A Phase II Study In Patients With Advanced Head And Neck Cancer Of Standard Chemoradiation And Add-On Cetuximab

• Status: Completed
• Trial end date: 2017-10-25
• Target enrollment: 0
• Participant gender: All

Summary

Sixty patients with advanced squamous cell carcinomas of the head and neck will be enrolled in this study. Patients are treated with standard chemoradiation in combination with concurrent add-on cetuximab. Subsequently patients are randomized to cetuximab consolidation therapy (three months, Arm A) versus no consolidation therapy (Arm B). The aim of this study is to investigate if cetuximab consolidation therapy improves the 2-year locoregional control rate.

• Trial with medicinal product

• Trial with radiotherapy

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: University of Zurich
• Treatments: Cetuximab

Criteria

Inclusion criteria:

• T3-4 Nx M0; Tx N2b-3 M0 (N2b only if ≥ 3 ipsilateral nodes involved) and/or total GTV > 70 cc (any T, any N, M0)

• biopsy proven squamous cell cancer

• primary tumor location in oral cavity, oropharynx, hypopharynx or larynx

• Patients with CUP (cancer of unknown primary) syndrome in case they have advanced lymph node metastases (Tx N2b-3 M0 (N2b only if ≥ 3 ipsilateral nodes involved).- Indication for chemoradiation (RT + Cisplatin)

• curative treatment intent

• Start of chemoradiation within the recruitment time frame

• Performance Status WHO/ECOG: 0-1

• Age between 18 and 75 years

• No previous chemotherapy or RT for cancer of the head and neck

• Women of childbearing potential and male participants must agree to use a medically effective means of birth control throughout their participation in the treatment phase of the study (until at least 60 days following the last study treatment

• Patient must sign informed consent prior to study entry.

Exclusion criteria:

• Cancer of the nasopharynx

• Any neoadjuvant chemotherapy prior to screening

• Treatment with other investigational drugs within 4 weeks

• History of malignancy other than basal cell skin cancer unless disease free for a minimum of 3 years.

• Uncontrolled claudication, bleeding, or thromboembolic disorders at screening

• Patients receiving heparin, warfarin or phenprocoumon therapy are ineligible- Uncontrolled and severe hypertension at screening according to the judgement of the investigator.

• Current uncontrolled cardiac disease: Unstable angina, New York Heart Association (NYHA) Grade II or greater congestive heart failure, history of myocardial infarction within 12 months, significant arrhythmias

• Left ventricular function < 45 % (determination of left ventricular function required when history of cardiac disease)

• History of stroke within 6 months

• Major surgical procedure, or significant traumatic injury within 28 days prior to screening; anticipation of need for major surgical procedure during the course of the study.

• Acute bacterial or fungal infection requiring intravenous antibiotics at screening

• Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization or precluding study therapy at screening

• Pregnant (positive pregnancy test) or lactating

• Previous organ transplantation

• Any immune suppressive therapy

• Acquired Immune Deficiency Syndrome (AIDS) based upon current CDC definition because study treatment might be immuno-suppressive (Note: HIV testing only required if clinically indicated)

• Any uncontrolled condition, which in the opinion of the investigator, would interfere with the safe and timely completion of study procedures.

• Preexisting renal insufficiency with impaired creatinine clearance (<60ml/min) and/or increased plasma creatinine (>106 µmol/l) at screening

• History of abdominal fistula, gastrointestinal perforation, or intra- abdominal abscess within 6 months prior to screening

• Serious, non-healing wound, ulcer, or bone fracture

• AST, ALT, or bilirubin > 1.5 x normal

• Preexisting absolute neutrophil count (ANC) < 1,800 cells/mm3

• Platelets < 100,000 103/µl at screening

• PTT > 1.5 x normal

• WBC < 4000 103/µl

• Hb < 11 g/dl at screening (Note: The use of transfusion or other intervention to achieve Hb > 11 g/dl is possible)

• Contraindication to CDDP

• Known allergy to cetuximab