Status:

COMPLETED

Study of Cetuximab in Combination With Chemotherapy in Patients With Recurrent and/or Metastatic Squamous Cell Carcinoma of the Head and Neck (SCCHN)

Lead Sponsor:

Merck KGaA, Darmstadt, Germany

Conditions:

Squamous Cell Carcinoma of the Head and Neck

Eligibility:

All Genders

20+ years

Phase:

PHASE2

Brief Summary

The primary objective of this trial is to assess the antitumor activity of cetuximab when given in combination with cisplatin + 5-Fluorouracil (5-FU) for the first-line treatment of recurrent and/or m...

Eligibility Criteria

Inclusion

  • Histologically or cytologically confirmed diagnosis of SCCHN
  • Confirmed epidermal growth factor receptor (EGFR) expression in tumor tissue by immunohistochemistry (IHC)
  • Expected survival is more than 6 months
  • Presence of at least 1 bidimensionally measurable lesion either by computed tomography (CT) scan or magnetic resonance imaging (MRI)
  • Recurrent and/or metastatic SCCHN not suitable for local therapy
  • Greater than or equal to (\>=) 20 years of age
  • Karnofsky performance status (KPS) \>= 70% at trial entry
  • Neutrophils: \>= 1500 per millimeter\^3 (1,500/mm\^3); platelet count \>= 100,000/mm\^3; and hemoglobin \>= 9 gram per deciliter (g/dL)
  • Total bilirubin less than or equal to (\<=) 2 \* upper limit of normal (ULN); aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \<= 3 \* ULN
  • Creatinine clearance \>60 milliliter per minute (mL/min).Calculated based on formulae such as the Cockroft-Gault formula for creatinine clearance
  • Serum calcium within normal range (If serum albumin \< 4.0 g/dL, the following adjusted serum calcium concentration should be within normality: Adjusted serum calcium concentration = actual serum calcium (milligram per deciliter \[mg/dL\]) - 0.8 \* \[actual serum albumin (g/dL) - 4\]
  • Effective contraception if risk of conception exists (applicable for both male and female subjects)
  • Signed written informed consent
  • Japanese (with Japanese citizenship)

Exclusion

  • Nasopharyngeal carcinoma
  • Prior systemic chemotherapy, except if given as part of a multimodal treatment, which was completed more than 6 months prior to trial entry
  • Surgery (excluding prior diagnostic biopsy) or irradiation within 4 weeks before trial entry
  • Pregnancy (absence to be confirmed by serum/urine human chorionic gonadotropin \[HCG\] test) or breastfeeding
  • Known hypersensitivity or allergic reaction against any of the components of the trial treatment including excipients
  • Uncontrolled diabetes, malignant hypertension (defined as systolic blood pressure \>= 180 millimeter of mercury \[mmHg\] and/or diastolic blood pressure \>= 130 mmHg under resting conditions) or liver failure
  • Pulmonary fibrosis, acute lung injury or interstitial pneumonia, or with previous medical history of these states
  • Active infection, (infection requiring IV antibiotics, antibacterial, antifungal, or antiviral agent), including active tuberculosis, or known and declared human immunodeficiency virus (HIV)
  • Clinically relevant coronary artery disease or history of myocardial infarction in the last 12 months or high risk of uncontrolled arrhythmia or uncontrolled cardiac insufficiency
  • Current other squamous cell carcinoma (SCC) or previous other malignancy (excluding skin cancer except for melanoma and carcinoma in situ of the cervix or digestive tract) within the last 5 years
  • Intake of any investigational medication within 30 days before trial entry
  • Other concomitant anticancer therapies
  • Documented or symptomatic brain or leptomeningeal metastasis
  • Medical or psychological condition that would not permit the subject to complete the trial or sign informed consent including known drug abuse
  • Previous treatment with monoclonal antibody therapy, other signal transduction inhibitors or EGFR targeting therapy
  • Legal incapacity or limited legal capacity
  • Other protocol-defined exclusion criteria may apply

Key Trial Info

Start Date :

July 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

Estimated Enrollment :

33 Patients enrolled

Trial Details

Trial ID

NCT00971932

Start Date

July 1 2009

Last Update

April 8 2014

Active Locations (10)

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Page 1 of 3 (10 locations)

1

Research Site

Aichi, Japan

2

National Cancer Center East Hospital

Chiba, Japan

3

Research Site

Ehime, Japan

4

Research Site

Hokkaido, Japan