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Trial registered on ANZCTR
Registration number
ACTRN12609000642280
Ethics application status
Approved
Date submitted
17/07/2009
Date registered
30/07/2009
Date last updated
10/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of Taxotere, Cisplatin and 5-Fluorouracil (TPF) induction chemotherapy on intratumoral hypoxia in advanced head and neck squamous cell cancer
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Scientific title
A pilot study evaluating the impact of Taxotere, Cisplatin and 5-Fluorouracil (TPF) induction chemotherapy on intratumoral hypoxia in locoregionally advanced head and neck squamous cell cancer
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Secondary ID [1]
933
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secondary ID: HNHXTPF
issuing authority: Centre for Biostatistics & Clinical Trials - Peter MacCallum Cancer Centre
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
advanced head and neck squamous cell cancer
237290
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Condition category
Condition code
Cancer
239616
239616
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0
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Head and neck
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
-Taxotere, 75mg/m2 intravenous (IV) over 1 hour on day 1 of each cycle of TPF
-Cisplatin, 100mg/m2 Intravenous (IV) immediately after Taxotere on day 1 of each cycle of TPF
-5-Fluorouracil, 1000mg/m2 continuous infusion on days 1-4 of each cycle of TPF
- TPF chemotherapy will be given every 3 weeks for a total of 3 cycles
chemoradiation will comprise of radiation 70 Gy radiation in 35 Gy fractions given daily 5 days a week for 7 weeks.
cisplatin and 5-Fluorouracil will be administered in weeks 1,4 & 7 of radiation only
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Intervention code [1]
236967
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Treatment: Drugs
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Intervention code [2]
236968
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Other interventions
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Comparator / control treatment
Not Applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To test the hypothesis that induction chemotherapy with TPF abrogates intratumoural hypoxia (detected by fluoroazomycin-arabinoside (FAZA) Positron Emission Tomography (PET)imaging prior to chemoradiation
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Assessment method [1]
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Timepoint [1]
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FAZA uptake at baseline and after 3 cycles of TPF
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Secondary outcome [1]
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To determine the response rates to TPF in hypoxic and non-hypoxic sites of disease and to correlate hypoxia with response to chemoradiation
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Assessment method [1]
244873
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Timepoint [1]
244873
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- comparison of tumour measurements (by Computerised Tomography (CT) prior to and after 3 cycles of TPF
- correlation of FAZA uptake at baseline and after TPF with response as assessed by FDG PET at completion of chemoradiation
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Eligibility
Key inclusion criteria
- Aged 18 years or older
- previously untreated squamous cell carcinoma of the oral cavity, oropharynx, larynx or hypopharynx
- Histologically or cytologically confirmed squamous cell carcinoma
- stage 3 or 4 disease
- adequate hematological, renal, hepatic and pulmonary function
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1
- measurable disease by Response Evaluation Criteria in Solid Tumours (RECIST) criteria
- creatinine clearance > or = 60ml/min
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- women who are pregnant or lactating
- previous radiotherapy to area to be treated
- prior diagnosis of cancer
- clinical evidence of metastatic disease
- pre existing motor or sensory neurotoxicity or neuropathy > or = grade 1
- clinically significant sensorineural hearing loss
- active uncontrolled infection
- unstable cardiac disease requirin treatment
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Enrolling a patient involves obtaining signatures on the patient information and consent form, checking the eligibility criteria, completing all baseline assessments and faxin the completed request for registration form to the clinical trial manager for processing, the trial participant will then be allocated a trial number.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/01/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
25
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Sanofi Aventis
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Address [1]
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Talavera Corporate Centre
Building D
12-24 Talavera Road
Macquarie Park, NSW 2113
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Peter MacCallum Cancer Centre
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Address
St Andrews Place
East Melbourne, Vic 3002
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
236845
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Address [1]
236845
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Country [1]
236845
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
239481
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Peter MacCallum Cancer Centre
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Ethics committee address [1]
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St Andrews Place, East Melbourne, Victoria 3002
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Ethics committee country [1]
239481
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Australia
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Date submitted for ethics approval [1]
239481
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20/07/2009
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Approval date [1]
239481
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29/10/2009
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Ethics approval number [1]
239481
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09/43
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Summary
Brief summary
This study looks at the impact of TPF chemotherapy (combined Taxotere, Cisplatin and 5-Fluorouracil) on squamous cell (skin) cancer of the head and neck as measured by the oxygen levels in the tumour. Who is it for? You can join this study if you have locally advanced or locally recurring squamous cell carcinoma of the oral cavity or laryngeal region, which has not been previously treated. Trial details Participants will all receive treatment with TPF (combined Taxotere, Cisplatin and 5-Fluorouracil) chemotherapy followed by chemoradiation which is the standard treatment for locally advanced or locally recurrent head and neck cancer. The study aims to test whether chemotherapy with TPF gets rid of low oxygen levels in tumours as detected by FAZA PET imaging uptake (a way to measure oxygen levels in the tumour) prior to chemoradiation. FAZA uptake is measured prior to treatment and again after 3 cycles of TPF. The response rate to chemotherapy will also be assessed with a CT scan before and after chemotherapy and the response to chemoradiation will be determined by a FDG PET scan at the completion of treatment. The response to treatment will be correlated with the level of hypoxia in the tumour.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
29924
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Address
29924
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Country
29924
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Phone
29924
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Fax
29924
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Email
29924
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Contact person for public queries
Name
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poppy Kypreos
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Address
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Centre for Biostatistics & Clinical Trials
Peter MacCallum Cancer Centre
Level 2, 10 St Andrews Place
East Melbourne
Vic 3002
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Country
13171
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Australia
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Phone
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+61 3 9656 1268
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Fax
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+61 3 9656 1420
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Email
13171
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[email protected]
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Contact person for scientific queries
Name
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Dr Ben Solomon
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Address
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Peter MacCallum Cancer Centre
St Andrews Place
East Melbourne
Vic 3002
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Country
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Australia
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Phone
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+61 3 9656 1697
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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