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Palliative Radiotherapy Protocol in Head and Neck Cancer

Phase 2
Completed
Conditions
Head and Neck Neoplasms
Quality of Life
Interventions
Radiation: palliative radiation therapy
Registration Number
NCT02460471
Lead Sponsor
Maisonneuve-Rosemont Hospital
Brief Summary

Phase II prospective study or Palliative Radiotherapy of 25 Gy in 5 fractions, Intensity Modulated, for frail patients with incurable head and neck cancer. Comprehensive Quality of life (QLQ-C30, head and neck module, QLQ C15 PAL) and toxicity data (CTCAE v 4.0) collected.

Detailed Description

Patients deemed too frail for radical treatment or incurable because of tumour extension, as determined by an experienced tumour board, were eligible for this study of palliative radiotherapy delivered by intensity modulation, 25 Gy in 5 daily fractions over one week. This study was conducted in two academic centers.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria
  • Able to give an informed consent
  • Able to complete QOL questionnaires
  • Deemed incurable by an experienced tumour board or unwilling to receive a radical course of radiation therapy
  • Presence of measurable disease
  • Biopsy proven squamous or salivary cancer of the head and neck region
  • Expected survival of at least 2 months.
Exclusion Criteria
  • Pregnancy
  • No previous RT to the neck and no plan to receive concomitant chemotherapy
  • Special histology (Lymphoma, small cell cancer, metastasis from a site other than the head and neck region)
  • Unavailable for follow-up

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
palliative radiation therapypalliative radiation therapy25 Gy in 5 daily fractions
Primary Outcome Measures
NameTimeMethod
Quality of lifefrom radiation treatment until 24 months planned follow-up or death

EORTC QLQ-C30 questionnaire (QLQ-C15-PAL and H\&N35 modules)

Secondary Outcome Measures
NameTimeMethod
Toxicity (CTCAE v 4.0 graded)from radiation treatment until 24 months planned follow-up or death

CTCAE v 4.0 graded toxicities

Trial Locations

Locations (2)

Centre Hospitalier de l'Université de Montréal (CHUM)

🇨🇦

Montreal, Quebec, Canada

Maisonneuve-Rosemont Hospital

🇨🇦

Montreal, Quebec, Canada

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