Erlotinib and Cisplatin in Treating Patients With Recurrent or Metastatic Head and Neck Cancer

• Status: Completed
• Trial end date: 2009-12-01
• Target enrollment: 0
• Participant gender: All

Summary

RATIONALE: Biological therapies such as erlotinib may interfere with the growth of tumor cells and slow the growth of the tumor. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining erlotinib with cisplatin may kill more tumor cells.

PURPOSE: Phase I/II trial to study the effectiveness of combining erlotinib and cisplatin in treating patients who have recurrent or metastatic head and neck cancer.

• Phase: Phase 1/Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: University Health Network, Toronto
• Collaborator: National Cancer Institute (NCI)
• Treatments: Cisplatin; Erlotinib Hydrochloride

Criteria

DISEASE CHARACTERISTICS:

• Histologically confirmed squamous cell carcinoma of the head and neck

• All primary sites, including oral cavity, oropharynx, nasopharynx, hypopharynx, larynx, and paranasal sinus

• Recurrent, unresectable, and/or metastatic disease

• At least 1 measurable lesion

• At least 20 mm with conventional techniques OR at least 10 mm with spiral CT scan

• Lesions accessible for biopsy

• Tumor specimen available for evaluation of epidermal growth factor receptor (EGFR) expression

• No known brain metastases

PATIENT CHARACTERISTICS:

Age:

• 18 and over

Performance status:

• ECOG 0-2 OR

• Karnofsky 60-100%

Life expectancy:

• More than 12 weeks

Hematopoietic:

• WBC at least 3,000/mm^3

• Absolute neutrophil count at least 1,500/mm^3

• Platelet count at least 100,000/mm^3

Hepatic:

• Bilirubin no greater than 1.25 times upper limit of normal (ULN)

• AST and ALT no greater than 2.5 times ULN

Renal:

• Creatinine normal OR

• Creatinine clearance at least 60 mL/min

Cardiovascular:

• No symptomatic congestive heart failure

• No unstable angina pectoris

• No cardiac arrhythmia

Gastrointestinal:

• No gastrointestinal tract disease resulting in malabsorption

• No requirement for IV alimentation

• No active peptic ulcer disease

• Inability to swallow tablets or silicon-based G-tubes allowed

Ophthalmic:

• No abnormalities of the cornea based on history (e.g., dry eye syndrome or Sjogren's syndrome)

• No congenital abnormality (e.g., Fuch's dystrophy)

• No abnormal slit-lamp examination using a vital dye (e.g., fluorescein or Bengal-Rose)

• No abnormal corneal sensitivity test (e.g., Schirmer test or similar tear production test)

Other:

• Not pregnant or nursing

• Negative pregnancy test

• Fertile patients must use effective contraception

• No other malignancy within the past 5 years except carcinoma in situ of the cervix, nonmelanoma skin cancer, or second primary squamous cell cancer originating from the head and neck

• No grade 2 or greater residual ototoxicity or neuropathy from prior platinum-based therapy

• No significant traumatic injury within the past 21 days

• No other concurrent uncontrolled illness

• No ongoing or active infection

• No psychiatric illness or social situation that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy:

• Not specified

Chemotherapy:

• No prior chemotherapy for recurrent or metastatic disease

• Prior platinum-based chemotherapy with radiotherapy or platinum-based induction chemotherapy allowed

• At least 6 months since prior chemotherapy

Endocrine therapy:

• Not specified

Radiotherapy:

• See Chemotherapy

• At least 4 weeks since prior radiotherapy (except low-dose, limited-fraction palliative non-myelosuppressive radiotherapy [e.g., involving less than 20% of functioning bone marrow using 800 cGy in 1 fraction or 2,000 cGy in 5 fractions]) and recovered

• No prior radiotherapy to target lesion unless there is evidence of disease progression

Surgery:

• See Disease Characteristics

• At least 21 days since prior major surgery

• No prior surgical procedure affecting gastrointestinal absorption

Other:

• No prior EGFR-targeting therapies

• No prior investigational agents for recurrent or metastatic disease

• No concurrent combination anti-retroviral therapy for HIV infection

• No other concurrent investigational agents

• No other concurrent anticancer treatment