DAHANCA 24: Prognostic Value of 18F-FAZA in Head and Neck Squamous Cell Carcinoma (HNSCC)
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Purpose
Solid tumours contain varying degrees of hypoxia. Studies show hypoxia to be associated with poor local control and survival, as hypoxia is a cause of resistance to radio- and chemotherapy and the development of a more aggressive tumour.
Previous attempts to measure hypoxia have been biased because the techniques have been invasive, not repeatable or difficult to apply on a routine basis. There is great interest in trying to measure hypoxia in tumours as this could lead to individualized hypoxia-modifying therapy and prediction of treatment response. Additionally the investigators' knowledge of change in hypoxia over time is limited, but of great interest as individualised treatment, such as intensity-modulated radiation therapy (IMRT) is emerging.
18F-FAZA, appears promising. It is a nitroimidazole, which gets trapped in hypoxic cells and can be detected by a positron emission therapy (PET) scan. Compared to other nitroimidazoles, 18F-FAZA has superior biokinetics and thereby is believed to provide a faster and clearer image of hypoxia.
The investigators' hypothesis is that 18F-FAZA can be used as a prognostic marker in HNSCC.
| Condition | Intervention |
|---|---|
|
Cancer of the Head and Neck |
Other: 18F-FAZA |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | DAHANCA 24: Prognostic Value of 18F-FAZA Positron Emission Tomography After Primary Curative Radiotherapy for Squamous Cell Carcinoma of the Head and Neck |
- Can 18F-FAZA can be used as a prognostic marker in HNSCC? [ Time Frame: 1, 5 years ] [ Designated as safety issue: No ]
- Determine the changes in hypoxia in solid tumours as assessed by 18F-FAZA PET during radiotherapy [ Time Frame: Patients will be scanned prior to treatment, every 2 weeks during their treatment and once following radiation ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples With DNA
tissue
| Enrollment: | 40 |
| Study Start Date: | November 2009 |
| Study Completion Date: | May 2012 |
| Primary Completion Date: | May 2012 (Final data collection date for primary outcome measure) |
-
Other: 18F-FAZA
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
head and neck cancer patients
Inclusion Criteria:
- Histological proven squamous cell carcinoma of the pharynx, larynx, oropharynx and hypopharynx
- Curative intent and no prior treatment
- Age >= 18 years
- stage T1-4 N0-N3 M0.
- Informed consent according to local guidelines and national law
- The patient is able (psychological, sociological, geographical and physical) to carry through the treatment and follow-up
- Fertile women must use contraceptive devices (IUD or oral contraceptives)
Exclusion Criteria:
- No serious concurrent medical disease
- No metastasis
- No prior disease that can affect the treatment, evaluation or outcome of current disease
- No pregnant or breastfeeding woman
Contacts and Locations| Denmark | |
| Department of Oncology, Aarhus University Hospital | |
| Aarhus, Denmark, DK-8000 | |
| Principal Investigator: | Jens Overgaard, Prof., MD | Danish Head and Neck Cancer Group (DAHANCA) |
More Information
No publications provided
| Responsible Party: | University of Aarhus |
| ClinicalTrials.gov Identifier: | NCT01017224 History of Changes |
| Other Study ID Numbers: | DAHANCA 24 |
| Study First Received: | November 19, 2009 |
| Last Updated: | May 11, 2012 |
| Health Authority: | Denmark: The Danish National Committee on Biomedical Research Ethics Denmark: Danish Dataprotection Agency |
Additional relevant MeSH terms:
|
Carcinoma Carcinoma, Squamous Cell Head and Neck Neoplasms Neoplasms, Glandular and Epithelial |
Neoplasms by Histologic Type Neoplasms Neoplasms, Squamous Cell Neoplasms by Site |
ClinicalTrials.gov processed this record on June 17, 2013