At a glance
ClinicalIndex Comparison Record- ✓Age 18 years or older
- ✓Histologically or cytologically confirmed squamous cell or poorly differentiated carcinoma of head and neck (excluding lip), or lymphoepithelioma
- ✓No prior chemotherapy or radiotherapy
- ✓Prior surgery limited to incisional/excisional biopsy or organ-sparing procedures (debulking, neck dissection)
- ✕Metastatic disease (M1)
- ✕Severe allergic reaction to docetaxel or polysorbate 80, or similar allergies to cisplatin, 5-fluorouracil, or hydroxyurea
- ✕Other active malignancies or malignancies diagnosed within 3 years (except basal cell carcinoma, cervical cancer in situ, or treated with ≥3 years disease-free)
- ✕Prior surgery beyond biopsy/organ-sparing procedures, or non-biopsy procedures within 3 months of treatment start
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Phase III Randomized Trial of Docetaxel Based Induction Chemotherapy in Patients With N2/N3 Locally Advanced Head and Neck Cancer
In Brief
A Phase 3 clinical trial evaluating docetaxel, cisplatin, and 4 other interventions for Cancer of the Pharynx and 4 related conditions. Completed, enrolled 285 participants across 26 sites in 5 countries.
Detailed Summary
The combined use of chemotherapeutic drugs with radiation has proven to be effective in improving overall survival and local control among patients with locally advanced head and neck cancer. Induction chemotherapy given before receiving local treatment has been shown to reduce the rate of distant failure. Many drugs have been found to prevent tumor cells from growing or dividing, although it has yet to be determined which agent, or specific combination of agents, is most effective in treating head and neck cancer. Docetaxel is a drug which has been reported to show promising activity in Phase II head and neck cancer studies. Therefore, the purpose of this trial is to compare the effectiveness of induction chemotherapy followed by chemoradiotherapy versus the same chemoradiotherapy alone in patients with locally advanced head and neck cancer.
Study Details
Timeline
Interventions
75 mg/m2 on day 1 (induction phase); 25 mg/m2 on day 1 (chemoradiotherapy phase)
75 mg/m2 on day 1
Each cycle: 500 mg PO q 12 hours x 6 days (11 doses)
750 mg/m2/day on days 1-5 (induction phase); 600 mg/m2/day, day 0-4 (chemoradiotherapy phase)
See protocol for details
See protocol for details