Title
Chemoradiotherapy HNSCC, Randomized Study, Docetaxel,Cisplatin, 5FU,Erbitux.
A Phase III Randomized Multicenter Study,Comparing an Induction Chemotherapy Followed by Irradiation and Concurrent Erbitux Versus Chemoradiotherapy for Patients With Locoregional Advanced Head and Neck Cancers
Phase
Phase 3Lead Sponsor
Groupe Oncologie Radiotherapie Tete et CouStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Squamous Cell Head and Neck CarcinomaIntervention/Treatment
fluorouracil carboplatin ...Study Participants
370The purpose of this study is to demonstrate that induction chemotherapy followed by radiation therapy plus Cetuximab will give better results than the validated treatment (chemoradiotherapy), for treatment of locoregional advanced head and neck cancers.
Concurrent chemoradiotherapy (radiotherapy+ carboplatin + 5FU) is a validated treatment for patients with locoregional advanced head and neck cancers.
This study evaluates the outcome of induction chemotherapy (docetaxel, cisplatin, 5 FU) followed by radiation therapy + Erbitux for patients with head and neck carcinoma with almost one measurable lesion by RMI or CT scan.
We hope we can improve the progression free survival of 14% at two years .
70 mg per m2 and per day for four days. day 1; day 22; day 43
600mg per m2 per day for four days. 3 cycles day 1; day 22; day 43
total dose: 70 grays. The patient receives 2 grays per day; five days a week during 7 weeks
Radiotherapy : 70 grays , fractionization : 2Gy/day, 5 days / week, for 7 weeks . Concurrent administration of Carboplatin: 70 mg/m2/day (day 1 until day 4)and 5FU 600 mg/m2/day (day 1 until day 4). Weeks 1; 4; 7.
Induction chemotherapy by Docetaxel 100mg/m2, day 1; cisplatin 100mg/m2, day 1; 5-Fluorouracil 1000mg/m2 (from day 1 to day 5), for a total of three cycles .Those cycles are administrated at day 1; day 22, day43. This induction chemotherapy is followed ( for responders or stable disease patients)by radiotherapy (70 grays for 7 weeks) and concurrent Erbitux( weekly administration).
Inclusion Criteria: head and neck locally advanced,non metastatic carcinoma not suitable for surgery Exclusion Criteria: non squamous cell head and neck cancer previous malignancy previous treatment