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Short Course Radiation Therapy in Palliative Treatment

Not Applicable
Completed
Conditions
Palliative Care
Interventions
Radiation: Short course radiotherapy
Registration Number
NCT03196700
Lead Sponsor
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Brief Summary

The study wants to define the maximum tolerated dose (MTD), safety and efficacy of a short course radiation treatment in patients with symptomatic advanced head and neck cancer.

Detailed Description

The study wants to define the maximum tolerated dose (MTD) of a conformal short course accelerated radiation therapy delivered in twice daily fractions and 2 consecutive days, and the feasibility of this fractionation in term of safety and efficacy for symptomatic palliation of metastatic or locally advanced head and neck cancer.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • histologically proven locally advanced or metastatic H&N cancer
  • excluded from curative therapy because of disease stage and/or presence of multiple comorbidities and/or poor performance status
  • age > 18 years
  • Eastern Cooperative Oncology Group (ECOG) performance status < 3
Exclusion Criteria
  • prior RT to the same region.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Short course radiotherapyShort course radiotherapyThe radiotherapy is delivered over two days with accelerated hypo-fractionation was delivered
Primary Outcome Measures
NameTimeMethod
Maximum tolerated dose1 year

The maximum tolerated dose is defined as the dose level below the highest administered dose associated with dose limiting toxicity (DLT) in at least one third of patients

Secondary Outcome Measures
NameTimeMethod
Quality of life1 year

Quality of life after the treatment is evaluated according to CLAS scale

Late toxicity1 year

Late toxicity after the treatment is evaluated with EORTC-RTOG scale

Pain relief1 year

Pain after the therapy is evaluated with the visual analogic scale

Acute toxicity1 year

Acute toxicity after treatment is evaluated with CTCAE scale

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