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Salvage Brachytherapy and Hyperthermia for Recurrent H&N-tumours

Not Applicable
Recruiting
Conditions
Locally Recurrent Head and Neck Cancer
Interventions
Radiation: Brachytherapy
Other: Hyperthermia
Registration Number
NCT03238378
Lead Sponsor
University of Erlangen-Nürnberg Medical School
Brief Summary

The aim of the present trial is to assess the prospective results of protocol-based interstitial pulsed-dose-rate (PDR) brachytherapy with interstitial hyperthermia (iHT) in a group of selected patients where salvage surgery with clear resection margins was not possible.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
96
Inclusion Criteria
  • Histologically confirmed recurrent carcinoma of the head and neck region
  • Stage rcT1-3
  • Tumor anatomy and location suitable for brachytherapy techniques.
  • cN0/pN0 or rpN+ & R0 with <3 pos. LND & without invasion of capsula.
  • M0
  • ECOG 0-2
  • Previous radiation therapy up to at least 50 Gy
  • Previous radiation therapy completed more than 6 months ago
  • Written study-specific informed consent
Exclusion Criteria
  • cT4
  • rpN+ with >2 pos. LND or invasion of capsula
  • Pregnant or lactating women
  • Collagen vascular disease
  • The presence of congenital diseases with increased radiation sensitivity, for example Ataxia telangiectatica or similar
  • Psychiatric disorders

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
TherapyBrachytherapyBrachytherapy d1-5(6) Hyperthermia d2 + 5
TherapyHyperthermiaBrachytherapy d1-5(6) Hyperthermia d2 + 5
Primary Outcome Measures
NameTimeMethod
Late side effectsEffects are followed up to 5 years after therapy

Comparison late side effects to standard therapy

Secondary Outcome Measures
NameTimeMethod
Quality of lifeup to 5 years after therapy

Assessment of quality of life with EORTC questionnaires

Rate of local recurrenciesup to 5 years after therapy

Assessment of cumulative local recurrence rate

Overall survivalup to 5 years after therapy

Rate of Overall survival

Trial Locations

Locations (1)

Dept. of Radiation Therapy, University Hospital Erlangen

🇩🇪

Erlangen, Germany

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