UMIN-CTR Clinical Trial
| Unique ID issued by UMIN | UMIN000001144 |
|---|---|
| Receipt number | R000001388 |
| Scientific Title | Randomized phase II syudy of weekly docetaxel versus S-1 and concurrent radiothrapy for stage III and IV laryngeal, oropharyngeal, and hypopharyngeal cancer in elderly patients or patients with complications |
| Date of disclosure of the study information | 2008/05/01 |
| Last modified on | 2015/01/13 10:31:20 |
* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments
Basic information
Public title
Randomized phase II syudy of weekly docetaxel versus S-1 and concurrent radiothrapy for stage III and IV laryngeal, oropharyngeal, and hypopharyngeal cancer in elderly patients or patients with complications
Acronym
Phase II trial of concurrent chemoradiotherapy in elderly patients or patients with complications
Scientific Title
Randomized phase II syudy of weekly docetaxel versus S-1 and concurrent radiothrapy for stage III and IV laryngeal, oropharyngeal, and hypopharyngeal cancer in elderly patients or patients with complications
Scientific Title:Acronym
Phase II trial of concurrent chemoradiotherapy in elderly patients or patients with complications
Region
| Japan |
Condition
Condition
laryngeal, oropharyngeal,
and hypopharyngeal cancer
Classification by specialty
| Oto-rhino-laryngology |
Classification by malignancy
Malignancy
Genomic information
NO
Objectives
Narrative objectives1
To evaluate the feasibility and the efficacy of radiotherapy and concurrent chemotherapy of S-1 (2 weeks administration and 1 week rest) or weekly docetaxel in patients with resectable advanced (stage III, IV) squamous cell carcinoma of the head and neck, who could not be administered high dose chemotherapy because of complications or advanced age.
Basic objectives2
Safety,Efficacy
Basic objectives -Others
Trial characteristics_1
Confirmatory
Trial characteristics_2
Pragmatic
Developmental phase
Phase II
Assessment
Primary outcomes
Response rate
Key secondary outcomes
locoregional relapse free survival, survival with primary organ preservation, overall survival, treatment completion rate, incidence and severity of adverse events, economic analysis
Base
Study type
Interventional
Study design
Basic design
Parallel
Randomization
Randomized
Randomization unit
Individual
Blinding
Open -no one is blinded
Control
Active
Stratification
YES
Dynamic allocation
YES
Institution consideration
Institution is not considered as adjustment factor.
Blocking
NO
Concealment
Central registration
Intervention
No. of arms
2
Purpose of intervention
Treatment
Type of intervention
| Medicine |
Interventions/Control_1
Docetaxel administration group:
Administration of 5 courses (5 weeks) concurrent chemotherapy in which one course consists of docetaxel 12mg/m2 weekly. A total radiation dose of 70 Gy is planned with conventional fractionation (1.8-2Gy/day).
After a total dose of 40 Gy, all patients were clinically evaluated by endoscopy, and by computed tomography scan or magnetic resonance image. Patients with a 50% or greater decrease in the product of 2 perpendicular diameters of primary and neck tumors (responders) continued chemotherapy and completed radiotherapy. For non-responders with resectable tumor, definitive surgery was recommended. 4-6 weeks after the end of treatment, tumor evaluation will be carried out by biopsy, aspiration cytology, and image. If remaining cancer cells is detected in the patient, the patient have a operation.
Interventions/Control_2
S-1 administration group:
Administration of 2 courses (6 weeks) concurrent chemotherapy in which one course consists of S-1 65mg/m2 for 2 weeks administration followed by 1 week rest.
A total radiation dose of 70 Gy is planned with conventional fractionation (1.8-2Gy/day).
After a total dose of 40 Gy, all patients were clinically evaluated by endoscopy, and by computed tomography scan or magnetic resonance image. Patients with a 50% or greater decrease in the product of 2 perpendicular diameters of primary and neck tumors (responders) continued chemotherapy and completed radiotherapy. For non-responders with resectable tumor, definitive surgery was recommended. 4-6 weeks after the end of treatment, tumor evaluation will be carried out by biopsy, aspiration cytology, and image. If remaining cancer cells is detected in the patient, the patient have a operation.
Interventions/Control_3
Interventions/Control_4
Interventions/Control_5
Interventions/Control_6
Interventions/Control_7
Interventions/Control_8
Interventions/Control_9
Interventions/Control_10
Eligibility
Age-lower limit
| 20 | years-old | <= |
Age-upper limit
| 85 | years-old | >= |
Gender
Male and Female
Key inclusion criteria
1)histologically or cytologically confirmed squamous cell carcinoma
2)stage 3 or 4 with no evidence of distant metastases
3)resectable squamous cell carcinoma
4)measurable or assessable region
5)Eastern Cooperative Oncology
Group (ECOG) performance status (PS) of 0 or 1
6)age of 20-85 years
7)sufficient function of important organs
a) WBC: >=4,000/mm3 and <12,000/mm3
b) Neutrophyl: >=2,000/ mm3
c) Platelet: >=100,000/ mm3
d) Hemoglobin: >=11.0 g/dl
e) AST, ALT: 2.0 times of normal range in each institute
f) sT.bil: 1.5 times of normal range in each institute
g) ALP: 2 times of normal range of each institute
h) sCreatinin: <=1.5 mg/dl
l) Ccr: >30ml/min
8)expected more than 3 months survival from drug administration
9)written informed consent
Key exclusion criteria
1)with sever complications (for example ; malignant hypertension, congested heart failure, coronary insufficiency, myocardial infarction, angina pectoris, or abnormal cardiac rhythm which need to treat within 6 months, cerebrovascular accident within 6 months, cirrhosis, hemorrhagic gastrointestinal ulceration, diabetes that is loss of control, bleeding tendency)
2)with deverop fever and suspected infection
3)with motor palsy, peripheral neuropathy or edema (exclude the disorder which derives from primary disease)
4)with pleural effusion which need to treat or pericardial effusions
5)with active double cancer
6)pregnant or nursing women or women who like be pregnant
7)with interstitial pneumonitis which is revealed from chest X ray or chest CT
8)with a history of mental disorder or treated it at the moment
9)with sever allergy to docetaxel or S-1, or with a history of sever allergy
10)doctor's decision not to be registered to this study
Target sample size
60
Research contact person
Name of lead principal investigator
| 1st name | |
| Middle name | |
| Last name | Takahide Taguchi |
Organization
Yokohama City University Graduate School of Medicine
Division name
Department of Biology and Function in the Head and Neck
Zip code
Address
3-9, Fukuura, Kanazawa-ku, Yokohama,236-0004
TEL
045-787-2687
ttaguchi@yokohama-cu.ac.jp
Public contact
Name of contact person
| 1st name | |
| Middle name | |
| Last name | Takahide Taguchi |
Organization
Yokohama City University Graduate School of Medicine
Division name
Department of Biology and Function in the Head and Neck
Zip code
Address
3-9, Fukuura, Kanazawa-ku, Yokohama,236-0004
TEL
045-787-2687
Homepage URL
ttaguchi@yokohama-cu.ac.jp
Sponsor or person
Institute
study group of chemoradiotherapy of the head and neck cancer
Institute
Department
Personal name
Funding Source
Organization
study group of chemoradiotherapy of the head and neck cancer
Organization
Division
Category of Funding Organization
Self funding
Nationality of Funding Organization
Other related organizations
Co-sponsor
Name of secondary funder(s)
IRB Contact (For public release)
Organization
Address
Tel
Secondary IDs
Secondary IDs
NO
Study ID_1
Org. issuing International ID_1
Study ID_2
Org. issuing International ID_2
IND to MHLW
Institutions
Institutions
横浜市立大学附属病院（神奈川県）
Other administrative information
Date of disclosure of the study information
| 2008 | Year | 05 | Month | 01 | Day |
Related information
URL releasing protocol
Publication of results
Unpublished
Result
URL related to results and publications
Number of participants that the trial has enrolled
Results
Results date posted
Results Delayed
Results Delay Reason
Date of the first journal publication of results
Baseline Characteristics
Participant flow
Adverse events
Outcome measures
Plan to share IPD
IPD sharing Plan description
Progress
Recruitment status
Terminated
Date of protocol fixation
| 2007 | Year | 08 | Month | 01 | Day |
Date of IRB
Anticipated trial start date
| 2008 | Year | 04 | Month | 01 | Day |
Last follow-up date
| 2012 | Year | 09 | Month | 01 | Day |
Date of closure to data entry
Date trial data considered complete
Date analysis concluded
Other
Other related information
Management information
Registered date
| 2008 | Year | 05 | Month | 01 | Day |
Last modified on
| 2015 | Year | 01 | Month | 13 | Day |
Link to view the page
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001388
