Unique ID issued by UMIN | UMIN000003889 |
---|---|
Receipt number | R000004682 |
Scientific Title | Phase I/II Trial of S-1 and Nedaplatin with concurrent radiotherapy in locally advanced mesopharynx, hypopharynx cancer |
Date of disclosure of the study information | 2010/07/09 |
Last modified on | 2016/02/16 22:59:26 |
Phase I/II Trial of S-1 and Nedaplatin with concurrent radiotherapy in locally advanced mesopharynx, hypopharynx cancer
Phase I/II Trial of S-1 and Nedaplatin with concurrent radiotherapy in locally advanced mesopharynx, hypopharynx cancer
Phase I/II Trial of S-1 and Nedaplatin with concurrent radiotherapy in locally advanced mesopharynx, hypopharynx cancer
Phase I/II Trial of S-1 and Nedaplatin with concurrent radiotherapy in locally advanced mesopharynx, hypopharynx cancer
Japan |
Mesopharyngeal cancer
Hypopharyngeal Cancer
Oto-rhino-laryngology | Radiology |
Malignancy
NO
Phase I part: to evaluate maximum tolerated dose to determine recommended dose of Nedaplatin in combination with a fixed dose of TS-1 and radiation in patients with local advanced mesopharynx, hypopharynx cancer.
Phase II part: to evaluate the efficacy and toxicity of S-1 and Nedaplatin plus concurrent radiotherapy in patients with local advanced mesopharynx, hypopharynx cancer.
Safety,Efficacy
Confirmatory
Pragmatic
Phase I,II
Phase I: To determinate maximum tolerated dose and recommended dose
Phase II: complete response rate
Phase I: safety
Phase II: response rate, time to laryngeal preservation, local control rate, relapse free survival, overall survival, safety, time to treatment failure, QOL
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Combination chemotherapy consists of TS-1 (80-120 mg/day, day 1 through 14, day 29 through 42), Nedaplatin (80-100 mg/m2, day 1 and day 29). A total radiation dose of 60 Gy is planned with conventional fractionation (2 Gy/day).
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1)histologically or cytologically confirmed squamous cell carcinoma
2)stage II-IVA mesopharunx, and hypopharynx cancer
3)age: >=20 and <80
4)with measurable region
5)without prior radical surgery
6)without prior treatment
7)Performance Statues: 0-1(ECOG)
8)sufficient function of important organs
a)WBC: >=3,500/mm3 and <=12,000/mm3
b)Neutrophyl: >=2,000/mm3
c)Platelet: >=100,000/mm3
d)Hemoglobin: >=10g/dl
e)GOT, GPT: <= 2.0 times of the upper limit of normal range in each institute
f)ALP: <= 2.0 times of the upper limit of normal range in each institute
g)sT.bil: <= 1.5 times of the upper limit of normal range in each institute
h)sCreatinin: <= the upper limit of normal range in each institute
i)Ccr: >=60 ml/min/body
9)expected more than 3 months survival from drug administration
10)written informed consent
11)with ability of oral intake
1)active double cancer
2)severe complications (congested heart failure, coronary insufficiency, myocardial infarction, angina pectoris or abnormal cardiac rhythm which need to treat, history of cerebrovascular accident, hemorrhagic gastrointestinal ulceration, uncontrolled diabetes, renal failure, active hepatitis, liver cirrhosis)
3)develop fever and suspected infection
4)motor palsy, peripheral neuropathy or edema (exclude the disorder which derives from primary disease)
5)pleural effusion which need to treat or pericardial effusions
6)pregnant or nursing women or women who like be pregnant and men with partner willing to get pregnant
7)interstitial pneumonitis which is revealed from chest X ray and chest CT
8)history of mental disorder or treating it at the moment
9)history of severe allergy
10)severe allergy to S-1 or Nedaplatin
11)patients receiving 5-FU based chemotherapy
12)patients receiving Flucytosine
13)doctors decision not to be registered to this study
43
1st name | |
Middle name | |
Last name | Makito Okamoto |
Kitasato University School of Medicine
Department of Otorhinolaryngology
1-15-1, Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0375.
042-778-8111
kkent@med.kitasato-u.ac.jp
1st name | |
Middle name | |
Last name | Koichi Kano |
Kitasato University School of Medicine
Department of Otorhinolaryngology
1-15-1, Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0375.
042-778-8111
kkent@med.kitasato-u.ac.jp
Kitasato University School of Medicine
Kitasato University School of Medicine
Self funding
NO
北里大学病院(神奈川県)
2010 | Year | 07 | Month | 09 | Day |
Unpublished
Preinitiation
2010 | Year | 05 | Month | 19 | Day |
2010 | Year | 07 | Month | 01 | Day |
2010 | Year | 07 | Month | 08 | Day |
2016 | Year | 02 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004682