Head and Neck Cancer Clinical Trial
Official title:
A Randomised Study of TPF as Neoadjuvant Chemotherapy Followed by Concomitant Chemoradiotherapy (CRT) With Conventional Radiotherapy (RT) Versus Concomitant CRT With Accelerated RT in Patients With Locally Advanced Head and Neck Squamous Cell Cancer (HNSCC) in Good Condition. The Condor Study. A Study of the Dutch Head and Neck Cancer Group (DHNCG).
The purpose of this trial is to compare two different treatments for fit patients with head
and neck cancer:
All patients are given induction-chemotherapy (docetaxel, cisplatin, 5-FU).
Subsequently patients are being randomised into two groups:
- The first group receives neo-adjuvant chemotherapy ('high' dose cisplatin) and
conventional radiotherapy
- The second group receives neo-adjuvant chemotherapy ('low' dose cisplatin) and
accelerated radiotherapy.
Induction Chemotherapy TPF(arm A and B)
: Docetaxel 75 mg/m2 iv on day 1, Cisplatin 75 mg/ m2 iv on day 1, 5-FU 750 mg/ m2/day iv
continuous infusion (in Hickman or port a cath) on days 1-5; prophylactic G-CSF
This cycle will be repeated every 21 days for a maximum of 4 cycles. Clinical evaluation
after each cycle and radiological evaluation after 2 cycles will take place. In case of PD
or SD (after 2 cycles) with no minor response (no decrease in measurable disease from
baseline) concomitant chemoradiotherapy will started per protocol.
Surgery The investigators in each centre can decide neck surgery for residual tumor
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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