Oropharyngeal NeoplasmsPhase 2NCT00251381
Cetuximab & Concomitant-Boost Accelerated RT in Patients With Locally Advanced Oropharynx Squamous Cell Carcinoma.
A Phase 2 study testing Cetuximab in people with Oropharyngeal Neoplasms, run by Trial Form Support S.L. at 18 sites in Spain.
Trial summary
The purpose of this study is to determine the 1-year rate of locoregional disease control in the experimental arm, using a control arm to avoid selection bias. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Oropharyngeal Neoplasms
- What is being tested?
- Cetuximab
- How many people
- 90 participants
- Where
- 18 sitesSpain
- Study dates
- Nov 2005to Nov 2009
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent.
- Aged between 18 and 80, inclusive.
- Karnofsky functional status >= 70% at the time of enrolment in study.
- Life expectancy of more than 3 months.
- Histologically confirmed diagnosis of oropharyngeal squamous cell carcinoma: base of tongue, vallecula, tonsil and tonsillar fossa and pillars, glossotonsillar sulcus, inferior surface of the soft palate, uvula and lateral and posterior oropharyngeal wall.
- Stage III or IV with no evidence of distant metastasis (IVA or IV B)
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- Patients in medical conditions to receive a radical concomitant-boost accelerated radiotherapy treatment.
- Neutrophils >= 1500/ mm3, platelet count >= 100 000/ mm3 and haemoglobin >= 10 g/ dL.
- Proper liver function: total bilirubin <= 1.5 x upper limit of normal (ULN); aspartate aminotransferase (AST) and alanine aminotransferase (ALT) <= 2.5 x ULN.
- Proper renal function: serum creatinine <= 1.5 x ULN; if the values are > 1.5 x ULN, creatinine clearance should be >= 55 ml/min.
- Serum calcium within normal limits.
- Adequate nutritional state: weight loss < 20% with respect to usual weight and serum albumin > 35 g/l.
- Effective birth control method if there is possibility of conception and/or pregnancy.
- Availability of tumour tissue for immunohistochemical analysis of EGFR expression.
Who cannot join
- Metastatic disease.
- Previous surgical, radiotherapy and/or chemotherapy treatment for the disease in the study.
- Other non-oropharyngeal tumour sites in the head and neck area.
- Other previous and/or simultaneous squamous cell carcinoma.
- Diagnosis of any other cancer in the previous 5 years, except properly treated carcinoma in situ of the uterine cervix and/or basal cell skin carcinoma.
- Active infection (infection requiring intravenous antibiotics), including active tuberculosis and diagnosed HIV.
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- Uncontrolled hypertension defined as systolic blood pressure >= 180 mm Hg and/or diastolic blood pressure >= 130 mm Hg at rest.
- Pregnancy (absence of pregnancy must be confirmed with the serum-HCG test) or breast-feeding women.
- Chronic, concomitant systemic immunotherapy, or hormonal treatment for the cancer.
- Other concomitant anti-cancer treatments.
- Clinically significant coronary artery disease, history of myocardial infarction in the previous 12 months or high risk of out of control arrhythmia or cardiac insufficiency.
- Chronic obstructive pulmonary disease which may have required > 3 hospitalisations in the previous 12 months.
- Out of control active peptic ulcer.
- Presence of a psychological or medical illness which might impede the patient from carrying out the study or giving his or her signature on the informed consent
- Known drug abuse (with the exception of excessive alcohol consumption)
- Known allergic reaction to any of the components of the treatment to be studied.
- Previous treatment with monoclonal antibodies or signal transduction inhibitors or other EGFR-targeted treatment.
- Any experimental treatment in the 30 days prior to enrolment in the study.
Trial locations and contacts
18 sites in 1 country.
18 sites in 1 country
Spain18 sites, 18 recruiting
- Recruiting
Centro Oncológico Regional de Galicia
A Coruña, Coruña, 15009
Manuel Ramos, MD, 34 981 287 499
Manuel Ramos, MD
- Recruiting
Hospital Germans Tries i Pujol
Badalona, Barcelona, 08196
Mireia Margelí, MD, 3493 497 89 25
Mireia Margelí, MD
- Recruiting
H. del Mar / H. de la Esperanza
Barcelona, Barcelona, 08003
Joan Carles, MD
Palmira Foro, MD
- Recruiting
H. de la Santa Creu I Sant Pau
Barcelona, Barcelona, 08025
Antonio lopez, MD, 34 93 291 91 25
Oscar Gallego, MD
- Recruiting
H.U. Virgen de la Arrixaca
El Palmar, Murcia, 30120
José L Alonso, MD
Isabel De la Fuente, MD
- Recruiting
H. Josep Trueta (ICO)
Girona, Girona, 17007
Jordi Rubio, MD
Jordi Vayreda, MD
- Recruiting
Institut Catala Oncologia: Hospital Duran y Reynals
L'Hospitalet de Llobregat, Barcelona, 08097
Ricard Mesia, MD
Alicia Lozano, MD
- Recruiting
H. G. Doctor Negrín
Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, 35020
David Aguiar, MD
Bernardino Clavo, MD
- Recruiting
Clinica Ruber Internacional
Madrid, Madrid, 28034
José E Alés, MD
Rodrigo García, MD
- Recruiting
H. Ramón y Cajal
Madrid, Madrid, 28034
José A Lopez, MD
Asunción Hervás, MD
- Recruiting
Fundación Jiménez Díaz
Madrid, Madrid, 28040
Victoria Casado, MD, 34 91 550 48 00
Victoria Casado, MD
- Recruiting
H. Gregorio Marañón
Madrid, Madrid, 28040
Hector Alburquerque, MD
Yolanda Escobar, MD
- Recruiting
Complejo Hospitalario Virgen de la Victoria
Málaga, Malaga, 29010
Antonio Rueda, MD
José A Medina, MD
- Recruiting
H. Carlos Haya
Málaga, Malaga, 29010
Ester Villar, Md
Ismael Herruzo, MD
- Recruiting
Hospital de Navarra
Pamplona, Navarre, 31008
Ruth Vera, MD
Fernando Arias, MD
- Recruiting
H. U. de Canarias
Santa Cruz de Tenerife, Santa Cruz de Tenerife, 38320
Milva Rodriguez, MD, 34 922 678 746
Milva Rodriguez, MD
- Recruiting
H.U. de Santiago
Santiago, 15706
Rafael Lopez, MD
Mª del Carmen Porto, MD
- Recruiting
H. do Meixoeiro
Vigo, Vigo, 36200
Joaquín Casal, MD
Iñigo Nieto, MD
About this study
Official title: Open Label Randomized Phase II, Multicentre, Pilot Study to Evaluate Safety and Efficacy of the Combination of Cetuximab and Concomitant-Boost Accelerated Radiotherapy Followed or Not by a Complementary Treatment With Cetuximab in Patients With Locally Advanced Oropharynx Squamous Cell Carcinoma.
The purpose of this study is to determine the 1-year rate of locoregional disease control in the experimental arm, using a control arm to avoid selection bias.
Read the detailed description
- To determine the 1-year rate of locoregional disease control in the experimental arm, using a control arm to avoid selection bias.
- To determine the 2 and 3 year rate of locoregional disease control.
- To evaluate the safety and toxicity of the combination of cetuximab and concomitant-boost accelerated radiotherapy followed by 12 weeks of complementary treatment with cetuximab. Both acute and chronic toxicity will be assessed.
- To determine specific disease-free survival, event-free survival, disease-specific survival and overall survival
- To determine acute and late toxicity
- To determine EGFR, p53, Ki67, and evaluate its value as a prognostic factor.
- Conditions
- Oropharyngeal Neoplasms
- Being tested
- Cetuximab
- Keywords
- Oropharyngeal Neoplasms, Cetuximab, Concomitant-boost accelerated radiotherapy
- Medical subject headings
- Oropharyngeal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CetuximabDrug
What is being measured
The primary outcome is the main question the study is designed to answer.
1-year rate of Locoregional Disease Control in the experimental arm, deffined as complete and persistent disappearance of disease in the primary tumour and regional lymph nodes.
Secondary outcomes (1)
Toxicity and safety of treatment will be evaluated using the Common Toxicity Criteria (CTC) of the NCI, version 3.0.; and late toxicity from radiotherapy, using RTOG/EORTC Late Radiation Morbidity Scoring Scheme.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Nov 2005 (estimated)
- Study startNov 2005
- Study completionNov 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Oropharyngeal NeoplasmsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 90 participants
Sponsor and investigators
- Lead sponsor
- Trial Form Support S.L.
- Sponsor type
- University, hospital or other
- Collaborators
- Merck KGaA, Darmstadt, Germany
- Investigators
- Ricard Mesia, MD, Principal investigator, Institut Catala Oncologia: Hospital Durán y ReynalsJoaquin Gomez, MD, Principal investigator, Institut Catala Oncologia: Hospital Durán y Reynals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00251381
- Sponsor's protocol ID
- 62202-655
- Status last verified
- Oct 2006
- First submitted
- 9 Nov 2005
- Last updated
- 26 Oct 2006
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Oct 2006. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Open Label Randomized Phase II, Multicentre, Pilot Study to Evaluate Safety and Efficacy of the Combination of Cetuximab and Concomitant-Boost Accelerated Radiotherapy Followed or Not by a Complementary Treatment With Cetuximab in Patients With Locally Advanced Oropharynx Squamous Cell Carcinoma.
- ClinicalTrials.gov ID
- NCT00251381
- Acronym / sponsor ID
- 62202-655
- Conditions
- Oropharyngeal Neoplasms
- Keywords
- Oropharyngeal Neoplasms, Cetuximab, Concomitant-boost accelerated radiotherapy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 90 participants
- Lead sponsor
- Trial Form Support S.L.University, hospital or other
- Collaborators
- Merck KGaA, Darmstadt, Germany
- Study start
- Nov 2005
- Study completion
- Nov 2009
- First posted
- 10 Nov 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the 1-year rate of locoregional disease control in the experimental arm, using a control arm to avoid selection bias.
Detailed description
- To determine the 1-year rate of locoregional disease control in the experimental arm, using a control arm to avoid selection bias.
- To determine the 2 and 3 year rate of locoregional disease control.
- To evaluate the safety and toxicity of the combination of cetuximab and concomitant-boost accelerated radiotherapy followed by 12 weeks of complementary treatment with cetuximab. Both acute and chronic toxicity will be assessed.
- To determine specific disease-free survival, event-free survival, disease-specific survival and overall survival
- To determine acute and late toxicity
- To determine EGFR, p53, Ki67, and evaluate its value as a prognostic factor.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Written informed consent.
- Aged between 18 and 80, inclusive.
- Karnofsky functional status >= 70% at the time of enrolment in study.
- Life expectancy of more than 3 months.
- Histologically confirmed diagnosis of oropharyngeal squamous cell carcinoma: base of tongue, vallecula, tonsil and tonsillar fossa and pillars, glossotonsillar sulcus, inferior surface of the soft palate, uvula and lateral and posterior oropharyngeal wall.
Key exclusion criteria (18 listed)
- Metastatic disease.
- Previous surgical, radiotherapy and/or chemotherapy treatment for the disease in the study.
- Other non-oropharyngeal tumour sites in the head and neck area.
- Other previous and/or simultaneous squamous cell carcinoma.
- Diagnosis of any other cancer in the previous 5 years, except properly treated carcinoma in situ of the uterine cervix and/or basal cell skin carcinoma.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cetuximab | Drug | – |
Primary outcome
1-year rate of Locoregional Disease Control in the experimental arm, deffined as complete and persistent disappearance of disease in the primary tumour and regional lymph nodes.
1 secondary outcome
Toxicity and safety of treatment will be evaluated using the Common Toxicity Criteria (CTC) of the NCI, version 3.0.; and late toxicity from radiotherapy, using RTOG/EORTC Late Radiation Morbidity Scoring Scheme.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Oct 2006.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ricard Mesia, MD principal investigator
Institut Catala Oncologia: Hospital Durán y Reynals
Joaquin Gomez, MD principal investigator
Institut Catala Oncologia: Hospital Durán y Reynals
18 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Cetuximab in people with Oropharyngeal Neoplasms, run by Trial Form Support S.L. at 18 sites in Spain.
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 14 inclusion and 18 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: status not confirmed, as of the sponsor's last update on 26 Oct 2006. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 18 sites in 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Jaume Graupera (34 93 185 02 00, jaume.graupera@trialformsupport.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
1-year rate of Locoregional Disease Control in the experimental arm, deffined as complete and persistent disappearance of disease in the primary tumour and regional lymph nodes.. 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 26 Oct 2006.