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临床试验/2025-520735-16-00
2025-520735-16-00招募中2 期

Electrochemotherapy as a first line treatment in recurrent squamous cell carcinoma of the oral cavity and oropharynx: a randomized controlled trial (ECT-HN)

IRCCS Istituto Nazionale Tumori Fondazione Pascale15 个研究点 分布在 1 个国家目标入组 96 人开始时间: 2025年1月31日最近更新:
相关药物

试验速览

阶段
2 期
状态
招募中
入组人数
96
试验地点
15
主要终点
Superiority of electrochemotherapy treatment with bleomycin in terms of objective response compared to treatment with cetuximab + platinum-based therapy + 5-fluorouracil.

研究概览

简要总结

Superiority of the treatment of Electrochemotherapy with Bleomycin in terms of objective response compared to the treatment with cetuximab + platinum-based therapy + 5-fluorouracil

研究设计

研究类型
Interventional

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
接受健康志愿者

入选标准

  • Age> 18 years;
  • Progressive disease (relapse on T and N0) in the oral cavity and oropharynx
  • Histological confirmation of head and neck squamous cell carcinoma
  • Measurable lesions suitable for applying electrical impulses
  • Performance status (Karnofsky = 70; WHO = 2)
  • Life expectancy> 3 months
  • Patients able to understand the type of treatment they will receive and able to sign informed consent
  • Patients who refuse other treatments

排除标准

  • Age<18 years;
  • Chronic renal dysfunction (creatinine> 150 µmol/L must be considered a lower administered dose of bleomycin)
  • Any severe and uncontrolled systemic illness
  • Pregnancy or lactation **; ** Pregnancy has been established before enrollment by beta-hCG on urine (pregnancy test or urinary beta-HCG) or on blood (plasma beta-hCG)
  • Other symptomatic lesions not under control;
  • Lesions not suitable for ECT (bony invasion, large vessels infiltration, etc.);
  • Injectable lesions for systemic treatment with cetuximab + platinum + 5-fluorouracil therapy
  • Acute lung infection;
  • Symptoms of poor lung function;
  • Non correctable severe coagulation disorders;
  • Previous allergic reactions to bleomycin;
  • Previous cumulative dose of 250 mg/m2 of bleomycin exceeded;

结局指标

主要结局

Superiority of electrochemotherapy treatment with bleomycin in terms of objective response compared to treatment with cetuximab + platinum-based therapy + 5-fluorouracil.

Superiority of electrochemotherapy treatment with bleomycin in terms of objective response compared to treatment with cetuximab + platinum-based therapy + 5-fluorouracil.

次要结局

  • Overall survival
  • Assessment of disease-free progression time between the two groups
  • Evaluation of the duration of the response intended as the time from the first complete or partial response documentation to the first occurrence of disease or death progression
  • Assessment of disease control,intended as complete response, partial response and stable disease, between the two groups
  • Quality of life assessment (EORTC QLQ-C30, EORTC QLQ-H & N35, EQ-5D-5L) with particular attention to the effect on pain and bleeding between the two groups

研究者

申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Franco Ionna

Scientific

IRCCS Istituto Nazionale Tumori Fondazione Pascale

研究点 (15)

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