Clinical trial • Oncology

CISPLATIN for Head and neck squamous cell carcinoma (locally advanced)

Clinical trial of CISPLATIN for Head and neck squamous cell carcinoma (locally advanced).

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Head and neck squamous cell carcinoma (locally advanced)
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
09-10-2024
First CTIS Authorization Date
11-11-2024

Trial design

High-dose cisplatin every three weeks (comparator arm; dose not specified in record) versus weekly low-dose cisplatin (low-dose arm, 40 mg/m2 mentioned for weekly schedule).-controlled trial in Netherlands.

Comparator
High-dose cisplatin every three weeks (comparator arm; dose not specified in record) versus weekly low-dose cisplatin (low-dose arm, 40 mg/m2 mentioned for weekly schedule).
Target Sample Size
160

Eligibility

Recruits 160 Vulnerable population not selected. Inclusion requires sufficient understanding of Dutch and medical consequences to give informed consent; exclusion: 'mentally disabled or patients with significantly altered mental status that would prohibit understanding and giving informed consent'..

Vulnerable Population
Vulnerable population not selected. Inclusion requires sufficient understanding of Dutch and medical consequences to give informed consent; exclusion: 'mentally disabled or patients with significantly altered mental status that would prohibit understanding and giving informed consent'.

Inclusion criteria

  • {"criterion_text":"-\tconsidered, eligible and planned for primary cisplatin CRT by treating physician\n-\teighteen years of age or older\n-\tsufficient understanding of Dutch and medical consequences to give informed consent."}

Exclusion criteria

  • {"criterion_text":"-\tmentally disabled or patients with significantly altered mental status that would prohibit understanding and giving informed consent\n-\ta history of bilateral lymph node dissection in the neck and no available (PET-)CT scan of the third lumbar vertebra\n-\tan absolute contraindication for cisplatin as defined by the treating physician, including relevant pre-existing kidney insufficiency, clinically apparent vascular disease (for example claudicatio intermittens), clinically relevant perceptive deafness, serious neuropathy and poor performance score."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary outcome parameter is compliance (non CDLT) rate to the proposed cisplatin scheme. Compliance to chemotherapy is defined as the absence of CDLT. CDLT is defined as any toxicity resulting in a cisplatin dose-reduction of ≥50%, a postponement of treatment of ≥4 days or a definite termination of cisplatin after the first or second cycle of therapy.","definition_or_measurement_approach":"Compliance to chemotherapy = absence of CDLT. CDLT defined as any toxicity resulting in a cisplatin dose-reduction of ≥50%, a postponement of treatment of ≥4 days or a definite termination of cisplatin after the first or second cycle of therapy."}

Secondary endpoints

  • {"endpoint_text":"- Secondary outcome parameters are adverse events/toxicity, cumulative cisplatin dose, time to recurrence, 2-year overall survival, costs, quality of life and patient's preference. The main oncological outcome parameters are time to recurrence and survival. Clinically relevant treatment related toxicity parameters, including specific toxicity that results in significant (grade 3 or 4) toxicity, treatment de-escalation or termination, will be recorded by the treating medical oncologist.Toxicity wi","definition_or_measurement_approach":"Adverse events/toxicity graded according to CTCAE v5; cumulative cisplatin dose; time to recurrence; 2-year overall survival; costs and cost-effectiveness (measured using a Productivity Cost Questionnaire as stated in translated endpoint text); quality of life measured by questionnaires; clinically relevant treatment-related toxicity including grade 3 or 4 events, treatment de-escalation or termination will be recorded by treating medical oncologist."}

Recruitment

Planned Sample Size
160
Recruitment Window Months
76
Consent Approach
Informed consent is obtained from adult participants (18 years or older). Inclusion requires sufficient understanding of Dutch and the medical consequences to give informed consent. Subject information and informed consent forms for adults are provided (multiple location-specific ICF documents listed). No assent procedures for minors are indicated; vulnerable populations not selected.

Geography

Total Number Of Sites
5
Total Number Of Participants
160

Netherlands

Earliest CTIS Part Ii Submission Date
31-10-2024
Latest Decision Or Authorization Date
11-11-2024
Processing Time Days
11
Number Of Sites
5
Number Of Participants
160

Sites

Site Name
Universitair Medisch Centrum Utrecht
Department Name
Head and Neck surgical oncology
Contact Person Name
Remco de Bree
Contact Person Email
r.debree@umcutrecht.nl
Site Name
Leids Universitair Medisch Centrum (LUMC)
Department Name
Medical Oncology
Contact Person Name
M. Slingerland
Contact Person Email
m.slingerland@lumc.nl
Site Name
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Department Name
Medical Oncology
Contact Person Name
J.P. de Boer
Contact Person Email
j.d.boer@nki.nl
Site Name
Noordwest Ziekenhuisgroep Stichting
Department Name
Medical Oncology
Contact Person Name
M.P. Hendriks
Contact Person Email
m.p.hendriks@nwz.nl
Site Name
Amsterdam UMC Stichting
Department Name
Department of Medical Oncology
Contact Person Name
Jens Voortman
Contact Person Email
j.voortman@amsterdamumc.nl

Sponsor

Primary sponsor

Full Name
Universitair Medisch Centrum Utrecht
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
Cisplatin Accord Healthcare 1 mg/ml concentraat voor oplossing voor infusie
Active Substance
CISPLATIN
Modality
Small molecule
Routes Of Administration
Intravenous
Route
Intravenous
Authorisation Status
Marketing authorisation: BE375952
Starting Dose
40 mg/m2
Frequency
Weekly (low-dose arm) and every three weeks (high-dose comparator arm)
Maximum Dose
280 mg/m2
Combination Treatment
Yes

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