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Clinical Trials/NCT03678649
NCT03678649
Unknown
Phase 2

A Prospective Randomized Controlled Clinical Trial of Capecitabine Treatment in Patients With Locally Advanced Squamous Cell Carcinoma of the Head and Neck After Radiotherapy: Phase II Study

Zhejiang Cancer Hospital1 site in 1 country180 target enrollmentSeptember 10, 2018

Overview

Phase
Phase 2
Intervention
Capecitabine
Conditions
Head and Neck Neoplasms
Sponsor
Zhejiang Cancer Hospital
Enrollment
180
Locations
1
Primary Endpoint
PFS (progression free survival)
Last Updated
7 years ago

Overview

Brief Summary

This prospective randomized controlled clinical Trial will be performed in patients with locally advanced squamous cell carcinoma of the head and neck. The objectives of the trial are to compare the efficacy and safety of Capecitabine treatment with placebo as adjuvant therapy to patients who have received radiotherapy.

Registry
clinicaltrials.gov
Start Date
September 10, 2018
End Date
December 30, 2023
Last Updated
7 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Chen Xiaozhong

Clinical Professor

Zhejiang Cancer Hospital

Eligibility Criteria

Inclusion Criteria

  • histologically type: squamous cell carcinoma
  • head and neck squamous cell carcinoma (HNSCC), Tumor staged as III to IVb (according to the 8th AJCC edition).
  • Eastern cooperative oncology group (ECOG) performance status 0 or 1
  • Age between 18 and 65 years old
  • Prior treatment with chemo-radiotherapy (CRT) based Platinum drugs.
  • Adequate marrow: WBC count ≥4000/μL, hemoglobin ≥90g/L and platelet count ≥100000/μL.
  • Normal liver function test: Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) ≤ 1.5×upper limit of normal (ULN) concomitant with alkaline phosphatase (ALP) ≤ 2.5×ULN, and bilirubin ≤ 1.5ULN.
  • Adequate renal function: creatinine clearance ≥60 ml/min.
  • Patients must be informed of the investigational nature of this study and give written informed consent.

Exclusion Criteria

  • Nasopharyngeal carcinoma and/or salivary gland carcinoma.
  • Any other malignancy (except for primaries, appropriately treated superficial basal cell skin cancer and surgically cured cervical cancer in situ)
  • currently recurrent of metastatic disease
  • received research drug in 4 weeks
  • Prior treatment with epidermal growth factor receptor (EGFR)-targeted small molecules, EGFR-targeted antibodies, and/or any investigational agents for HNSCC
  • Severe hematological abnormality and intolerance to chemotherapy
  • Evidence of significant medical illness that in the investigator's judgment will substantially increase the risk associated with the subject's participation in and completion of the study.
  • Pregnancy or breast feeding
  • patients who cannot obey to completion of the study

Arms & Interventions

the treatment arm

1000-1250 mg/m2 orally twice daily for 14 days followed by a 1-week rest period, given as 3- week cycles for a total of 6 cycles . it should be continued until disease progression or intolerable toxicity or patients withdrawal of consent

Intervention: Capecitabine

Outcomes

Primary Outcomes

PFS (progression free survival)

Time Frame: 3-year

PFS is calculated from the date of randomisation to the date of treatment failure or death from any cause, whichever is first.

Secondary Outcomes

  • Locoregional failure-free survival(3-year)
  • Distant failure-free survival(3-year)
  • QoL(quality of life)(3-year)
  • Overall survival(3-year)

Study Sites (1)

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