Phase I Trial of Motexafin Gadolinium and Chemoradiation in Locally Advanced, Squamous Cell Carcinoma of the Head and Neck
Inclusion Criteria:
- At least 18 years of age
- Each patient must sign a study-specific informed consent form
- Newly diagnosed, locally advanced, non-metastatic Squamous Cell Carcinoma of the Head
and Neck (SCCHN) arising from a primary site in the oropharynx, hypopharynx, or
larynx confirmed by evaluation of fine needle aspiration or biopsy samples and MRI
- Eligible for curative intent treatment with hyperfractionated radiation and
concurrent 5-FU and cisplatin
- Karnofsky Performance Status score of at least 60%
- Primary tumor at least 4 cm in diameter
Exclusion Criteria:
Laboratory Values of:
- Serum creatinine > 1.8 mg/dL; unless 24-hour urine creatinine clearance is ≥ 70
mL/min
- Serum total bilirubin > 1.5 times the upper limit of normal
- ALT (formerly SGPT) > 1.5 times the upper limit of normal
- Alkaline phosphatase > 1.5 times the upper limit of normal
- Absolute neutrophil count (ANC) < 1500/L
- Platelet count < 100,000/L
- 3+ or greater proteinuria on urinalysis
and
- Squamous Cell Carcinoma of the Head and Neck arising from a primary site in the oral
cavity or nasopharynx
- Distant metastases
- Prior history of cancer at any site treated with radiotherapy and/or chemotherapy
- History of SCCHN diagnosed within 5 years of current diagnosis