AzTrials
AzTrials

Squamous Cell Carcinoma of the Head and NeckPhase 3NCT00442455

Erlotinib,Radiation and Cisplatin in Patients With Complete Resected Squamous Cell Carcinoma of the Head and Neck

A Phase 3 study testing Erlotinib chlorhydrate, Cisplatin and Radiation therapy in people with Squamous Cell Carcinoma of the Head and Neck, run by Grupo de Investigación Clínica en Oncología Radioterapia at 5 sites in Spain.

Completed

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

Official record
Search all trials

Trial summary

The purpose of the study is to determinate the free-progression interval in patients with surgically resected locally advanced squamous cell carcinoma of head and neck treated with the maximum tolerated dose of the combination of erlotinib, radiation therapy and cisplatin, previously established in a safety trial. Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
Erlotinib chlorhydrate, Cisplatin and Radiation therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
53 participants
Where
5 sitesSpain
Study dates
Jan 2006to Aug 2015
Phase
Phase 3
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with histological proof of epidermoid carcinoma of the oral cavity, oropharynx, larynx, or hypopharynx, treated with surgical resection with curative intent.
  • Surgical resection must have taken place within 8 weeks prior to the patient's inclusion in the study.
  • In those patients having clinical regional lymph node involvement radical neck dissection is mandatory. However, radical neck dissection is not an inclusion criterion in patients staged as N0.
  • Age 18-70 years.
  • Anticipated life expectancy of ≥ 12 weeks.
  • Patients should have at least one of the following criteria:
Show all 23Show fewer
  • Pathological T3-4 tumor stage, apart from T3N0 of the larynx with negative margins
  • Pathological N2-3 nodal stage.
  • Unfavorable pathological findings such as extranodal spread, positive resection margins, perineural and/or vascular involvement.
  • Written informed consent given by the patient.
  • Therapeutic compliance of the patient and geographical proximity to the hospital to facilitate appropriate follow-up.
  • ECOG 0-1.
  • No distant metastatic disease.
  • Adequate organ function according to the following criteria:
  • Adequate bone marrow reserve: ANC > 1,5 x 10(9) cells/L; Platelet count > 100 x 10(9) cells/L; Hemoglobin > 9 g/dL
  • Liver function: Bilirubin < 1.5 x ULN; Alkaline phosphatase (AP), aspartate transaminase (AST) and alanine transaminase (ALT) < 3.0 x ULN
  • Renal function: calculated creatinine clearance (CrCl) > 60ml/min or Creatinine (Cr) < 1.5 ULN of the reference laboratory.
  • Serum calcium and alkaline phosphatase must be normal.
  • Women of child bearing potential must have a negative pregnancy test within the 48h prior to the start of the treatment.
  • Patients of both genders at a fertile age must follow effective contraceptive measures.
  • Absence of symptomatic coronary artery disease or acute myocardial infarction within 6 months prior to study.
  • Patients capable of oral deglutition or requiring gastrostomy.
  • No problems of intestinal transit such as malabsorption syndrome, chronic inflammatory bowel disease and other diseases, which might impair drug absorption

Who cannot join

  • Histology other than squamous cell carcinoma.
  • Presence of macroscopic residual disease.
  • Previous treatment with chemotherapy or radiotherapy or EGFR-targeted agents.
  • Incomplete resection of the primary tumor or incomplete neck dissection.
  • Patients being diagnosed with any other malignant disease, excluding resected nonmelanoma skin cancer or resected uterine cervix carcinoma.
  • Pregnant or nursing women.
Show all 14Show fewer
  • Active infection.
  • Concomitant severe illness (according to the opinion of the investigator) or whose estimated survival for this concomitant pathology is lower than that estimated for the neoplasm disease.
  • Uncontrolled psychiatric illness.
  • Inability to take oral medication, requiring intravenous feeding or prior surgical procedures affecting absorption or having active peptic ulcer.
  • Impossibility to appropriate follow-up.
  • Evidence of any other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding suggesting a condition that contraindicates the use of the study medication (erlotinib, cisplatin, radiotherapy), which might interfere with the analysis of the results or increase the risk of treatment complications.
  • Any known significant ophthalmologic abnormalities, including severe xerophthalmia, keratoconjunctivitis sicca, Sjögren syndrome, severe exposure keratopathy or other abnormalities, which may increase the risk of corneal epithelial damage (the use of contact lenses during the study may increase the risk of corneal damage and its use is strongly discouraged. Those patients still using contact lenses will need a closer ophthalmologic follow-up.
  • Frequent vomiting or medical disorder impairing swallowing of drugs

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

Spain5 sites
  • Hospital Clínico San Carlos

    Madrid, 28003

  • Hospital General Universitario Gregorio Marañón

    Madrid, 28007

  • Hospital Universitario Clínica Puerta de Hierro

    Madrid, 28035

  • Hospital Regional Universitario Carlos Haya

    Málaga, 29010

  • Hospital de Navarra

    Pamplona, Navarre, 31008

Other trials in Spain

About this study

Official title: Phase I/II Trial of Erlotinib, Radiation Therapy, and Cisplatin in Patients With Complete Resected Squamous Cell Carcinoma of the Head and Neck

The purpose of the study is to determinate the free-progression interval in patients with surgically resected locally advanced squamous cell carcinoma of head and neck treated with the maximum tolerated dose of the combination of erlotinib, radiation therapy and cisplatin, previously established in a safety trial.

Read the detailed description

Phase I:

3 cohorts of 3-6 patients, patients will received:

  • Erlotinib 100-150 mg/day po for 7 weeks.
  • Cisplatin 30-40 mg/m2 iv weekly for 7 weeks.
  • Radiation therapy 63 Gy, five days a week, for 7 weeks. Cohort 1: 3 patients will be included in cohort 1.

If no DLT has been recorded in the first three patients during the 7-weeks treatment, the dose level of erlotinib will be escalated to 150 mg and enrollment of cohort 2 will be initiated.

If DLT has been recorded in one out of the first three patients during the during the 7-weeks treatment, then the first cohort will be expanded to 6 patients.

  • If no further DLT has been recorded in patients 4 to 6 of cohort 1 during the 7-weeks treatment cycle, the dose level of erlotinib will be escalated to 150 mg and enrollment of cohort 2 will be initiated, after patient 6 has completed the 7-weeks treatment.
  • If DLT has been recorded in one out of the patients 4 to 6 of cohort 1 during the 7-weeks treatment cycle, the dose level of erlotinib will be escalated to 150 mg and enrollment of cohort 2 will be initiated, after patient 6 has completed the 7-weeks treatment.
  • If DLT has been recorded in 2 patients of the patients 4 to 6 of cohort 1, during the during the 7-weeks treatment, then the trial will be terminated and this dose level will be considered as the Maximum Tolerated Dose (MTD).

If DLT has been recorded in 2 patients of the first three patients during the during the 7-weeks treatment, then the trial will be terminated and this dose level will be considered as the Maximum Tolerated Dose (MTD).

Cohort 2:

If DLT has been recorded in one out of the first three patients or 1-2 of the 6 patients in cohort 1, 3 patients will be included in cohort 2.

If no DLT has been recorded in the first three patients during the 7-weeks treatment, the dose level of cisplatin will be escalated to 40 mg/m2 and enrollment of cohort 3 will be initiated.

If DLT has been recorded in one out of the first three patients during the during the 7-weeks treatment, then the second cohort will be expanded to 6 patients.

  • If no further DLT has been recorded in patients 4 to 6 of cohort 2 during the 7-weeks treatment cycle, the dose level of cisplatin will be escalated to 40 mg/m2 and enrollment of cohort 3 will be initiated, after patient 6 has completed the 7-weeks treatment
  • If DLT has been recorded in one out of the patients 4 to 6 of cohort 2 during the 7-weeks treatment cycle, the dose level of cisplatin will be escalated to 40 mg/m2 and enrollment of cohort 3 will be initiated, after patient 6 has completed the 7-weeks treatment
  • If DLT has been recorded in 2 patients of the patients 4 to 6 of cohort 2 during the during the 7-weeks treatment, then the trial will be terminated and this dose level will be considered as the Maximum Tolerated Dose (MTD).

If DLT has been recorded in 2 patients of the first three patients of cohort 2 during the during the 7-weeks treatment, then the trial will be terminated and this dose level will be considered as the Maximum Tolerated Dose (MTD).

Cohort 3:

If DLT has been recorded in one out of the first three patients or 1-2 of the 6 patients in cohort 2, 3 patients will be included in cohort 2.

If no DLT has been recorded in the first three patients during the 7-weeks treatment, then the Maximum Tolerated Dose has not been reached.

If DLT has been recorded in one out of the first three patients during the during the 7-weeks treatment, then the third cohort will be expanded to 6 patients.

  • If no further DLT has been recorded in patients 4 to 6 of cohort 3 during the 7-weeks treatment cycle, then the Maximum Tolerated Dose has not been reached.
  • If DLT has been recorded in one out of the patients 4 to 6 of cohort 3 during the 7-weeks treatment cycle, then the Maximum Tolerated Dose has not been reached.
  • If DLT has been recorded in 2 patients of the patients 4 to 6 of cohort 3 during the during the 7-weeks treatment, then the trial will be terminated and this dose level will be considered as the Maximum Tolerated Dose (MTD).

If DLT has been recorded in 2 patients of the first three patients of cohort 3 during the during the 7-weeks treatment, then the trial will be terminated and this dose level will be considered as the Maximum Tolerated Dose (MTD).

Inclusion of the third patient of each cohort will not be allowed until the safety data from the two previous patients have been analyzed

Inclusion of the third patient of each cohort will not be allowed until the safety data from the two previous patients have been analyzed

DLT is defined as:

  • Any clinically intolerable hematological or non-hematological grade 3-4 toxicity.
  • Grade 3-4 diarrhoea.
  • Grade 3-4 or clinically intolerable grade 2 skin rash.
  • Grade 4 mucositis implying a temporary interruption of radiation therapy (for longer than 2 consecutive weeks).
  • Grade 4 mucositis occurring within the first 3 weeks of treatment.
  • Grade 3-4 mucositis accompanied by one of the following toxicities:
  • Worsening of performance status, defined as ECOG ≥ 2 or a decrease of 40% in the Karnofsky performance status scale.
  • Grade 3 Weight loss (corresponding to a weight loss of ≥ 20% with respect to baseline weight).
  • Underlying pain (not including swallowing) VAS > 7.
  • Parenteral nutrition.
  • Any clinically significant toxicity, involving treatment interruption for a period longer than two weeks.

Maximum Tolerated Dose is defined as the dose level at which 2 patients of the first three patients of one cohort or ≥ 3 of the 6 patients of one cohort exhibit one DLT, during the 7-weeks treatment.

Phase II:

75 patients will be treated at dose step below MTD to determinate:

  • Progression Free Survival, defined as the period of time from the surgery until disease progression or death.
  • Overall survival.
  • Locoregional progression-free survival.

A tumor assessment will be performed 30 days after the end of treatment and every 3 months until disease progression afterwards.

Being tested
Erlotinib chlorhydrate, Cisplatin, Radiation therapy
Keywords
Head Neck Carcinoma Erlotinib
Medical subject headings
Squamous Cell Carcinoma of Head and Neck

What participants receive

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

  • Erlotinib chlorhydrateDrug

    Also called Erlotinib clorhidrate

    150 mg/day for 7 weeks

  • CisplatinDrug

    Also called Cisplatino

    30 mg/m2 i.v. weekly for 7 weeks

  • Radiation therapyProcedure or surgery

    63 Gy, five days a week, for 7 weeks

Study groups in NCT00442455
Study groupRoleWhat they receive
Erlotinib, radiotherapy.ExperimentalThere are three cohorts of patients in whom the dose of Erlotinib chlorhydrate(100 and 150 mg) and Cisplatin (30 and 40 mg / m2) will be increase, and the doses of Radiation therapy being fixed (63 Gy during 5 days a week during 7 weeks)
Receives: Drug: Erlotinib chlorhydrate; Drug: Cisplatin; Procedure: Radiation therapy

What is being measured

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

  1. Determinate the maximum tolerated dose (PHASE I)

    Measured: 17/MAR/08

  2. Progression free survival (PHASE II)

    Measured: 5 years

Secondary outcomes (2)
  1. DLT (PHASE I)

    Measured: 17/MAR/08

  2. Overall survival and locoregional progression free survival (PHASE II)

    Measured: 5 years

Timeline

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

  1. First posted2 Mar 2007 (estimated)
  2. Study startJan 2006
  3. Primary completionAug 2015
  4. Study completionAug 2015

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00442455
Sponsor's protocol ID
ML 18729
Status last verified
May 2019
First submitted
1 Mar 2007
Last updated
6 Jun 2019
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Erlotinib chlorhydrate, Cisplatin and Radiation therapy in people with Squamous Cell Carcinoma of the Head and Neck, run by Grupo de Investigación Clínica en Oncología Radioterapia at 5 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 23 inclusion and 14 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 6 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 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 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Determinate the maximum tolerated dose (PHASE I) (time frame: 17/MAR/08). The study lists 2 primary outcomes in all. 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 6 Jun 2019.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in