Phase I Trial of Metabolic Reprogramming Therapy for Treatment of Recurrent Head and Neck Cancers
Inclusion Criteria:
- Pathologically confirmed head and neck squamous cell carcinoma
- Age > 18 years old
- Patients must have unresectable disease in which there is no accepted potentially
curative treatment option
- Patients must have acceptable organ and marrow function as defined below:
- leukocytes >3,000/uL
- absolute neutrophil count >1,500/uL
- platelets >100,000/uL
- total bilirubin within 1.5X normal institutional limits
- AST(SGOT)/ALT(SGPT) <2.5 X institutional upper limit of normal
- creatinine within normal institutional limits
- creatinine clearance >60 mL/min/1.73 m2 for patients with creatinine levels above
institutional normal
- Patients must have non-cranial gross disease that is greater than 1 cm on CT scan
prior to enrollment
- Disease must be FDG-avid on PET scanning
- Creatinine within normal institutional limits
- Eastern Clinical Oncology Group performance status 0, 1 or 2 (Appendix 1)
- Life expectancy > 12 weeks
- Both men and women and members of all races and ethnic groups are eligible for this
trial.
Exclusion Criteria:
- Women who are pregnant
- Administration of any systemic cytotoxic agents within the last 2 weeks of enrollment
- Patients who are unwilling or unable to provide informed consent
- Patients who have potentially curable disease
- Participation in another concurrent treatment protocol