Chemotherapy Plus Radiation Therapy in Treating Patients With Squamous Cell Cancer of the Head and Neck

The recruitment status of this study is unknown because the information has not been verified recently.
Verified June 2000 by National Cancer Institute (NCI).
Recruitment status was  Active, not recruiting
Sponsor:
Collaborator:
Information provided by:
National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:
NCT00003200
First received: November 1, 1999
Last updated: February 6, 2009
Last verified: June 2000
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining radiation therapy with chemotherapy may kill more tumor cells.

PURPOSE: Phase I trial to study the effectiveness of chemotherapy plus radiation therapy in treating patients with squamous cell cancer of the head and neck.


Condition Intervention Phase
Head and Neck Cancer
Drug: docetaxel
Radiation: radiation therapy
Phase 1

Study Type: Interventional
Study Design: Primary Purpose: Treatment
Official Title: Taxotere Plus Concurrent Radiotherapy After Induction Chemotherapy for Squamous Cell Carcinoma of the Head and Neck (TAXT-XRT)

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment: 35
Study Start Date: October 1995
Detailed Description:

OBJECTIVES: I. Determine the maximum tolerated dose of weekly docetaxel when administered as concurrent therapy with radiation therapy after treatment with induction chemotherapy in patients with squamous cell carcinoma of the head and neck. II. Determine the toxicity profile of this regimen in these patients. III. Obtain preliminary assessment of the efficacy of this regimen in these patients. IV. Study potential predictors of tumor resistance prospectively through tumor biopsies and tissues.

OUTLINE: This is a dose escalation study. Patients are administered 1 hour IV infusions of docetaxel weekly for 6 weeks concurrently with radiation therapy 5 days a week for 6 weeks. Patients are treated in cohorts of 3-5 patients per dose. An entire cohort must complete treatment at a given dose level before a new cohort is accrued at a higher dose. The maximum tolerated dose (MTD) is the dose level below that at which dose limiting toxicity occurs in 2 of 5 patients. At the MTD, 15 additional patients are treated to assess for toxicity. Patients are followed every 3 months until disease progression or death.

PROJECTED ACCRUAL: A maximum of 35 patients is accrued into this study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS: Histologically confirmed squamous cell carcinoma of the head and neck or its variants (lymphoepithelioma, undifferentiated epidermoid carcinoma, etc.) Previously untreated Stage III or IV (M0) No exophytic T3 N0 tumors or T1 N1 lesions May be entered after initial induction therapy Evaluable disease Must have received therapy with one of the following induction regimens, except as modified for toxicity: - Cisplatin at least 80 mg/m2/cycle and fluorouracil at least 1000 mg/m2/day for at least 4 days every 4 weeks - Carboplatin at least 300 mg/m2/cycle and fluorouracil at least 1000 mg/m2/day for at least 4 days every 4 weeks - Cisplatin at least 25 mg/m2/day over 5 days, fluorouracil at least 800 mg/m2/day on days 2-5 and leucovorin at least 500 mg/m2/day over 5 days, every 4 weeks

PATIENT CHARACTERISTICS: Age: Over 18 Performance status: ECOG 0-2 Life expectancy: Greater than 3 months Hematopoietic: WBC at least 4,000/mm3 Absolute neutrophil count normal Platelet count at least 100,000/mm3 Hemoglobin at least 10 g/dL (transfusions permitted, if not used solely for achieving the eligibility criteria) Hepatic: SGOT less than 1.5 times upper limit of normal (ULN) Total bilirubin and SGOT no greater than 2 times ULN as an isolated value Alkaline phosphatase less than 2.5 times ULN Alkaline phosphatase no greater than 2.5 times ULN as an isolated value Renal: Not specified Cardiovascular: No acute cardiac dysrhythmias or unstable cardiac conditions such as angina Neurology: No peripheral neuropathy greater than grade 1 Nutritional status: Adequate and nutritionally balanced enteral intake (at least 1,800 kcal/day) No intravenous alimentation as primary source of calories No weight loss of greater than 20% of body weight in past 3 months Other: No prior allergy to polysorbate 80 No other serious illness or medical condition No persistent diarrhea No other prior or concurrent malignancy, unless disease free for at least 5 years, except: Limited basal cell carcinoma of the skin Squamous cell carcinoma of the skin Carcinoma in situ of the cervix Not pregnant or nursing Adequate contraception required of all fertile patients

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior chemotherapy within 5 years other than described in Disease Characteristics No greater than 3 cycles of prior chemotherapy as described in Disease Characteristics Endocrine therapy: Prior hormone therapy allowed Radiotherapy: No prior radiotherapy for squamous cell cancer of the head and neck Surgery: May have undergone surgery as the sole treatment for disease 2 or more years prior to study

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00003200

Locations
United States, Massachusetts
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States, 02215
Brigham and Women's Hospital
Boston, Massachusetts, United States, 02115
Dana-Farber Cancer Institute
Boston, Massachusetts, United States, 02115
Harvard Community Health Plan
Boston, Massachusetts, United States, 02215
Sponsors and Collaborators
Dana-Farber Cancer Institute
Investigators
Study Chair: Marshall R. Posner, MD Dana-Farber Cancer Institute
  More Information

Additional Information:
No publications provided

ClinicalTrials.gov Identifier: NCT00003200     History of Changes
Other Study ID Numbers: CDR0000066044, DFCI-95041, NCI-G98-1382
Study First Received: November 1, 1999
Last Updated: February 6, 2009
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage III squamous cell carcinoma of the lip and oral cavity
stage IV squamous cell carcinoma of the lip and oral cavity
stage III squamous cell carcinoma of the oropharynx
stage III lymphoepithelioma of the oropharynx
stage IV squamous cell carcinoma of the oropharynx
stage IV lymphoepithelioma of the oropharynx
stage III squamous cell carcinoma of the nasopharynx
stage III lymphoepithelioma of the nasopharynx
stage IV squamous cell carcinoma of the nasopharynx
stage IV lymphoepithelioma of the nasopharynx
stage III squamous cell carcinoma of the hypopharynx
stage IV squamous cell carcinoma of the hypopharynx
stage III squamous cell carcinoma of the larynx
stage IV squamous cell carcinoma of the larynx
stage III squamous cell carcinoma of the paranasal sinus and nasal cavity
stage IV squamous cell carcinoma of the paranasal sinus and nasal cavity

Additional relevant MeSH terms:
Carcinoma, Squamous Cell
Head and Neck Neoplasms
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms
Neoplasms, Squamous Cell
Neoplasms by Site

ClinicalTrials.gov processed this record on October 01, 2014