A Phase II Trial of Concomitant Boost Radiation and Concurrent Cisplatin for Advanced Head and Neck Carcinomas
Phase 2
N/A
N/A
N/A
N/A
Not Enrolling
Both
Head and Neck Cancer
Both
Head and Neck Cancer
Trial Information
A Phase II Trial of Concomitant Boost Radiation and Concurrent Cisplatin for Advanced Head and Neck Carcinomas
OBJECTIVES: I. Determine the rate of local regional recurrence at one year in patients with
advanced head and neck cancer treated with boost radiotherapy and cisplatin. II. Determine
the feasibility of treatment delivery, patient tolerance, and acute and late toxicities in
these patients on this regimen. III. Determine the overall survival, disease free survival,
and distant relapse rates of these patients on this regimen.
OUTLINE: Patients receive fractionated radiotherapy 1-2 times daily over 5 consecutive days
for 6 weeks, and cisplatin IV over 1-2 hours on days 1 and 22. Patients may undergo salvage
surgery if biopsy proven cancer remains more than 3 months after treatment. Patients are
followed every 3 months for 2 years, every 6 months for 3 years, then annually until death.
PROJECTED ACCRUAL: A total of 50-56 patients will be accrued for this study within 7 months.
Inclusion Criteria
DISEASE CHARACTERISTICS: Histologically proven squamous cell carcinoma of the oral cavity,
oropharynx, hypopharynx, or larynx Stage III or IV No distant metastases
PATIENT CHARACTERISTICS: Age: Not specified Performance status: Zubrod 0-1 Life
expectancy: At least 6 months Hematopoietic: Absolute granulocyte count at least 2,000/mm3
Platelet count at least 100,000/mm3 Hepatic: Bilirubin no greater than 1.5 mg/dL SGOT or
SGPT no greater than 2 times upper limit of normal Renal: Creatinine no greater than 1.5
mg/dL Creatinine clearance at least 50 mL/min Calcium normal Cardiovascular: No
symptomatic coronary artery disease No angina No myocardial infarction within the past 6
months Other: Not pregnant or nursing Fertile patients must use effective contraception No
other malignancy within the past 3 years except nonmelanomatous skin cancer
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior
chemotherapy Endocrine therapy: Not specified Radiotherapy: No prior radiotherapy to the
head and neck Surgery: No initial surgery (except diagnostic biopsy of the primary site or
neck)
Type of Study:
Interventional
Study Design:
Primary Purpose: Treatment
Principal Investigator
K. Kian Ang, MD, PhD
Investigator Role:
Study Chair
Investigator Affiliation:
M.D. Anderson Cancer Center
Authority:
United States: Federal Government
Study ID:
CDR0000067706
NCT ID:
NCT00005088
Start Date:
April 2000
Completion Date:
Related Keywords:
- Head and Neck Cancer
- stage III squamous cell carcinoma of the lip and oral cavity
- stage IV squamous cell carcinoma of the lip and oral cavity
- stage III squamous cell carcinoma of the oropharynx
- stage IV squamous cell carcinoma of the oropharynx
- stage III squamous cell carcinoma of the hypopharynx
- stage IV squamous cell carcinoma of the hypopharynx
- stage III squamous cell carcinoma of the larynx
- stage IV squamous cell carcinoma of the larynx
- Head and Neck Neoplasms
Name | Location |
|---|---|
| Akron City Hospital | Akron, Ohio 44304 |
| Arizona Cancer Center | Tucson, Arizona 85724 |
| Roswell Park Cancer Institute | Buffalo, New York 14263 |
| Memorial Sloan-Kettering Cancer Center | New York, New York 10021 |
| Albert Einstein Comprehensive Cancer Center | Bronx, New York 10461 |
| University of Texas - MD Anderson Cancer Center | Houston, Texas 77030-4009 |
| University of Michigan Comprehensive Cancer Center | Ann Arbor, Michigan 48109-0752 |
| Mayo Clinic Cancer Center | Rochester, Minnesota 55905 |
| University of Alabama Comprehensive Cancer Center | Birmingham, Alabama 35294 |
| Jonsson Comprehensive Cancer Center, UCLA | Los Angeles, California 90095-1781 |
| USC/Norris Comprehensive Cancer Center | Los Angeles, California 90033-0800 |
| University of Colorado Cancer Center | Denver, Colorado 80262 |
| Walter Reed Army Medical Center | Washington, District of Columbia 20307-5000 |
| H. Lee Moffitt Cancer Center and Research Institute | Tampa, Florida 33612 |
| Emory University Hospital - Atlanta | Atlanta, Georgia 30322 |
| University of Chicago Cancer Research Center | Chicago, Illinois 60637 |
| University of Iowa Hospitals and Clinics | Iowa City, Iowa 52242 |
| Albert B. Chandler Medical Center, University of Kentucky | Lexington, Kentucky 40536-0084 |
| Johns Hopkins Oncology Center | Baltimore, Maryland 21287 |
| CCOP - Ann Arbor Regional | Ann Arbor, Michigan 48106 |
| Barbara Ann Karmanos Cancer Institute | Detroit, Michigan 48201 |
| Cancer Center of Albany Medical Center | Albany, New York 12208 |
| State University of New York Health Science Center at Brooklyn | Brooklyn, New York 11203 |
| University of Rochester Cancer Center | Rochester, New York 14642 |
| Lineberger Comprehensive Cancer Center, UNC | Chapel Hill, North Carolina 27599-7295 |
| Comprehensive Cancer Center of Wake Forest University Baptist Medical Center | Winston-Salem, North Carolina 27157-1082 |
| Cleveland Clinic Cancer Center | Cleveland, Ohio 44195 |
| Ireland Cancer Center | Cleveland, Ohio 44106-5065 |
| Arthur G. James Cancer Hospital - Ohio State University | Columbus, Ohio 43210 |
| Kimmel Cancer Center of Thomas Jefferson University - Philadelphia | Philadelphia, Pennsylvania 19107 |
| University of Pennsylvania Cancer Center | Philadelphia, Pennsylvania 19104 |
| Fox Chase Cancer Center | Philadelphia, Pennsylvania 19111 |
| Medical University of South Carolina | Charleston, South Carolina 29425-0721 |
| CCOP - Upstate Carolina | Spartanburg, South Carolina 29303 |
| Cancer Center, University of Virginia HSC | Charlottesville, Virginia 22908 |
| St. Luke's Medical Center | Milwaukee, Wisconsin 53215 |
| Sylvester Cancer Center, University of Miami | Miami, Florida 33136 |
| MBCCOP - LSU Medical Center | New Orleans, Louisiana 70112 |
| Hurley Medical Center | Flint, Michigan 48503 |
| East Carolina University School of Medicine | Greenville, North Carolina 27858-4354 |
| Vermont Cancer Center | Burlington, Vermont 05401-3498 |
| CCOP - Atlanta Regional | Atlanta, Georgia 30342-1701 |
| CCOP - Kansas City | Kansas City, Missouri 64131 |
| CCOP - Southern Nevada Cancer Research Foundation | Las Vegas, Nevada 89106 |
| CCOP - Baptist Cancer Institute | Memphis, Tennessee 38117 |
| University of California San Diego Cancer Center | La Jolla, California 92093-0658 |
| UCSF Cancer Center and Cancer Research Institute | San Francisco, California 94115-0128 |
| CCOP - Christiana Care Health Services | Wilmington, Delaware 19899 |
| CCOP - Mount Sinai Medical Center | Miami Beach, Florida 33140 |
| Sinai Hospital of Baltimore | Baltimore, Maryland 21225 |
| Ellis Fischel Cancer Center - Columbia | Columbia, Missouri 65203 |
| Norris Cotton Cancer Center | Lebanon, New Hampshire 03756 |
| CCOP - North Shore University Hospital | Manhasset, New York 11030 |
| CCOP - Southeast Cancer Control Consortium | Winston-Salem, North Carolina 27104-4241 |
| University of Tennessee, Memphis Cancer Center | Memphis, Tennessee 38103 |
| Veterans Affairs Medical Center - Indianapolis (Roudebush) | Indianapolis, Indiana 46202 |
| CCOP - Kalamazoo | Kalamazoo, Michigan 49007-3731 |
| CCOP - Metro-Minnesota | Saint Louis Park, Minnesota 55416 |
| Veterans Affairs Medical Center - East Orange | East Orange, New Jersey 07018-1095 |
| Hahnemann University Hospital | Philadelphia, Pennsylvania 19102-1192 |
| University of Pittsburgh Cancer Institute | Pittsburgh, Pennsylvania 15213 |
| Baptist Regional Cancer Center - Knoxville | Knoxville, Tennessee 37901 |
| Sparrow Regional Cancer Center | Lansing, Michigan 48912-1811 |
| Vanderbilt Cancer Center | Nashville, Tennessee 37232-6838 |
| MD Anderson Cancer Center Orlando | Orlando, Florida 32806 |
| Loyola University Medical Center | Maywood, Illinois 60153 |
| CCOP - Ochsner | New Orleans, Louisiana 70121 |
| CCOP - Toledo Community Hospital Oncology Program | Toledo, Ohio 43623-3456 |
| Rapid City Regional Hospital | Rapid City, South Dakota 57709 |
| NYU School of Medicine's Kaplan Comprehensive Cancer Center | New York, New York 10016 |
| Henry Ford Hospital | Detroit, Michigan 48202 |
| Marshfield Clinic | Marshfield, Wisconsin 54449 |
| Medical College of Wisconsin | Milwaukee, Wisconsin 53226 |
| Huntsville Hospital System | Huntsville, Alabama 35801 |
| MBCCOP - University of South Alabama | Mobile, Alabama 36688 |
| Urology Associates - Mobile AL | Mobile, Alabama 36640 |
| Alabama Oncology, LLC | Montgomery, Alabama 36106-2801 |
| Radiation Oncology Associates of West Alabama | Tuscallosa, Alabama 35401 |
| Providence Cancer Therapy Center | Anchorage, Alaska 99508 |
| Mount Diablo Medical Center | Concord, California 94524-4110 |
| California Cancer Center | Fresno, California 93720 |
| Saint Agnes Cancer Center | Fresno, California 93720 |
| Glendale Memorial Hospital and Health Center | Glendale, California 91204 |
| Sutter Health Western Division Cancer Research Group | Greenbrae, California 94904 |
| Loma Linda University Medical Center | Loma Linda, California 92354 |
| Veterans Affairs Medical Center - Long Beach | Long Beach, California 90822 |
| Kaiser Permanente Medical Center - Los Angeles | Los Angeles, California 90027 |
| Beckman Research Institute, City of Hope | Los Angeles, California 91010 |
| CCOP - Bay Area Tumor Institute | Oakland, California 94609-3305 |
| Cancer Care Center | Pomona, California 91767 |
| Radiation Oncology Center - Sacramento | Sacramento, California 95816 |
| O'Connor Hospital | San Jose, California 95128 |
| CCOP - Santa Rosa Memorial Hospital | Santa Rosa, California 95403 |
| Stanford University | Stanford, California 94305 |
| Memorial Hospital Cancer Center | Colorado Springs, Colorado 80909 |
| Bridgeport Hospital | Bridgeport, Connecticut 06610 |
| Whittingham Cancer Center | Norwalk, Connecticut 06856 |
| Lykes Center for Radiation Therapy | Clearwater, Florida 33757-0210 |
| Halifax Medical Center | Daytona Beach, Florida 32114 |
| Radiation Therapy Associates - Fort Myers | Fort Myers, Florida 33901 |
| University of Florida Health Science Center | Gainesville, Florida 32610-0296 |
| Health First Holmes Regional Medical Center | Melbourne, Florida 32901 |
| Baptist Hospital of Miami | Miami, Florida 33176-2197 |
| Florida Radiation Oncology Group | Orange Park, Florida 32073 |
| Gulf Coast Cancer Treatment Center | Panama City, Florida 32405-4587 |
| West Florida Cancer Institute - Pensacola | Pensacola, Florida 32514 |
| Bayfront Medical Center | Saint Petersburg, Florida 33701 |
| Sarasota Radiation and Medical Oncology Center | Sarasota, Florida 34233 |
| Medical Center/John B. Amos Community Cancer Center | Columbus, Georgia 31902 |
| InterCommunity Cancer Center at Rome | Rome, Georgia 30161 |
| Northwest Community Hospital | Arlington Heights, Illinois 60005 |
| Northwestern Memorial Hospital | Chicago, Illinois 60611 |
| Ingalls Memorial Hospital | Harvey, Illinois 60426 |
| Lutheran General Cancer Care Center | Park Ridge, Illinois 60068 |
| Methodist Medical Center of Illinois | Peoria, Illinois 61636 |
| CCOP - Central Illinois | Springfield, Illinois 62526 |
| St. John's Medical Center | Anderson, Indiana 46016 |
| Clarion Health Partners Inc. | Indianapolis, Indiana 46206-1367 |
| Community Hospitals of Indianapolis - Regional Cancer Center | Indianapolis, Indiana 46219 |
| Ball Memorial Hospital | Muncie, Indiana 47303-3499 |
| Memorial Hospital of South Bend | South Bend, Indiana 46601 |
| St. Joseph's Radiation Oncology Center | South Bend, Indiana 46617 |
| Wendt Regional Cancer Center of Finley Hospital | Dubuque, Iowa 52001 |
| Veterans Affairs Medical Center - Lexington | Lexington, Kentucky 40511-1093 |
| James Graham Brown Cancer Center | Louisville, Kentucky 40202 |
| Louisville Radiation Oncology | Louisville, Kentucky 40215 |
| Merle M. Mahr Cancer Center | Madisonville, Kentucky 42431 |
| Western Baptist Hospital | Paducah, Kentucky 42001 |
| Mary Bird Perkins Cancer Center | Baton Rouge, Louisiana 70809 |
| Romagosa Radiation Oncology Center | Lafayette, Louisiana 70501 |
| Tulane University School of Medicine | New Orleans, Louisiana 70112 |
| Maine Medical Center | Portland, Maine 04102 |
| Anne Arundel Oncology Center | Annapolis, Maryland 21401 |
| Greater Baltimore Medical Center and Cancer Center | Baltimore, Maryland 21204 |
| Harbor Hospital Center | Baltimore, Maryland 21225 |
| Radiation Oncology Affiliates of Maryland, P.A. | Baltimore, Maryland 21237 |
| Cape Cod Hospital | Hyannis, Massachusetts 02601 |
| Veterans Affairs Medical Center - Boston (Jamaica Plain) | Jamaica Plain, Massachusetts 02130 |
| McLaren Regional Cancer Center | Flint, Michigan 48432 |
| Marquette General Hospital | Marquette, Michigan 49855 |
| MidMichigan Regional Medical Center | Midland, Michigan 48670 |
| St. Mary's Medical Center | Saginaw, Michigan 48601 |
| Mallinckrodt Institute of Radiology | Saint Louis, Missouri 63110 |
| St. Louis University Health Sciences Center | Saint Louis, Missouri 63110-0250 |
| Cancer Research for the Ozarks | Springfield, Missouri 65807 |
| CCOP - Cancer Research for the Ozarks | Springfield, Missouri 65807 |
| CCOP - Montana Cancer Consortium | Billings, Montana 59101 |
| Methodist Cancer Center - Omaha | Omaha, Nebraska 68114 |
| Elliot Regional Cancer Center | Manchester, New Hampshire 03103 |
| John F. Kennedy Medical Center | Edison, New Jersey 08818 |
| South Jersey Hospital - Millville | Millville, New Jersey 08332 |
| Fox Chase Cancer Center at Virtua-Memorial Hospital Burlington County | Mount Holly, New Jersey 08060 |
| Newark Beth Israel Medical Center | Newark, New Jersey 07112 |
| Community Medical Center | Toms River, New Jersey 08755 |
| St. Francis Medical Center | Trenton, New Jersey 08629 |
| Saint Joseph Medical Center | Albuquerque, New Mexico 87102 |
| New York Methodist Hospital | Brooklyn, New York 11215-3609 |
| Finger Lakes Radiation Oncology, P.C. | Clifton Springs, New York 14432 |
| Beth Israel Medical Center | New York, New York 10003 |
| Champlain Valley Physicians Hospital Medical Center | Plattsburgh, New York 12901 |
| Vassar Brothers Hospital | Poughkeepsie, New York 12601 |
| New York Medical College | Valhalla, New York 10595 |
| Northeast Medical Center | Concord, North Carolina 28025 |
| Catawba Memorial Hospital | Hickory, North Carolina 28601 |
| Meritcare Roger Maris Cancer Center | Fargo, North Dakota 58122 |
| Akron General Medical Center | Akron, Ohio 44302 |
| Christ Hospital | Cincinnati, Ohio 45219 |
| University Hospitals of Cleveland | Cleveland, Ohio 44106 |
| CCOP - Columbus | Columbus, Ohio 43206 |
| CCOP - Dayton | Kettering, Ohio 45429 |
| St. John Medical Center | Tulsa, Oklahoma 74104 |
| CCOP - Columbia River Program | Portland, Oregon 97213 |
| Lehigh Valley Hospital | Allentown, Pennsylvania 18103 |
| St. Luke's Hospital Regional Cancer Center | Bethlehem, Pennsylvania 18015 |
| Penn State Geisinger Medical Center | Danville, Pennsylvania 17822-2001 |
| Mercy Catholic Medical Center, Mercy Fitzgerald Divison | Darby, Pennsylvania 19023 |
| Delaware County Memorial Hospital | Drexel Hill, Pennsylvania 19026 |
| Penn State Geisinger Cancer Center | Hershey, Pennsylvania 17033 |
| Albert Einstein Cancer Center | Philadelphia, Pennsylvania 19141 |
| Veterans Affairs Medical Center - Philadelphia | Philadelphia, Pennsylvania 19104 |
| Western Pennsylvania Hospital | Pittsburgh, Pennsylvania 15224 |
| Mercy Hospital of Pittsburgh | Pittsburgh, Pennsylvania 15219 |
| Reading Hospital and Medical Center | Reading, Pennsylvania 19612-6052 |
| Mercy Hospital Cancer Center - Scranton | Scranton, Pennsylvania 18501 |
| Wilkes Barre General Hospital | Wilkes-Barre, Pennsylvania 18764 |
| CCOP - MainLine Health | Wynnewood, Pennsylvania 19096 |
| York Hospital | York, Pennsylvania 17315 |
| Roger Williams Medical Center/BUSM | Providence, Rhode Island 02908-4735 |
| CCOP - Greenville | Greenville, South Carolina 29615 |
| Jackson-Madison County General Hospital | Jackson, Tennessee 38301 |
| Harrington Cancer Center | Amarillo, Texas 79106 |
| Julie and Ben Rogers Cancer Institute | Beaumont, Texas 77701 |
| University of Texas Medical Branch | Galveston, Texas 77555-1329 |
| Wilford Hall - 59th Medical Wing | Lackland Air Force Base, Texas 78236-5300 |
| Joe Arrington Cancer Research and Treatment Center | Lubbock, Texas 79410-1894 |
| Bayshore Medical Center | Pasadena, Texas 77504 |
| East Texas Medical Center - Cancer Institute | Tyler, Texas 75701 |
| Dixie Regional Medical Center | Saint George, Utah 84770 |
| LDS Hospital | Salt Lake City, Utah 84143 |
| CCOP - Southwestern Vermont Regional Cancer Center | Bennington, Vermont 05201 |
| Martha Jefferson Hospital | Charlottesville, Virginia 22901 |
| Virginia Baptist Hospital | Lynchburg, Virginia 24503 |
| Naval Medical Center, Portsmouth | Portsmouth, Virginia 23708-2197 |
| Virginia Mason Medical Center | Seattle, Washington 98111 |
| Swedish Cancer Institute | Seattle, Washington 98104 |
| Deaconess Medical Center | Spokane, Washington 99210-0248 |
| Yakima Valley Memorial Hospital | Yakima, Washington 98902 |
| St. Vincent Hospital | Green Bay, Wisconsin 54307-3508 |
| Gundersen Lutheran Medical Foundation | La Crosse, Wisconsin 54601 |
| University of Wisconsin Comprehensive Cancer Center | Madison, Wisconsin 53792 |
| Southern Wisconsin Radiotherapy Center | Madison, Wisconsin 53713 |
| Community Memorial Hospital | Menomonee Falls, Wisconsin 53051 |
| Columbia Hospital | Milwaukee, Wisconsin 53211 |
| St. Joseph's Hospital | Milwaukee, Wisconsin 53210 |
| Veterans Affairs Medical Center - Milwaukee (Zablocki) | Milwaukee, Wisconsin 53295 |
| Southeastern Wisconsin Regional Cancer Center | Racine, Wisconsin 53405 |
| Waukesha Memorial Hospital | Waukesha, Wisconsin 53188 |
| Herbert Irving Comprehensive Cancer Center | New York, New York 10032 |
| Comprehensive Cancer Institute of Huntsville | Huntsville, Alabama 35801 |
| Radiation Medical Group, Inc. | San Diego, California 92101-1492 |
| Veterans Affairs Medical Center - Miami | Miami, Florida 33125 |
| Bay Medical Center | Panama City, Florida 32401 |
| Tallahassee Memorial Healthcare | Tallahassee, Florida 32308 |
| Provena St. Joseph Hospital- Regional Cancer Care Center | Elgin, Illinois 60123 |
| Peninsula Regional Medical Center | Salisbury, Maryland 21801 |
| William Beaumont Hospital | Royal Oak, Michigan 48073 |
| North Mississippi Medical Center/Cancer Center | Tupelo, Mississippi 38801 |
| Nebraska Health System | Omaha, Nebraska 68105-1018 |
| Trinitas Hospital - Jersey Street Campus | Elizabeth, New Jersey 07201 |
| Monmouth Medical Center | Long Branch, New Jersey 07740-6395 |
| Cancer Institute of New Jersey | New Brunswick, New Jersey 08901 |
| Atlantic City Medical Center | Pomona, New Jersey 08240 |
| Associated Radiologists, P.A. | Warren, New Jersey 07059 |
| St. Anthony Hospital | Oklahoma City, Oklahoma 73101 |
| University of Utah Health Sciences Center | Salt Lake City, Utah 84132 |
| RMH Regional Canter Center | Harrisonburg, Virginia 22801 |
| Schiffler Cancer Center | Wheeling, West Virginia 26003 |
| Mobile Infirmary Medical Center | Mobile, Alabama 36640-0460 |
| UNIMED Medical Center | Minot, North Dakota 58701 |
