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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