Comparative study of two different induction chemotherapy regimens in head and neck cancer

ISRCTN ISRCTN08658578
DOI https://doi.org/10.1186/ISRCTN08658578
Secondary identifying numbers N/A
Submission date
26/12/2009
Registration date
18/02/2010
Last edited
18/02/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Ahmad Ameri
Scientific

Imam Hossein Hospital
Shahid Madani Avenue
Tehran
1617763141
Iran

Email Aham47@yahoo.com

Study information

Study designPhase II single centre randomised parallel group prospective clinical trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titlePhase II randomised study comparing Docetaxel, Cisplatin, 5-FU (DCF) with Cisplatin, 5-FU(CF) as induction chemotherapy in head and neck cancer
Study acronymGORGANI IV
Study objectivesResponse rate using DCF is better than CF.
Ethics approval(s)Approved by local medical ethics committee at the Shahid Beheshti University of Medical Sciences on the 10th of September 2009 (ref: 1001)
Health condition(s) or problem(s) studiedLocally advanced head and neck cancer
InterventionEligible patients will be randomised to receive CF or DCF.
Patients in CF arm will receive cisplatine 75 mg/m2 on day 1 and 5Fu 750 mg/m2 on day 1 to 5 of each cycle.
Patients in DCF group will receive docetaxel 75 mg/m2 additional to above drugs on day 2 of each cycle.
Patients will receive two cycles.
After two cycles, responding patients and no-responding patients who are not candidates for surgery will be treated using chemoradiation according to the physician's opinion.
All patients will be followed every 3 to 8 week for 1 year and then every 4 to 6 month until death or recurrence.

Randomisation stratified according to PS, age (<50,>50)
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase II
Drug / device / biological / vaccine name(s)Docetaxel, cisplatin, fluorouracil (5-FU) (DCF) and cisplatin, 5-FU (CF)
Primary outcome measureResponse will be evaluated at day 21 of second cycle using Response Evaluation Criteria in Solid Tumours (RECIST) criteria and computed topography (CT).
Secondary outcome measuresToxicity will be evaluated at day 21 of each cycle and the most serious adverse effect according to WHO criteria during the cycle will be recorded.
Overall study start date10/07/2009
Completion date10/12/2010

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants50
Key inclusion criteria1. Histological proven head and neck squamous cell carcinoma other than salivary gland tumour and sinonasal carcinoma
2. Measurable primary tumour or lymph node or both
3. T3 or T4 N0, T1-T4 N2-3
4. Age from 16 till 70 years
5. Performance status ≤2 according to ECOG classification
6. No previous chemotherapy is allowed
7. Adequate bone marrow, hepatic & renal functions
7.1. Haemoglobin ≥ 11 g/dl,
7.2. Platelets ≥ 100000 / mm3
7.3. Absolute Neutrophil Count ≥ 1500/mm3
7.4. Bilirubin = Normal Value
7.5. Transaminases = Normal Value
7.6. Creatinine ≤ 1 mg/dl
8. Absence of neuropathy
9. Absence of active co-morbid illness (uncontrolled infection, cardiopulmonary disease…)
10. Complete initial work up within 2 weeks prior to first chemotherapy infusion
Key exclusion criteria1. Any metastasis
2. Pregnant or lactating women.
3. Other serious illness or medical conditions.
4. Any chemotherapy administered before entering study
5. Any patient with early stage cancer who can be treated without mutilating surgery
6. Any contraindication for one of the drugs in chemotherapeutic regimens or radiotherapy
Date of first enrolment10/07/2009
Date of final enrolment10/12/2010

Locations

Countries of recruitment

  • Iran

Study participating centre

Imam Hossein Hospital,
Tehran
1617763141
Iran

Sponsor information

Shahid Beheshti University of Medical Sciences (Iran)
University/education

Department of Radiation Oncology
Imam Hossein Hospital
Shahid Madani avenue
Tehran
1617763141
Iran

ROR logo "ROR" https://ror.org/034m2b326

Funders

Funder type

University/education

Shahid Beheshti University of Medical Sciences (Iran)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan