Head and Neck Cancer Clinical Trial
Official title:
Controlled Randomized Trial to Evaluate Efficacy of Adjuvant Chemotherapy Between S-1 and UFT for Locally Advanced Squamous Cell Carcinoma of the Head and Neck: Phase III Study
RATIONALE: Drugs used in chemotherapy, such as S-1 and tegafur-uracil, work in different
ways to stop the growth of tumor cells, either by killing the cells or by stopping them from
dividing. Giving S-1 or tegafur-uracil after surgery, chemotherapy, biological therapy,
and/or radiation therapy may kill any remaining tumor cells. It is not yet known whether S-1
is more effective than tegafur-uracil in treating head and neck cancer.
PURPOSE: This randomized phase III trial is studying S-1 to see how well it works compared
with tegafur-uracil in treating patients with previously treated stage III or stage IV head
and neck cancer.
OBJECTIVES:
- Compare the disease-free survival rate in patients with definitively treated stage III
or IV squamous cell carcinoma of the head and neck treated with adjuvant chemotherapy
comprising S-1 vs tegafur-uracil (UFT).
OUTLINE: This is a randomized, controlled, multicenter study. Patients are stratified
according to primary site, disease stage, type of prior definitive treatment, and
participating center. Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive oral S-1 once daily on days 1-14. Courses repeat every 21 days
for 1 year in the absence of disease progression or unacceptable toxicity.
- Arm II:Patients receive oral tegafur-uracil (UFT) once daily on days 1-21. Courses
repeat every 21 days for 1 year in the absence of disease progression or unacceptable
toxicity.
PROJECTED ACCRUAL: A total of 500 patients will be accrued for this study.
;
Allocation: Randomized, Primary Purpose: Treatment
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