Status:

UNKNOWN

Albumin-bound Paclitaxel Combined With Cisplatin Versus Docetaxel Combined With Cisplatin Induced Chemotherapy in Advanced Head and Neck Squamous Tummor

Lead Sponsor:

Tianjin Medical University Cancer Institute and Hospital

Conditions:

Squamous Cell Carcinoma of Head and Neck

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Research Topic: A prospective randomized controlled clinical study of albumin-bound paclitaxel combined with cisplatin (AP regimen) versus docetaxel combined with cisplatin (TP regimen) induced chemo...

Detailed Description

Research purposes:Research the effectiveness and safety of albumin-bound paclitaxel for induction chemotherapy in patients with advanced head and neck squamous cell carcinoma were evaluated,by compari...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • Age ≥18 years old, male or female;
  • Subjects had squamous cell carcinoma of the head and neck confirmed by histrohistology or cytology;
  • CLINICAL STAGE III OR IV WITHOUT DISTANT METASTASES (AJCC 8th)
  • Patients who have not previously received initial treatment with chemotherapy or radiation;
  • KPS acuity 70;
  • Normal bone marrow reserve function and normal liver and kidney function;
  • Expected survival time ≥3 months;
  • Subjects of child-bearing age must agree to use effective contraceptive measures during the study period; The serum or urine pregnancy test must be negative for women of childbearing age 72 hours before the start of chemotherapy;
  • Subjects have good compliance, can carry out treatment and follow-up, and voluntarily abide by the regulations of this study;
  • Subjects voluntarily sign the informed consent.

Exclusion

  • Exclusion criteria:
  • Patients with distant metastasis;
  • The presence of uncontrolled serious medical diseases, such as combined with serious medical diseases, including serious heart disease, cerebrovascular disease, uncontrolled diabetes, uncontrolled hypertension, uncontrolled infection, active peptic ulcer, etc.;
  • The presence of dementia, altered mental status or any mental illness that would prevent understanding or giving informed consent or filling out questionnaires;
  • Subjects with grade ≥2 peripheral neuropathy according to CTCAE V5.0;
  • A history of allergy or hypersensitivity to any therapeutic ingredient;
  • Suffered from malignant tumors other than squamous cell carcinoma of the head and neck in the past 5 years, except adequately treated basal cell or squamous cell skin cancer, local prostate cancer after radical surgery, and ductal carcinoma in situ after radical surgery;
  • Abnormal results of physical and laboratory tests:
  • A) Hematologic abnormalities are defined as:
  • I) Absolute count of neutrophils (ANC) : \< 1.5×109 / L; Ii) Platelet (PLT) count: \< 100×109/L; Iii) Hemoglobin (Hb) level \< 90g/L;
  • B) Abnormal liver function is defined as:
  • I) Total bilirubin (TBIL) level: 1.5 times of the upper limit of normal value of \> (ULN); Ii) AST and ALT levels of \>ULN were 2.5 times, and BBB\>N was 5 times if liver metastasis was present;
  • C) Definition of abnormal renal function:
  • 5 times of serum creatinine \> ULN, or the calculated creatinine clearance rate \< 50ml/min;
  • Patients who need to be treated with other anti-tumor drugs;
  • Has received any other investigational drug therapy or participated in another interventional clinical trial within 30 days prior to screening;
  • The researcher considers it unsuitable for inclusion;
  • Pregnant or lactating women.

Key Trial Info

Start Date :

December 12 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2021

Estimated Enrollment :

116 Patients enrolled

Trial Details

Trial ID

NCT04766827

Start Date

December 12 2020

End Date

December 1 2021

Last Update

February 23 2021

Active Locations (1)

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Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality, China, 300000