Overview

Neo-adjuvant Erbitux-based Chemotherapy for Locally Advanced Oral/Oropharyngeal Cancer

Status:
Completed
Trial end date:
2017-02-01
Target enrollment:
0
Participant gender:
All
Summary
Epidermal growth factor receptor(EGFR) is a potential target for new anticancer therapy in head and neck squamous cell carcinoma, because blocking the EGFR by a monoclonal antibody results in inhibition of the stimulation of the receptor, therefore, in inhibition of cell proliferation, enhanced apoptosis, and reduced angiogenesis, invasiveness and metastases. The study hypothesis is that neo-adjuvant Erbitux-based chemotherapy followed by surgery and radiotherapy for locally advanced oral/oropharyngeal cancer could benefit the patients on prognosis. The endpoints of this study are the pathological complete response after neo-adjuvant Erbitux-based chemotherapy followed by surgery and radiotherapy, the survival rate, and the safety.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Shanghai Jiao Tong University School of Medicine
Collaborators:
Fudan University
Second Military Medical University
Tongji University
Treatments:
Cetuximab
Criteria
Inclusion Criteria:

- Written informed consent prior to any study activities

- Age 18-75

- Histological/cytological and iconography confirmed squamous-celled oral/oropharyngeal
cancer

- Stage Ⅲ/Ⅳa (T1-2, N1-2, M0 or T3-4, N0-2, M0, AJCC 2010), operable disease

- Karnofsky performance status (KPS) ≥ 70

- Adequate hematologic function: Neutrophils ≥ 1,500/mm^3, WBC > 4,000/mm^3, Hb > 10
g/dL, platelet count > 100,000/mm^3

- Hepatic function: ALAT/ASAT < 2.5 times the upper limit of normal (ULN), bilirubin <
1.5 x ULN

- Renal function: serum creatinine < 1.5 x ULN

- Life expectancy ≥ 6 months

Exclusion Criteria:

- Evidence of distant metastatic disease and other oropharyngeal cancers

- Surgical procedure of the primary tumor or lymph nodes (except diagnostic biopsy)
before study treatment

- Previous radiotherapy for the primary tumor or lymph nodes

- Previous exposure to epidermal growth factor - targeted therapy

- Prior chemotherapy or immunotherapy for the primary tumor

- Other previous malignancy within 5 years, except adequately treated non-melanoma skin
cancer or pre-invasive carcinoma of the cervix

- Any investigational agent prior to the 1st study medication

- Participation in another clinical study within the 30 days prior to Inclusion in this
study.

- Peripheral neuropathy > grade 1

- Known grade 3 or 4 allergic reaction to any of the study treatment

- Creatinine Clearance < 30 ml/min

- Know drug abuse / alcohol abuse

- Legal incapacity or limited legal capacity

- Active systemic infection

- Medical or psychiatric illness, which in the investigators' opinions, would not permit
the subject to complete or fully and completely understand the risks and potential
complications of the study

- Concurrent chronic systemic immune therapy or hormone therapy not indicated in the
study protocol

- Pregnancy (confirmed by serum or urine β-HCG) or lactation period

- Severe cardiac disease such as heart failure, clinically relevant cardiac
dysrhythmias, coronary artery disease or myocardial infarction within the last 12
months