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The comparison of toxicity between weekly and three weekly Cisplatin infusion in chemoradiation for squamous cell carcinoma of head and neck

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SLCTR Registration Number

SLCTR/2014/019


Date of Registration

18 Sep 2014

The date of last modification

Mar 03, 2019



Application Summary


Scientific Title of Trial

The comparison of toxicity between weekly and three weekly Cisplatin infusion in chemoradiation for squamous cell carcinoma of head and neck


Public Title of Trial

The comparison between two Cisplatin doses for squamous cell carcinoma of head and neck


Disease or Health Condition(s) Studied

Squamous cell carcinoma of head and neck


Scientific Acronym

None


Public Acronym

None


Brief title

The comparison of toxicity between weekly and three weekly Cisplatin infusion in chemoradiation for squamous cell carcinoma of head and neck


Universal Trial Number

U1111-1160-0048


Any other number(s) assigned to the trial and issuing authority

ERC/13-042 (Sri Lanka Medical Association)


Trial Details


What is the research question being addressed?

What are the toxic effects of weekly (low dose) Cisplatin infusion compared to three weekly (high dose) Cisplatin infusion in chemoradiation for squamous cell carcinoma of head and neck?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Dose comparison


Assignment

Parallel


Purpose

Treatment


Study Phase

Not Available


Intervention(s) planned

Consenting patients meeting inclusion/exclusion criteria will be randomized into two arms.

Participants in the low-dose Cisplatin arm (arm 1) will receive Cisplatin at 40 mg/m2 once per week for 6 cycles

Participants in the high-dose Cisplatin arm (arm 2) will be treated with Cisplatin at 80 mg/m2 once every 3 weeks on 1st or 2nd day of starting radiotherapy for 3 cycles

Radiotherapy will be administered using 6 MV X rays or Cobalt 60 beams at a conventional fractionation dose of 2 Gy/fraction/day and 5 days per week by two dimensional conventional technique or three dimensional conformal technique(3DCRT). All patients will be irradiated with a total dose of 66 Gy or 70Gy.


Inclusion criteria

  1. Male and female patients between 18-70 years of age

  2. Histologically confirmed squamous cell carcinoma of head and neck who need chemoradiation

  3. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2

  4. Fitness for chemoradiotherapy as determined by detailed history, a clinical examination and following investigations ie: (i). Full Blood Count (ii) Serum creatinine (iii) 24 hour creatinine clearance test (iv) Urine full report (v) Ultrasound assessment of kidneys, bladder, ureter and liver (vi) Echo cardiogram (vii) Serum Magnesium (viii) Chest X ray


Exclusion criteria

  1. Patients above 70 years and below 18 years of age
  2. Bone erosion or distantmetastasis
  3. Pregnancy and lactation
  4. Past history of any malignancy or treatment with cytotoxic drugs
  5. Eastern Cooperative Oncology Group (ECOG) performance status > =3
  6. Patients who are not fit for chemotherapy with Cisplatin
  7. Initial FBC below normal range (WBC <4000, absolute neutrophil count <1500, platelet count of <1 00 000/mm3)
  8. Initial 24 hour creatinine clearance below 60mmol/hr/1.72m2
  9. Patients having abnormalities of urinary system on ultra sound scan other than simple cyst
  10. Low Cardiac function (Left ventricular ejection fraction below 55%)
  11. Existing comorbidity in which hyper hydration is not indicated
  12. Patients with any other systemic disease which render high risk for side effects chemotherapy or radiotherapy


Primary outcome(s)

1.

Toxicity of the therapy (according to the WHO Grading System in “Toxicity Criteria”. Myelosupression, mucositis, renal toxicity, skin reactions and hearing defect, peripheral sensory loss will be assessed as the indicators of toxicity).

[

Weekly in all arms, until the treatment is complete.

]

Secondary outcome(s)

1.

Body weight

[

Weekly in all arms, until the treatment is complete.

]

Target number/sample size

470 (235 in each arm)


Countries of recruitment

Sri Lanka


Anticipated start date

2014-09-22


Anticipated end date

2015-07-31


Date of first enrollment

2014-09-22


Date of study completion


Recruitment status

Recruiting


Funding source

Self funding


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2014-06-20


Approval number

ERC/13-042


Details of Ethics Review Committee

Name: Ethics Review Committee, Sri Lanka Medical Association
Institutional Address:No 6, Wijerama Mawatha, Colombo 00700 Sri Lanka
Telephone:+94-11-2693324
Email: erc.slma@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr. S. P. Weerasinghe
Consultant Clinical Oncologist
National Cancer Institute, Maharagama
0112850252
0714420711

gallagemaheel@hotmail.com

Contact Person for Public Queries

Dr. S. P. Weerasinghe
Consultant Clinical Oncologist
National Cancer Institute, Maharagama
0112850252
0714420711

gallagemaheel@hotmail.com


Primary study sponsor/organization

National Cancer Institute

Cancer Hospital Rd Maharagama Sri Lanka
+94-11-2850252


Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results