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Study Summary
No. ID96-252:.......Cancer Prevention; Head And Neck......Edward Kim......Thoracic and Head and Neck Med
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Study Summary Title
Study Summary
Number:
ID96-252
Study Title:PHASE III RANDOMIZED STUDY OF ADJUVANT BIOLOGIC THERAPY IN PATIENTS WITH STAGE III/IV HEAD AND NECK SQUAMOUS CELL CARCINOMA
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Physician New Patient Referral
Name:Edward KimPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Thoracic and Head and Neck MedReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-6363
Contact us about clinical trials
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General Information
Disease Group:Cancer Prevention
Head And Neck
Supported By:University of Pittsburgh and National Cancer Institute
Phase of Study:Phase IIIReturn
Visit:
Monthly
Treatment
Agents:
13-Cis Retinoic Acid
Alpha-Tocopherol
Interferon-Alpha
Home Care:None.
Treatment Loc:Independent Multicenter Arrangements
Estimated
Length of Stay
in Houston:
N/A
Description/
Intervention:
The goal of this clinical research study is to see if treatment with
13-cis-retinoic acid (13-cRA) (AccutaneŽ), alpha-interferon (RoferonŽ), and
vitamin E will prevent disease recurrence or new tumors in individuals who have
had head and neck cancer. The safety of the treatment will be studied also.
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Study Objectives / Outcomes
  • To test the efficacy of adjuvant therapy with 13-cis-retinoic acid (13-cRA), a-interferon (a-IFN) and a-tocopherol in reducing primary disease recurrence and second primary tumor development in patients with stage III/IV squamous cell carcinoma of the head and neck following definitive surgical excision and postoperative radiation therapy.
  • To evaluate the qualitative and quantitative toxicity of outpatient oral 13-cis-retinoic acid (50 mg/m2/day) with oral a-tocopherol (1200 IU/day) and a-interferon (3 x 106 U/m2/day) subcutaneously administered three times weekly for twelve months among these patients.
  • To evaluate the overall and disease free survival with the adjuvant treatment compared to no treatment.
  • To determine whether p53 expression and mutations, retinoic acid receptor expression, retinoid-regulated gene (CRABPII), and IFN-responsive genes (e.g. 2,'5'-adenylate synthetase, IFN-a receptor Stat 91) are altered in squamous cell carcinoma of the head and neck relative to adjacent normal and premalignant tissue.
  • To determine whether alterations of p53 gene, retinoic acid receptors, retinoid-regulated gene, and IFN-responsive genes are associated with clinical outcome by the proposed randomized treatment.
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    Study Status Information
    Study Activation / Registration Date:02/25/2000
    IRB Review and Approval Date:11/20/1996
    Study Type:Therapeutic
    Recruitment Status:Open
    Projected Accrual:180 patients
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    Enrollment Eligibility
    If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

    Inclusion Criteria:1) Patient must have a confirmed diagnosis of squamous cell carcinoma of the head and neck.

    2) Primary sites include only those regions within oral cavity, oropharynx, larynx, hypopharynx, and paranasal sinus.

    3) Primary lesions must have been stage III or stage IV (American Joint Committee on Cancer, 1988).

    4) Patients must: 1) be completely resected of disease, or 2) have had radiotherapy alone, or 3) have had surgery plus postoperative radiotherapy. They should be entered within 3 to 24 weeks of surgery and/or definitive radiotherapy.

    5) Patients may have received chemotherapy, immunotherapy or hormonal therapy prior to entry into the study and must have recovered from acute toxic effects of surgery or radiotherapy.

    6) Patients must have a Karnofsky performance status >= 60 percent (<= 2 by Zubrod scale) (see Appendix B).

    7) Patients must have adequate hematologic parameters (WBC >= 3,000; platelets >= 100,000), adequate renal function (creatinine <= 1.5 mg%), and adequate liver function (total bilirubin <= 1.5 mg%; SGPT <= 56U/ml).

    8) Patients must be >= 18 years of age.

    9) Patients must sign informed consent form indicating awareness of the investigational nature of the study.

    10) Patients must have fasting serum triglyceride level <= 2 x upper limits of normal.

    Exclusion Criteria:1) Primary lesions other than in the regions within the oral cavity, oropharynx, larynx, hypopharynx, or paranasal sinus are not eligible.

    2) Primary lesions of the nasopharynx, salivary gland tumors, and maxillary sinus tumors are not eligible.

    3) Patients are not eligible if enrolled on other protocols which preclude adjuvant systemic therapy.

    4) Multiple primary lesions in the head and neck region are not eligible.

    5) Patients with distant metastatic disease are not eligible.

    6) Patients with acute intercurrent illness are not eligible.

    7) Additional concurrent malignancies, except for localized basal cell or squamous cell skin cancer, are not eligible.

    8) Prior cancer history within the past five years are not eligible.

    9) A history of taking "megadose" vitamin A (> 25,000 I.U.) are not eligible.

    10) Female patients of child-bearing potential who are not practicing adequate contraception are not eligible. (Only postmenopausal women, or women with hysterectomy or tubal ligation, or wome practicing with adequate contraception are eligible.)

    11) Patients are not eligible if triglycerides greater than twice normal range.

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    Links
    Registration Number: NCT00054561
    Study Information on Clinical Trials Registry (clinicaltrials.gov)

    Other Links:
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    Results


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