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Study Comparing Two Treatments in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck (RACATREX)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01528163
Recruitment Status : Completed
First Posted : February 7, 2012
Last Update Posted : June 14, 2017
Information provided by (Responsible Party):
Cliniques universitaires Saint-Luc- Université Catholique de Louvain

Brief Summary:
In this clinical trial, the investigators want to know if cabazitaxel is more effective than methotrexate for patients with recurrent or metastatic squamous cell carcinoma of the head and neck in palliative treatment.

Condition or disease Intervention/treatment Phase
Squamous Cell Carcinoma of the Head and Neck Drug: Cabazitaxel Drug: Methotrexate Phase 2

Detailed Description:

The principal aim is to evaluate the efficacy of cabazitaxel in patients with palliative head and neck previously treated with platinum-based therapy.

The study design is a non comparative randomized phase II trial: ARM 1: cabazitaxel (20 mg/m2, every 3 weeks) versus ARM 2 methotrexate (40 mg/m2, weekly). Cabazitaxel dose will be increased to 25mg/m2 for the second and subsequent cycles, in the absence of non-hematological AE > grade 2 and hematological AE > grade 3 during the first cycle. (maximum 10 cycles). The aim of the randomization is to offer a valid internal control group by avoiding possible selection bias. However, results obtained in the two treatment group will not be formally compared as this is not the objective of a phase II study.

Tumor check-up will be performed every 9 weeks. Treatment will be continued until disease progression or unacceptable toxicities according to the patient or the investigator. A maximum of 10 cycles of cabazitaxel will be given.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 101 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Randomized Phase II Study of Cabazitaxel Versus Methotrexate in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck Previously Treated With Platinum-based Therapy.
Study Start Date : February 2012
Actual Primary Completion Date : November 2014
Actual Study Completion Date : November 2014

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Cabazitaxel
Cabazitaxel (XRP6258) is a new taxoid, which promotes tubulin assembly in vitro and stabilizes microtubules against cold-induced depolymerization as efficiently as docetaxel
Drug: Cabazitaxel
from 20 mg/m2 to 25 mg/m2. Intravenous injection every three weeks.
Other Name: Jevtana

Active Comparator: Methotrexate

Methotrexate is the historical control and has been widely used in SCCHN for palliation.

This medication is an antimetabolite and antifolate drug. It acts by inhibiting the metabolism of folic acid.

Drug: Methotrexate
From 40 mg/m2 (first cycle) to 50 mg/m2. Intravenous injections every three weeks.
Other Name: Emthexate

Primary Outcome Measures :
  1. Efficacy [ Time Frame: 18 weeks ]
    Determine the efficacy of cabazitaxel in patients with head and neck cancer in terms of progression-free survival rate at 18 weeks.

Secondary Outcome Measures :
  1. Safety profile [ Time Frame: 18 weeks ]
    Determine the safety profile of cabazitaxel in patients with head and neck cancer: adverse event

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Recurrent and/or metastatic head and neck squamous cell carcinoma not amenable to curative treatment with surgery and/or chemotherapy and/or radiation.
  2. At least one measurable lesion by MRI or CT-scan according to RECIST 1.1.
  3. Progressive disease within 1 year after first line platinum-based chemotherapy given either as a part of the multimodal curative treatment or in the palliative setting.
  4. ECOG performance status 0 -2, in stable medical condition
  5. Patients must have an expected survival of at least 3 months
  6. Paraffin-embedded tumor tissue available for immunohistochemistry but not mandatory
  7. Patients must be over 18 years old and must be able to give written informed consent.
  8. Women of child-bearing age or sexually active female patients with reproductive potential must have a negative pregnancy test (serum or urine within the 7 days prior to enrollment).
  9. Patients must have adequate organ function (Hemoglobin ≥ 9 g/100 ml, Neutrophils ≥ 1,500/mm3, Platelets ≥ 100,000/mm3, total bilirubin <1 time the upper limit of normal (ULN) for age, serum alanine aminotransferase (ALT) < 1.5 1.5 x ULN for age, aspartate aminotransferase (AST) < 1.5 ´ ULN for age , serum creatinine <1.5 x ULN for age.
  10. Signed informed consent prior to beginning protocol specific procedure.
  11. Sexually active patients must use effective contraception during the period of therapy and up to 150 days after the last treatment dose. Acceptable contraception includes, but is not limited to: oral hormone therapy, partner vasectomy, or double barrier contraception (which is defined as a male condom plus spermicide in combination with either a female condom, or diaphragm, or cervical cap or intrauterine device)

Exclusion Criteria:

  1. Non-squamous head and neck cancer
  2. Nasopharynx cancer
  3. More than two lines of chemotherapy for palliative treatment
  4. Surgery or investigational drugs or chemotherapy within 4 weeks before study inclusion. Curative radiation therapy (60-70 Gy) within 8 weeks. For palliative radiation therapy (i.e 8 Gy on a painful lesion) no delay is needed.
  5. Previous treatment with cabazitaxel
  6. Significant active cardiac disease including: uncontrolled high blood pressure according to the CTCAE 4 grading, unstable angina, congestive heart failure, myocardial infarction within the previous 6 months, or serious cardiac arrhythmias
  7. Other uncontrolled illnesses (active infections requiring antibiotics, bleeding disorders, uncontrolled diabetes …)
  8. Previous malignancy from which the patient has been disease-free for < 5years, as other than SCCHN.
  9. Previous treatments with taxanes and/or anti-EGFR therapy are not an exclusion criteria.
  10. Active grade > 2 peripheral neuropathy
  11. Active grade > 2 stomatitis
  12. Known brain or leptomeningeal involvement
  13. History of severe hypersensitivity reaction (> grade 3) to polysorbate 80 containing drugs
  14. Concurrent or planned treatment with strong inhibitors of cytochrome P450 3A/5. A one-week washout period is necessary for patients who are already on these treatments.
  15. Organic brain syndrome or significant psychiatric abnormality that would preclude participation in the full protocol and follow up.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01528163

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Clinique Saint-Pierre
Ottignies, Brabant Wallon, Belgium, 1340
Cliniques universitaires Saint-Luc, Centre du Cancer, Oncologie Médicale
Brussels, Bruxelles Capitale, Belgium, 1200
RHMS Baudour
Baudour, Hainaut, Belgium, 7331
Grand Hôpital de Charleroi
Charleroi, Hainaut, Belgium, 6000
Hôpital de Jolimont
Haine-Saint-Paul, Hainaut, Belgium, 7100
CHU Tivoli Centre René Goffin
La Louvière, Hainaut, Belgium, 7100
CHU Ambroise PARE
Mons, Hainaut, Belgium, 7000
CHU de Charleroi site Vésale
Montigny-Le-Tilleul, Hainaut, Belgium, 6110
Centre Hospitalier Wallonie Picarde
Tournai, Hainaut, Belgium, 7500
CHU de Mont Godinne
Yvoir, Namur, Belgium, 5530
Universitair Ziekenhuis Brussel (Campus Jette)
Brussel, Belgium, 1090
Universitair Ziekenhuis Gent
Gent, Belgium, 9000
CHR Citadelle
Liège, Belgium, 4000
CHU de Liège Sart Tilman
Liège, Belgium, 4000
Clinique et Maternité Sainte-Elisabeth
Namur, Belgium, 5000
Centre Hospitalier de Luxembourg
Luxembourg, Luxembourg, L-1210
Sponsors and Collaborators
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
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Principal Investigator: Jean-Pascal Machiels, MD, PhD Centre du Cancer, Cliniques universitaires Saint-Luc

Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Cliniques universitaires Saint-Luc- Université Catholique de Louvain Identifier: NCT01528163    
Other Study ID Numbers: UCL-ONCO 2011-01
2011-001938-42 ( EudraCT Number )
First Posted: February 7, 2012    Key Record Dates
Last Update Posted: June 14, 2017
Last Verified: June 2017
Keywords provided by Cliniques universitaires Saint-Luc- Université Catholique de Louvain:
Head and neck
Squamous cell carcinoma
palliative treatment
Additional relevant MeSH terms:
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Carcinoma, Squamous Cell
Squamous Cell Carcinoma of Head and Neck
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms, Squamous Cell
Head and Neck Neoplasms
Neoplasms by Site
Abortifacient Agents, Nonsteroidal
Abortifacient Agents
Reproductive Control Agents
Physiological Effects of Drugs
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Dermatologic Agents
Enzyme Inhibitors
Folic Acid Antagonists
Immunosuppressive Agents
Immunologic Factors
Antirheumatic Agents
Nucleic Acid Synthesis Inhibitors