Head and Neck Squamous Cell Carcinoma (HNSCC) Clinical Trial
Official title:
A Non-Randomized, Open-Label, Multi-Center Pilot Study Evaluating Hypofractionation Radiation Therapy in Head and Neck Squamous Cell Carcinoma
NCT number | NCT04284540 |
Other study ID # | GCO 19-0499 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | July 1, 2019 |
Est. completion date | July 2026 |
The purpose of this research study is to investigate a shorter radiation treatment schedule for head and neck cancers in patients 70 years of age and older. Standard radiation treatment for head and neck patients normally requires that the patient travel to the hospital daily for 6-7 weeks to receive radiation treatment 5 days per week. This long course of radiation can lead to significant side effects resulting in some people being unable to complete the course of treatment. If this happens, and there are gaps in the radiation treatment, this can lead to worse outcomes.
Status | Recruiting |
Enrollment | 40 |
Est. completion date | July 2026 |
Est. primary completion date | July 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 70 Years and older |
Eligibility | Inclusion Criteria - Age = 70 years. - No previous RT or chemotherapy for HNSCC is allowed at time of study entry. - Life expectancy > 12 weeks. - Participants must have histologically or cytologically confirmed diagnosis of HNSCC: oral cavity, oropharynx, nasopharynx, hypopharynx, larynx, cervical nodes (unknown primary) - All stages (according to National Comprehensive Cancer Network 8th edition for head and neck cancers), except stage IVC5 - Non-concurrent chemotherapy - First line treatment - Anyone eligible for definitive or adjuvant based RT therapy - Adjuvant therapy when histopathological factors (advanced T category, nodal disease, lymphovascular or perineural invasion, high-grade, or positive margins) - Anyone being treated with curative intent - Unfit as determined by the treating physician and ECOG performance 1, 2, or 3 (Appendix 2). - Ability to understand and the willingness to sign a written informed consent. Exclusion Criteria - Patients < 70 - Metastatic disease outside of the head and neck - Pregnancy - Previous or current malignancies at other sites, with the exception of adequately treated in situ carcinoma of the cervix, basal or squamous cell carcinoma of the skin, thyroid cancer, or other cancer curatively treated by surgery and with no current evidence of disease for at least 5 years. - Prior RT of head and neck area - Concurrent chemotherapy or immunotherapy or hormonotherapy - Any comorbid connective tissue disorder which could aggravate RT associated toxicities (e.g. Scleroderma) - In cases where patients cannot consent on their own due to underlying dementia, we can consent the patient's healthcare proxy |
Country | Name | City | State |
---|---|---|---|
United States | Mount Sinai Chelsea | New York | New York |
United States | Mount Sinai Downtown Union Square | New York | New York |
United States | Mount Sinai Hospital | New York | New York |
United States | Mount Sinai West | New York | New York |
Lead Sponsor | Collaborator |
---|---|
Icahn School of Medicine at Mount Sinai |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of participants with Locoregional Control (LRC) | For the adjuvant cohort: LRC will be defined as absence of disease on imaging or no clinical evidence of disease. For the definitive cohort: LRC will be defined as regression in size or disappearance of primary tumor and/or lymph nodes on imaging or clinical examination. | 6 months | |
Secondary | Overall Survival (OS) rate | 1 year overall survival of patients as defined by completion of treatment until death at 1 year. | 1 year | |
Secondary | Disease Free Survival (DFS) rate | 1 year disease free survival of patients as defined by completion of treatment until disease recurrence locally, regionally and/or distantly or until the time of death due to disease assessed via PET scan and physical exam. | 1 year | |
Secondary | University of Washington Quality of Life Questionnaire (UW-QOL) | University of Washington Quality of Life Questionnaire (UW-QOL) full scale from 0 to 100, with higher score indicating poorer health outcomes. | Up to 3 years | |
Secondary | FACT-H&N questionnaire | Foundation for the Accreditation of Cellular Therapy-Head and Neck (FACT-H&N) questionnaire, 38-item instrument. Full scale from 0 to 144, with higher score indicating better quality of life. | Up to 1 year |
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