Radiation Therapy in Treating Patients With Head and Neck Cancer

This study has been completed.
Sponsor:
Information provided by:
National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:
NCT00021125
First received: July 11, 2001
Last updated: February 6, 2009
Last verified: December 2002

July 11, 2001
February 6, 2009
July 2000
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Time to local recurrence [ Designated as safety issue: No ]
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Complete list of historical versions of study NCT00021125 on ClinicalTrials.gov Archive Site
  • Length of survival [ Designated as safety issue: No ]
  • Morbidity and toxicity [ Designated as safety issue: Yes ]
  • Quality of life as assessed by EORTC Quality of life Questionnaire for Head and Neck Cancer [ Designated as safety issue: No ]
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Radiation Therapy in Treating Patients With Head and Neck Cancer
A Randomized Controlled Trial Of CHARTWEL (a Continuous Hyperfractionated Accelerated Radiotherapy Schedule) Versus Conventional Radiotherapy In Post-Operative Head And Neck Cancer Patients

RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known which regimen of radiation therapy is more effective for head and neck cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of different regimens of radiation therapy in treating patients who have head and neck cancer.

OBJECTIVES:

  • Compare adjuvant continuous hyperfractionated accelerated radiotherapy vs conventional radiotherapy, in terms of preventing disease recurrence, in patients with head and neck cancer.
  • Compare the early and late toxic effects of these treatments in this patient population.
  • Compare disease-free and overall survival of patients receiving these treatments.
  • Assess quality of life in patients receiving these treatments.

OUTLINE: This is a randomized, multicenter study. Patients are randomized to one of two treatment arms.

  • Arm I: Patients undergo radiotherapy 3 times daily, with an interval of at least 6 hours between any 2 treatments, 5 days a week, for just over 2 weeks, for a total of 13-14 treatment days.
  • Arm II: Patients undergo radiotherapy daily, 5 days a week, for 6-6.5 weeks. Quality of life is assessed at baseline and then annually for 5 years.

Patients are followed every 3 months for 3 years, every 6 months for 2 years, and then annually thereafter.

PROJECTED ACCRUAL: A total of 460 patients (230 per arm) will be accrued for this study within 2-3 years.

Interventional
Phase 3
Primary Purpose: Treatment
  • Head and Neck Cancer
  • Non-Melanomatous Skin Cancer
  • Procedure: adjuvant therapy
  • Radiation: radiation therapy
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
460
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DISEASE CHARACTERISTICS:

  • Histologically confirmed squamous cell carcinoma of the head and neck including, but not limited to, the following:

    • Oral cavity
    • Oropharynx
    • Hypopharynx
    • Larynx
    • Nasal sinuses
    • Skin
  • Undergone curative surgery within the past 70 days

    • All macroscopic disease removed
  • At high or intermediate risk of recurrence

    • No low risk of recurrence
  • No evidence of distant metastases
  • Considered treatable by radiotherapy

PATIENT CHARACTERISTICS:

Age:

  • Not specified

Performance status:

  • Not specified

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Not specified

Renal:

  • Not specified

Other:

  • No other prior or concurrent malignancy that would preclude study participation
  • No other uncontrolled medical illness that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • Not specified

Endocrine therapy

  • Not specified

Radiotherapy

  • See Disease Characteristics

Surgery

  • See Disease Characteristics
Both
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
United Kingdom
 
NCT00021125
CDR0000068750, MRC-CH03, EU-20121, ISRCTN62576956
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Medical Research Council
Not Provided
Study Chair: M. I. Saunders, MD Mount Vernon Cancer Centre at Mount Vernon Hospital
National Cancer Institute (NCI)
December 2002

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP