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临床试验/EUCTR2014-000048-14-DE
EUCTR2014-000048-14-DE进行中(未招募)1 期

Randomized, controlled trial of Platinum-Cetuximab combined either with Docetaxel (TPEx) or with 5FU (Extreme) in patients with recurrent/metastatic squamous cell cancer of the head and neck

GORTEC0 个研究点目标入组 540 人开始时间: 2014年9月26日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
GORTEC
入组人数
540

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Histologically confirmed diagnosis squamous cell carcinoma of head and neck: oral cavity, oropharynx, hypopharynx, larynx (histological confirmation is mandatory at least for initial diagnosis)
  • Recurrence and/or metastatic disease not suitable for local therapy
  • At least one measurable lesion (RECIST) by CT or MRI
  • Age = 18 years and < 71 years
  • Clearance of creatinine > 60ml/mn (MDRD)
  • Haematological function as follows: absolute neutrophil count > 1.5 x 109/l, platelet > 100 x 109/l, hemoglobin = 9.5 g/dl
  • Hepatic function as followed: bilirubin = Upper limit of normal (ULN); SGOT/SGPT < 1.5 ULN; AP < 2.5 ULN
  • Estimated life expectancy > 12 weeks
  • Informed Consent Form signed
  • Affiliation to an health insurance
  • Negative pregnancy test in women of childbearing potential within 14 days prior to treatment initiation (premenopausal or less than 12 months of amenorrhea post-menopause, and who have not undergone surgical sterilization). Both men and women (of childbearing potential) who are sexually active must use adequate contraception, during and for at least 6 months post-treatment.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 540
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Patients with nasopharyngeal cancer, paranasal sinus cancer or unknown primary
  • Prior systemic chemotherapy for the head and neck carcinoma, except if given as part of a multimodal treatment for locally advanced disease which was completed more than 6 months prior to study entry
  • Surgery (excluding diagnostic biopsy) or radiotherapy within 6 weeks before study entry
  • Contra-indication to receive cisplatin
  • Known dihydropyrimidine dehydrogenase (DPD) deficiency
  • Administration of prophylactic phenytoin
  • Recent or planed yellow fever vaccination
  • Prior dose of cisplatin > 300 mg/m² (a patient who received prior RT + 3 cycles of cisplatin or 3 cycles induction TPF, i.e. total dose of cisplatin = 300 mg/m², for locally advanced primary HN cancer can be included)
  • Prior anti-EGFR treatment received less than 12 months before enrolment in the trial
  • Known hypersensitivity reaction to 5FU, cisplatin, carboplatin, docetaxel or cetuximab
  • Documented or symptomatic brain or leptomeningeal metastasis
  • Clinically significant cardiovascular disease, e.g. cardiac failure of New York Heart Association classes III-IV, uncontrolled coronary artery disease, cardiomyopathy, uncontrolled arrhythmia, uncontrolled hypertension, or history of myocardial infarction in the last 12 months
  • Other malignancies within 5 years prior to randomization, with the exception of adequately treated basal skin cancer and carcinoma in situ of the cervix.
  • Active infection (infection requiring IV antibiotics), including active tuberculosis and known and declared human immunodeficiency virus (HIV).
  • Significant disease which, in the judgment of the investigator, would make the patient inappropriate for entry into the trial.
  • Any social, personal, medical and/or psychologic factor(s) that could interfere with the observance of the patient to the protocol and/or the follow-up and/or the signature of the informed consent.
  • Pregnant or breast feeding women

研究者

发起方
GORTEC

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