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Clinical Trial Summary

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.


Clinical Trial Description

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 ;


Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


NCT number NCT00774319
Study type Interventional
Source Radboud University
Contact C.M.L. van Herpen, Md, Phd
Phone 31 24 3610353
Email c.vanherpen@onco.umcn.nl
Status Recruiting
Phase Phase 2
Start date December 2008
Completion date April 2012

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