Trial looking at different treatments to intensify treatment in oropharyngeal cancer.
- Conditions
- Health Condition 1: C109- Malignant neoplasm of oropharynx,unspecifiedHealth Condition 2: O- Medical and Surgical
- Registration Number
- CTRI/2021/03/031884
- Lead Sponsor
- niversity of Birmingham
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
1. Oropharyngeal squamous cell carcinoma (OPSCC) in base of
tongue and tonsil (includes bilateral tumours) with a
Multidisciplinary Team (MDT) recommendation for treatment with
definitive concurrent chemoradiotherapy
2. All OPC T4 or N3 (HPV-pos and HPV-neg)
OR
all HPV-neg OPC T1-T4, N1-N3 or T3-4, N0
OR
HPV-pos OPC T1-T4 with N2b-N3 nodes AND who are smokers
>= 10 pack years current or previous smoking history
3. Minimum life expectancy of 3 months
4. Eastern Cooperative Oncology Group (ECOG) performance
status 0-1
5. Body weight of >30kg
6. Adequate renal function, estimated glomerular filtration rate
(eGFR) >50ml/min calculated using Cockcroft-Gault formula
7. Adequate bone marrow function (absolute neutrophil count (ANC)
>=1.5 x 109/L, haemoglobin >=9.0g/dL and platelets >=100 x 109/L)
8. Adequate liver function i.e. serum bilirubin <=1.5 times the upper
limit of normal (ULN), AST (SGOT)/ALT (SGPT) <=2.5 x
institutional upper limit of normal
9. Prothrombin time (PT) <=1.5 x ULN or International Normalised
Ratio (INR) <=1. 5
10.Magnesium >= lower limit of normal
11. No cancers in previous 5 years, except basal cell carcinoma of
skin and cervical intra-epithelial neoplasia (CIN)
12. Aged 18-70
13. Written informed consent given for the trial
14. Surgically resectable disease if being randomised to all four arms
15.Evidence of post-menopausal status or negative urinary or serum
pregnancy test for female pre-menopausal patients. Women will
be considered post-menopausal if they have been amenorrheic
for 12 months without an alternative medical cause. The following
age-specific requirements apply:
- Women <50 years of age would be considered postmenopausal
if they have been amenorrheic for 12 months
or more following cessation of exogenous hormonal
treatments and if they have luteinizing hormone and
follicle-stimulating hormone levels in the post-menopausal
range for the institution or underwent surgical sterilization
(bilateral oophorectomy or hysterectomy).
- Women >=50 years of age would be considered postmenopausal
if they have been amenorrheic for 12 months
or more following cessation of all exogenous hormonal
treatments, had radiation-induced menopause with last
menses >12 months ago, had chemotherapy-induced
menopause with last menses >12 months ago, or
underwent surgical sterilization (bilateral oophorectomy,
bilateral salpingectomy or hysterectomy).
16. Willingness to comply with the protocol for the duration of the
study, including undergoing treatment and scheduled visits and
examinations including follow up
Entered in the Brief Summary section(last page of CTRI form ) due to repeated errors in accepting data in the Exclusion criteria section.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method