Postoperative Radiotherapy Plus Iressa or Radiotherapy Plus Cisplatin and Iressa for Advanced Head & Neck Cancer - Full Text View

Purpose

To evaluate the feasibility and safety of (cohort 1) postoperative standard fractionation radiotherapy plus Iressa and of (cohort 2) hyperfractionated radiotherapy plus cisplatin and Iressa

Condition	Intervention	Phase
Head and Neck Cancer	Drug: Gefitinib	Phase I

MedlinePlus related topics:

Cancer Head and Neck Cancer

ChemIDplus related topics:

Cisplatin ZD1839 Tyrosine Triiodothyronine Liothyronine sodium

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study

Official Title:	Conventional Postoperative Radiotherapy (Standard Fractionation) Plus Iressa or Hyperfractionated Radiotherapy Plus Cisplatin and Iressa for Advanced Head & Neck Cancer: A Phase I Pilot Trial

Further study details as provided by AstraZeneca:

Primary Outcome Measures:

To evaluate the feasibility and safety of (cohort 1) postoperative standard fractionation radiotherapy plus Iressa and of (cohort 2) hyperfractionated radiotherapy plus cisplatin and Iressa [ Designated as safety issue: No ]

Secondary Outcome Measures:

Both cohorts overall survival (OS) local control (LC) rate at six months and at one year [ Designated as safety issue: No ]
Cohort 1 only time-to-recurrence (TTR) [ Designated as safety issue: No ]
Cohort 2 only time-to-progression (TTP). Complete Response (CR) rate time to treatment failure (TTF) [ Designated as safety issue: No ]

Enrollment:	31
Study Start Date:	February 2004
Estimated Study Completion Date:	March 2009
Estimated Primary Completion Date:	October 2008 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Cohort 1: Experimental post operative combination of gefinib and RT	Drug: Gefitinib 250 mg; oral
Cohort 2: Experimental combination of gefitinib with RT and Chemotherapy in non operated patients	Drug: Gefitinib 250mg; oral

Eligibility

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

Criteria

Inclusion Criteria:

Written informed consent
Age over 18 years
Histologically proven squamous cell cancer of the head & neck (SCCHN)
Indication for postoperative Radiotherapy: pT3, pT4, pN2b, pN2c, pN3

Exclusion Criteria:

Hypersensitivity to ZD1839 or any of the excipients of this product
Tumour stage M1
Co-existing malignancies diagnosed within the last 5 years. Exceptions: basal cell carcinoma, cervical cancer in situ
Absolute neutrophil counts <1.5 x 109

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00681967

Locations


Switzerland
	Research Site
	Basel, Switzerland
	Research Site
	Bern, Switzerland

Sponsors and Collaborators

AstraZeneca

Investigators


Principal Investigator:	Christoph Rochlitz, Prof Dr med	University Hospital of Basel

Study Director:	Madeleine Billeter, MD	AstraZeneca AG, Grafenau 10; 6300 Zug; Switzerland

Study Chair:	Verena Renggli	AstraZeneca AG, Grafenau 10; 6300 Zug; Switzerland

More Information

Responsible Party:	AstraZeneca AG Switzerland ( Madeleine Billeter, MD, Medical & Regulatory Affairs Director )
Study ID Numbers:	1839IL/0525
First Received:	May 20, 2008
Last Updated:	May 20, 2008
ClinicalTrials.gov Identifier:	NCT00681967
Health Authority:	Switzerland: Swissmedic

Keywords provided by AstraZeneca:

squamous cell cancer of the head & neck

Gefitinib

IRESSA

EGFR Inhibitor

EGFR-tyrosine kinase inhibitor

Subjects with histologically proven squamous cell cancer of the head & neck

Cohort 1:qualifying for postoperative radiotherapy

(pT3, pT4, pN2b, pN2c, pN3).

Cohort 2:qualifying for definite chemoradiotherapy

(Lateral oropharynx, tonsils: T1N2b-3, T2N1-3, T3any N;

Base of tongue, vallecula: T1N1-3, T2-4 any N; Oral cavity,

glottic and supraglottic larynx; Any TN1-3, T3-4 any N;

Hypopharynx: T1N1-3, T2-4 and N)

Study placed in the following topic categories:

Epidermoid carcinoma

Cisplatin

Squamous cell carcinoma

Head and Neck Neoplasms

Carcinoma, squamous cell

Carcinoma, Squamous Cell

Gefitinib

Additional relevant MeSH terms:

Neoplasms

Neoplasms by Site

Molecular Mechanisms of Pharmacological Action

Antineoplastic Agents

Therapeutic Uses

Enzyme Inhibitors

Protein Kinase Inhibitors

Pharmacologic Actions

ClinicalTrials.gov processed this record on August 21, 2008

Sponsored by:	AstraZeneca
Information provided by:	AstraZeneca
ClinicalTrials.gov Identifier:	NCT00681967