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Cancer of the PharynxPhase 3DeCIDENCT00117572

Docetaxel Based Chemotherapy Plus or Minus Induction Chemotherapy to Decrease Events in Head and Neck Cancer (DeCIDE)

A Phase 3 study testing docetaxel, cisplatin and hydroxyurea in people with Cancer of the Pharynx and Cancer of the Larynx, run by University of Chicago at 26 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The combined use of chemotherapeutic drugs with radiation has proven to be effective in improving overall survival and local control among patients with locally advanced head and neck cancer. Induction chemotherapy given before receiving local treatment has been shown to reduce the rate of distant failure. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
docetaxel, cisplatin and hydroxyurea
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
285 participants
Where
26 sitesin 5 countries
Study dates
Nov 2004to Dec 2016
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18 years or older
  • Histologically or cytologically confirmed diagnosis of squamous cell or poorly differentiated carcinomas of the head and neck (excluding lip), or lymphoepithelioma
  • No prior chemotherapy or radiotherapy
  • Prior surgical therapy will consist only of incisional or excisional biopsy, and organ sparing procedures such as debulking of airway-compromising tumors or neck dissection in a patient with an existing primary tumor
  • Karnofsky performance status of >= 70%
  • Intact organ and bone marrow function
  • Obtained informed consent

Who cannot join

  • Demonstration of metastatic disease (i.e. M1 disease).
  • Patients with a history of severe allergic reaction to docetaxel or other drugs formulated with polysorbate 80. History of allergic reactions attributed to compounds of similar chemical or biologic composition to cisplatin, 5-fluorouracil, or hydroxyurea
  • Other coexisting malignancies or malignancies diagnosed within the previous 3 years with the exception of basal cell carcinoma, cervical cancer in situ, and other treated malignancies with no evidence of disease for at least 3 years.
  • Prior surgical therapy other than incisional or excisional biopsy and organ-sparing procedures such as debulking of airway-compromising tumors or neck dissection in a patient with an unknown primary tumor. Any non-biopsy procedure must have taken place less than 3 months from initiating protocol treatment.
  • Incomplete healing from previous surgery
  • Pregnancy or breast feeding (men and women of child-bearing potential are eligible but must consent to using effective contraception during therapy and for at least 3 months after completing therapy)
Show all 9Show fewer
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure (CHF), unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
  • Patients with clinically significant pulmonary dysfunction, cardiomyopathy, or any history of clinically significant CHF are excluded. The exclusion of patients with active coronary artery disease will be at the discretion of the attending physician.
  • Uncontrolled active infection unless curable with treatment of their cancer.

Trial locations and contacts

26 sites in 5 countries.

26 sites in 5 countries

United States20 sites
  • Northwestern University

    Chicago, Illinois, 60611

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • The University of Chicago

    Chicago, Illinois, 60637

  • Weiss Memorial Hospital

    Chicago, Illinois, 60640

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • Evanston Northwestern Healthcare

    Evanston, Illinois, 60201

  • Roger Maris Cancer Center

    Fargo, North Dakota, 58122

  • Fort Wayne Medical Oncology/Hematology Inc.

    Fort Wayne, Indiana, 46815

  • Joliet Oncology Hematology Associates

    Joliet, Illinois, 60435

  • University of Kansas Cancer Center

    Kansas City, Kansas, 66160

  • Kansas City VA Medical Center

    Kansas City, Missouri, 64128

  • USC University of Southern California Keck School of Medicine

    Los Angeles, California, 90033

  • University of Tennessee Cancer Institute

    Memphis, Tennessee, 38104

  • UM Sylvester Comprehensive Cancer Center

    Miami, Florida, 33136

  • Oncology Alliance

    Milwaukee, Wisconsin, 53215

  • University of Minnesota

    Minneapolis, Minnesota, 55455

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania, 19111

  • Oncology Care Associates PLLC

    Saint Joseph, Michigan, 49085

  • UT Health Science Center at San Antonio

    San Antonio, Texas, 78258

  • AP&S Clinic, LLC

    Terre Haute, Indiana, 47807

Other trials in United States

Croatia2 sites
  • Clinic of Oncology, University Hospital Center Zagreb

    Zagreb, 10000

  • University Hospital for Tumors Zagreb

    Zagreb, 10000

Other trials in Croatia

Russia2 sites
  • NN Blokhin Russian Cancer Research Centre RAMS

    Moscow

  • Republican Oncology Dispensary

    Ufa

Other trials in Russia

France1 site
  • Clinique Armoricaine de Radiologie

    Saint-Brieuc, 22000

Other trials in France

Spain1 site
  • Hospital Clínico San Carlos

    Madrid, 28040

Other trials in Spain

About this study

Official title: A Phase III Randomized Trial of Docetaxel Based Induction Chemotherapy in Patients With N2/N3 Locally Advanced Head and Neck Cancer

The combined use of chemotherapeutic drugs with radiation has proven to be effective in improving overall survival and local control among patients with locally advanced head and neck cancer. Induction chemotherapy given before receiving local treatment has been shown to reduce the rate of distant failure. Many drugs have been found to prevent tumor cells from growing or dividing, although it has yet to be determined which agent, or specific combination of agents, is most effective in treating head and neck cancer. Docetaxel is a drug which has been reported to show promising activity in Phase II head and neck cancer studies. Therefore, the purpose of this trial is to compare the effectiveness of induction chemotherapy followed by chemoradiotherapy versus the same chemoradiotherapy alone in patients with locally advanced head and neck cancer.

Read the detailed description

TRIAL DESIGN:

Phase III trial of induction therapy with docetaxel followed by chemoradiotherapy versus chemoradiotherapy alone in patients with nodal stage N2 or N3 head and neck cancer

OBJECTIVES:

Primary

  • To determine the effect on overall survival when induction chemotherapy is administered prior to chemoradiotherapy in patients with N2 or N3 disease.

Secondary

  • To determine the effect of induction chemotherapy when administered prior to chemoradiotherapy on distant failure-free survival, failure pattern, progression free survival and quality of life.

TREATMENT PLAN:

  • After eligibility is confirmed, patients will be randomized to one of two treatment arms:

Arm A - Induction + chemoradiotherapy

Arm B - Chemoradiotherapy alone

  • Induction therapy: Two 21-day cycles of chemotherapy consisting of docetaxel (day 1), cisplatin (day 1), and 5-fluorouracil (days 1-5). Total duration of 6 weeks.
  • Chemoradiotherapy: Five 14-day cycles of docetaxel (day 1), 5-fluorouracil (day 0-4), and hydroxyurea (days 0-4) with twice daily radiation (days 1-5). Total duration of 10 weeks.
  • All patients will undergo surgical evaluation after chemoradiation for possible neck dissection.
  • Upon completion of treatment, patients will be monitored every three months during the first year, every six months during the second and third years, and annually thereafter, up to seven years.
  • Patients will be followed for Quality of Life (QOL) during the course of treatment, as well as annually thereafter, up to five years.

PROJECTED ACCRUAL:

  • An expected sample size of 400 patients will be enrolled for this study (200 per treatment arm).
Being tested
docetaxel, cisplatin, hydroxyurea, fluorouracil, chemotherapy
Keywords
Cancer of the Pharynx (Nasopharynx, Oropharynx, Hypopharynx), Cancer of the Nasal Cavity and Paranasal Sinuses
Medical subject headings
Pharyngeal Neoplasms, Laryngeal Neoplasms, Paranasal Sinus Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • docetaxelDrug

    75 mg/m2 on day 1 (induction phase); 25 mg/m2 on day 1 (chemoradiotherapy phase)

  • cisplatinDrug

    75 mg/m2 on day 1

  • hydroxyureaDrug

    Each cycle: 500 mg PO q 12 hours x 6 days (11 doses)

  • fluorouracilDrug

    750 mg/m2/day on days 1-5 (induction phase); 600 mg/m2/day, day 0-4 (chemoradiotherapy phase)

  • chemotherapyProcedure or surgery

    See protocol for details

  • radiotherapyProcedure or surgery

    See protocol for details

Study groups in NCT00117572
Study groupRoleWhat they receive
Induction plus chemoradiotherapyActive comparatorInduction therapy: Two 21-day cycles of chemotherapy consisting of docetaxel (75 mg/m2, day 1), cisplatin (75 mg/m2, day 1), and 5-fluorouracil (750 mg/m2/day, days 1-5). Total duration of 6 weeks. Chemoradiotherapy: Five 14-day cycles of docetaxel (25 mg/m2, day 1), 5-fluorouracil (600 mg/m2/day, day 0-4), and hydroxyurea (500 mg PO q 12 hours x 6 days (11 doses)) with twice daily radiation (150 cGy given bid, days 1-5). Total duration of 10 weeks.
Receives: Drug: docetaxel; Drug: cisplatin; Drug: hydroxyurea; Drug: fluorouracil; Procedure: chemotherapy; Procedure: radiotherapy
ChemoradiotherapyActive comparatorChemoradiotherapy: Five 14-day cycles of docetaxel (25 mg/m2, day 1), 5-fluorouracil (600 mg/m2/day, day 0-4), and hydroxyurea (500 mg PO q 12 hours x 6 days (11 doses)) with twice daily radiation (150 cGy given bid, days 1-5). Total duration of 10 weeks.
Receives: Drug: docetaxel; Drug: hydroxyurea; Drug: fluorouracil; Procedure: chemotherapy; Procedure: radiotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Survival: Time From Randomization to Death From Any Cause

    Survival rates over 6 years.

    Measured: Up to 6 years

Secondary outcomes (12)
  1. Distant Failure-free Survival (DFFS): Time From Randomization to Distant Recurrence or Death From Any Cause

    DFFS rates over 6 years. DFFS is time from randomization to distant recurrence or death from any cause

    Measured: Up to 6 years

  2. Recurrence Free Survival: Time From Randomization to Local/Regional/Distant Recurrence or Death From Any Cause

    Recurrence-free survival rates over 6 years. Recurrence-free survival is time from randomization to local, regional, or distant recurrence or death from any cause

    Measured: Up to 6 years

  3. Failure Pattern (Local/Regional Recurrence)

    Percentage of patients with local/regional recurrence

    Measured: Up to 6 years

  4. Failure Pattern (Distant Recurrence)

    Percentage of patients with distant recurrence

    Measured: Up to 6 years

  5. Quality of Life (FACT H&N)

    FACT Hand-and-neck subscale(b) (0-40 point scale with negative numbers indicating worsening of function)

    Measured: Change from baseline to post-CRT (post-pre). This corresponds to week 16 in the induction arm and week 10 in the CRT alone arm.

  6. Quality of Life (Normalcy of Diet)

    Performance Status Score (0-100 point scale with negative numbers indicating worsening of function)

    Measured: Change from baseline to post-CRT (post-pre). This corresponds to week 16 in the induction arm and week 10 in the CRT alone arm.

  7. Quality of Life (Speech)

    Performance Status Score (0-100 point scale with negative numbers indicating worsening of function)

    Measured: Change from baseline to post-CRT (post-pre). This corresponds to week 16 in the induction arm and week 10 in the CRT alone arm.

  8. Quality of Life (McMaster)

    McMaster RT Questionnaire (4-28 point scale with negative numbers indicating worsening of function)

    Measured: Change from baseline to post-CRT (post-pre). This corresponds to week 16 in the induction arm and week 10 in the CRT alone arm.

  9. Quality of Life (FACT H&N)

    FACT Hand-and-neck subscale(b) (0-40 point scale with negative numbers indicating worsening of function)

    Measured: Change from baseline to 1 year (1 year-pre)

  10. Quality of Life (Normalcy of Diet)

    Performance Status Score (0-100 point scale with negative numbers indicating worsening of function)

    Measured: Change from baseline to 1 year (1 year-pre)

  11. Quality of Life (Speech)

    Performance Status Score (0-100 point scale with negative numbers indicating worsening of function)

    Measured: Change from baseline to 1 year (1 year-pre)

  12. Quality of Life (McMaster)

    McMaster RT Questionnaire (4-28 point scale with negative numbers indicating worsening of function)

    Measured: Change from baseline to 1 year (1 year-pre)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jul 2005 (estimated)
  2. Study startNov 2004
  3. Primary completionDec 2016
  4. Study completionDec 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
285 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00117572
Sponsor's protocol ID
13362B
Acronym
DeCIDE
Status last verified
Apr 2018
First submitted
30 Jun 2005
Last updated
9 Apr 2018
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing docetaxel, cisplatin and hydroxyurea in people with Cancer of the Pharynx and Cancer of the Larynx, run by University of Chicago at 26 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in United States, Croatia, Russia, France, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Apr 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Survival: Time From Randomization to Death From Any Cause (time frame: Up to 6 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Apr 2018.

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