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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Efficacy Study; Intervention Model: Parallel Assignment; Masking: Open Label; Primary Purpose: Treatment |
| Condition: |
Head and Neck Cancer |
| Interventions: |
Drug: Cetuximab + Platinum (Cisplatin or Carboplatin) + 5Fluorouracil (5-FU) Drug: Platinum (Cisplatin or Carboplatin) + 5-FU |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| First/last subject(informed consent): 14Dec 2004/28 Dec2005. Clinical cut-off: 12 Mar 2007. 80 centers in Europe: Austria (3), Belgium (5), Czech Republic (2), France (12),Germany (8), Hungary (4), Italy (5), Netherlands (4), Poland (5), Portugal (3), Russia (4), Slovakia (2), Spain (9), Sweden (3), Switzerland (3), UK (4), and Ukraine (4). |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
|---|
| 477 subjects screened. 41 ineligible for treatment at end of screening (inclusion/exclusion criteria not fulfilled (30),death (3),consent withdrawal(3), symptomatic deterioration(2),non-compliance with timelines(1),refusal to continue study procedures (1), missing (1).436 eligible for treatment; however 6 of the ineligible patients were randomized |
| Description | |
|---|---|
| Cetuximab Plus Chemotherapy | Subjects in will receive initial dose of 400 mg/m^2 cetuximab (over 2 hours) followed by weekly doses of 250 mg/m^2 (over 1 hour). All doses will be given by intravenous (IV) infusion. Subjects will receive either Cisplatin (100 mg/m^2 on day 1) + 5-FU (1000 mg/m^2 continuous IV from day 1 to day 4) every 3 weeks or Carboplatin (Area under the curve (AUC) 5 IV on day 1) + 5-FU (1000 mg/m^2 continuous IV from day 1 to day 4) every 3 weeks. |
| Chemotherapy Alone | All doses will be given by IV infusion. Subjects will receive either Cisplatin (100 mg/m^2 on day 1) + 5-FU (1000 mg/m^2 continuous IV from day 1 to day 4) every 3 weeks or Carboplatin (AUC 5 IV on day 1) + 5-FU (1000 mg/m^2 continuous IV from day 1 to day 4) every 3 weeks. |
| Cetuximab Plus Chemotherapy | Chemotherapy Alone | |
|---|---|---|
| STARTED | 222 [1] | 220 [1] |
| COMPLETED | 215 | 219 |
| NOT COMPLETED | 7 | 1 |
| investigational study phase ongoing | 7 | 1 |
| [1] | Intention To Treat population, treatment group as randomized |
|---|
Baseline Characteristics
| Description | |
|---|---|
| Cetuximab Plus Chemotherapy | Subjects in will receive initial dose of 400 mg/m^2 cetuximab (over 2 hours) followed by weekly doses of 250 mg/m^2 (over 1 hour). All doses will be given by intravenous (IV) infusion. Subjects will receive either Cisplatin (100 mg/m^2 on day 1) + 5-FU (1000 mg/m^2 continuous IV from day 1 to day 4) every 3 weeks or Carboplatin (Area under the curve (AUC) 5 IV on day 1) + 5-FU (1000 mg/m^2 continuous IV from day 1 to day 4) every 3 weeks. |
| Chemotherapy Alone | All doses will be given by IV infusion. Subjects will receive either Cisplatin (100 mg/m^2 on day 1) + 5-FU (1000 mg/m^2 continuous IV from day 1 to day 4) every 3 weeks or Carboplatin (AUC 5 IV on day 1) + 5-FU (1000 mg/m^2 continuous IV from day 1 to day 4) every 3 weeks. |
| Cetuximab Plus Chemotherapy | Chemotherapy Alone | Total | |
|---|---|---|---|
|
Number of Participants
[units: participants] |
222 | 220 | 442 |
|
Age
[units: participants] |
|||
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 183 | 182 | 365 |
| >=65 years | 39 | 38 | 77 |
|
Age
[units: years] Mean ± Standard Deviation |
57.1 ± 8.0 | 56.7 ± 8.7 | 56.9 ± 8.3 |
|
Gender
[units: participants] |
|||
| Female | 25 | 18 | 43 |
| Male | 197 | 202 | 399 |
|
Region of Enrollment
[units: participants] |
|||
| Portugal | 3 | 6 | 9 |
| Slovakia | 3 | 1 | 4 |
| Spain | 38 | 41 | 79 |
| Ukraine | 18 | 16 | 34 |
| Austria | 4 | 10 | 14 |
| Russian Federation | 9 | 7 | 16 |
| United Kingdom | 4 | 5 | 9 |
| Switzerland | 4 | 4 | 8 |
| Italy | 14 | 12 | 26 |
| France | 45 | 31 | 76 |
| Czech Republic | 4 | 5 | 9 |
| Hungary | 19 | 24 | 43 |
| Belgium | 14 | 16 | 30 |
| Poland | 18 | 18 | 36 |
| Germany | 18 | 14 | 32 |
| Netherlands | 4 | 6 | 10 |
| Sweden | 3 | 4 | 7 |
Outcome Measures
| 1. Primary: | Overall Survival Time (OS) [ Time Frame: time from randomization to death or last day known to be alive, reported between day of first patient randomised, 21 Dec 2004, until cut-off date 12 Mar 2007 ] |
| 2. Secondary: | Progression-free Survival Time (PFS) [ Time Frame: time from randomization to disease progression, death or last tumor assessment, reported between day of first patient randomised, 21 Dec 2004, until cut-off date 12 Mar 2007 ] |
| 3. Secondary: | Best Overall Response [ Time Frame: evaluations were performed every 6 weeks until progression, reported between day of first patient randomised, 21 Dec 2004, until cut-off date 12 Mar 2007 ] |
| 4. Secondary: | Disease Control [ Time Frame: evaluations were performed every 6 weeks until progression, reported between day of first patient randomised, 21 Dec 2004, until cut-off date 12 Mar 2007 ] |
| 5. Secondary: | Time to Treatment Failure [ Time Frame: Time from randomization to treatment failure or last tumor assessment, reported between day of first patient randomised, 21 Dec 2004, until cut-off date 12 Mar 2007 ] |
| 6. Secondary: | Duration of Response [ Time Frame: time from first assessment of Complete Response or Partial Response to disease progression, death or last tumor assessment, reported between day of first patient randomised, 21 Dec 2004, until cut-off date 12 Mar 2007 ] |
| 7. Secondary: | Quality of Life (QOL) Assessment European Organisation for the Research and Treatment of Cancer (EORTC) QLQ-C30 Global Health Status [ Time Frame: at baseline, day 1 of cycle 3, first 6-weekly evaluation following completion of chemotherapy, 6 & 12 months after randomization, reported between day of first patient randomised, 21 Dec 2004,until cut-off date, 12 Mar 2007 ] |
| 8. Secondary: | Quality of Life Assessment (EORTC QLQ-C30) Social Functioning [ Time Frame: at baseline, day 1 of cycle 3, first 6-weekly evaluation following completion of chemotherapy, 6 & 12 months after randomization, reported between day of first patient randomised, 21 Dec 2004,until cut-off date, 12 Mar 2007 ] |
| 9. Secondary: | Safety - Number of Patients Experiencing Any Adverse Event [ Time Frame: time from first dose up to 30 after last dose of study treatment, reported between day of first dose of study treatment, 22 Dec 2004, until cut-off date 12 Mar 2007 ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
|---|
| Non-specific outcome measures 'Safety' & 'QOL assessments' were deleted from this entry in error.Replacement outcomes have been created. The 'Safety' outcome refers to adverse events. |
| Responsible Party: | Merck KGaA |
| ClinicalTrials.gov Identifier: | NCT00122460 History of Changes |
| Other Study ID Numbers: | EMR 62202-002 |
| Study First Received: | July 19, 2005 |
| Results First Received: | August 25, 2011 |
| Last Updated: | August 25, 2011 |
| Health Authority: | Belgium: Directorate general for the protection of Public health: Medicines |