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Paclitaxel and Cisplatin Plus Radiation Therapy Followed by Filgrastim in Treating Patients With Recurrent Head and Neck Cancer or Lung Cancer

Phase 2
Completed
Conditions
Head and Neck Cancer
Lung Cancer
Registration Number
NCT00021333
Lead Sponsor
Fox Chase Cancer Center
Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining chemotherapy with radiation therapy may make tumor cells more sensitive to radiation therapy.

PURPOSE: Phase II trial to study the effectiveness of paclitaxel and cisplatin plus radiation therapy followed by filgrastim in treating patients who have recurrent head and neck cancer or lung cancer.

Detailed Description

OBJECTIVES: I. Determine the response rate of patients with locally recurrent carcinoma of the head and neck or lung treated with paclitaxel and cisplatin with concurrent radiotherapy followed by filgrastim (G-CSF). II. Assess the toxicity of this regimen in these patients. III. Determine the time to progression and the sites and pattern of progression in patients treated with this regimen. IV. Determine the median, 1-year, and 2-year survival rates of patients treated with this regimen.

OUTLINE: This is a multicenter study. Patients are stratified according to disease (squamous cell carcinoma of the head and neck vs salivary gland malignancy or other non-squamous cell carcinoma of the head and neck vs lung cancer). Patients receive paclitaxel IV over 1 hour and cisplatin IV over 30-120 minutes on days 1-5. Patients undergo radiotherapy twice daily on days 1-5. Patients receive filgrastim (G-CSF) subcutaneously on days 6-13 or until blood counts recover. Treatment repeats every 2 weeks for a total of 4 courses in the absence of unacceptable toxicity or disease progression. Patients are followed every 2 months.

PROJECTED ACCRUAL: A total of 42-84 patients (14-28 per stratum) will be accrued for this study within 2-4 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
29
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (18)

St. Francis Medical Center

🇺🇸

Trenton, New Jersey, United States

Southern Chester County Medical Center

🇺🇸

West Grove, Pennsylvania, United States

Kimball Medical Center

🇺🇸

Lakewood, New Jersey, United States

Hunterdon Regional Cancer Center

🇺🇸

Flemington, New Jersey, United States

South Jersey Regional Cancer Center

🇺🇸

Millville, New Jersey, United States

Fox Chase Cancer Center at Virtua Memorial Hospital Burlington County

🇺🇸

Mount Holly, New Jersey, United States

Community Medical Center

🇺🇸

Toms River, New Jersey, United States

Riverview Medical Center - Booker Cancer Center

🇺🇸

Red Bank, New Jersey, United States

Pinnacle Health Hospitals

🇺🇸

Harrisburg, Pennsylvania, United States

Delaware County Memorial Hospital

🇺🇸

Drexel Hill, Pennsylvania, United States

Bon Secours-Holy Family Health System

🇺🇸

Altoona, Pennsylvania, United States

Saint Mary Regional Center

🇺🇸

Langhorne, Pennsylvania, United States

Central Montgomery Medical Center

🇺🇸

Lansdale, Pennsylvania, United States

Conemaugh Memorial Hospital

🇺🇸

Johnstown, Pennsylvania, United States

Fox Chase Cancer Center

🇺🇸

Philadelphia, Pennsylvania, United States

Paoli Memorial Hospital

🇺🇸

Paoli, Pennsylvania, United States

Pottstown Memorial Regional Cancer Center

🇺🇸

Pottstown, Pennsylvania, United States

Reading Hospital and Medical Center

🇺🇸

Reading, Pennsylvania, United States

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