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
Name Time Method <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>