Status:

NOT_YET_RECRUITING

Individualized Radiation Dose Prescription in HNSCC Based on F-MISO-PET Hypoxia-Imaging

Lead Sponsor:

Technische Universität Dresden

Conditions:

Head and Neck Squamous Cell Carcinoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The trial evaluates the value of radiation dose escalation based on Hypoxia detection by 18F\_misonidazole Positron Emission Tomography (18F-MISO-PET) for primary radiochemotherapy of head and neck sq...

Detailed Description

Previous preclinical data and a prospective validated patient cohort have shown that patients with head and neck squamous cell carcinoma, whose tumours are hypoxic after 2 weeks of primary radiochmeot...

Eligibility Criteria

Inclusion

  • Age: older than 18 years
  • WHO (ECOG) performance status 0-2
  • Histological proven HNSCC
  • HPV negative tumors or HPV positive tumors
  • Stage III, IVA or IVB HNSCC according to UICC and AJCC guidelines
  • Tumor classified as irresectable or patient inoperable or patient refused surgery
  • Tumor extension and localization suitable for radiochemotherapy with curative intent
  • Simultaneous standard chemotherapy with cisplatin applicable (no contra-indications)
  • Dental examination and -treatment before start of therapy
  • For women with childbearing potential and men in reproductive ages adequate contraception.
  • Ability of subject to understand character and individual consequences of the clinical trial
  • Written informed consent (must be available before enrolment in the trial)

Exclusion

  • Refusal of the patients to take part in the trial
  • Presence of distant metastases (UICC stage IVC)
  • Previous radiotherapy in the head and neck region
  • Second malignancy that is likely to require treatment during the trial intervention or follow-up period or that, in the opinion of the physician, has a considerable risk of recurrence or metastases within the follow-up period
  • Serious disease or medical condition with life expectancy of less than one year
  • Participation in competing interventional trial on cancer treatment
  • Patients who are not suitable for radiochemotherapy
  • Pregnant or lactating women
  • Patients not able to understand the character and individual consequences of the trial
  • Nasopharyngeal Carcinomas

Key Trial Info

Start Date :

July 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 30 2027

Estimated Enrollment :

276 Patients enrolled

Trial Details

Trial ID

NCT03865277

Start Date

July 1 2024

End Date

September 30 2027

Last Update

September 11 2023

Active Locations (8)

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Page 1 of 2 (8 locations)

1

Medical Faculty, Albert-Ludwigs-Universität Freiburg, Department of Radiation Oncology

Freiburg im Breisgau, Baden-Wurttemberg, Germany, 79106

2

Department of Radiation Oncology Heidelberg University Medical School

Heidelberg, Baden-Wurttemberg, Germany, 69120

3

Universitätsmedizin Mannheim, Klinik für Strahlentherapie und Radioonkologie

Mannheim, Baden-Wurttemberg, Germany, 68167

4

Uniklinikum Wuerzburg

Würzburg, Bavaria, Germany, 97080