Cisplatin: intravenous, concomitant to irradiation
radiotherapy: 66 à 70 Gy per fractions of 2 Gy, 1 fraction/day, 5 fractions/week
Study summary
A phase III, multicenter, randomized, open-label, french study comparing:
* Arm A : Radiotherapy alone (66 to 70 Gy; 5 fractions/week; 1fraction/day; 2 Gy/fraction) (IMRT or protontherapy)
* Arm B: Radiotherapy (66 to 70 Gy; 5 fractions/week; 1fraction/day; 2 Gy/fraction; IMRT or protontherapy) + concomitant cisplatin 100 mg/m2 IV on day 1 - J22 - 43 (3 cycles)
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
\- Resected tumors of the sinus or the salivary glands T3-4, N1-3 or T1-2 N0, with overgrown banks or positive margins (\< 5 mm)
or
Unresectable or not operable tumors of salivary glands or sinuses
* Carcinomas of the main salivary glands (parotid, submandibular or sublingual glands) and accessories or Malignant sinus tumors with any histological type except melanoma, lymphoma, mesenchymal tumor (sarcoma type), squamous cell carcinoma and nasopharyngeal carcinoma type 1, 2, 3.
* Age ≥ 18 years
* Performance status 0 -2 (WHO criteria)
* For patients ≥ 70 years, the score to the G8 questionnaire must be \> 14 with no fall in the previous 12 months or with a geriatric assessment consistent with the administration of chemotherapy
* Estimated life expectancy greater than or equal to 6 months
* Neutrophils \> 1.5 x 109/l, platelets \> 100 x 109/l, hemoglobin ≥ 9.5 g/dl, bilirubin ≤ 3 x upper normal value (ULN), AST/ALT \< 5 ULN, PAL \< 3 ULN
* Creatinin Clearance ≥ 60 mL/min (Cockroft formula)
* Adequate cardiac function according to the investigator, compatible with the administration of cisplatin 100 mg/m²
* Affiliation to a social insurance or beneficiary of such a regimen
* Patient having given his written consent signed before any study specific procedure.
Exclusion Criteria:
* History of radiotherapy in the ENT region and/or neoadjuvant chemotherapy for the pathology concerned
* Synchronous metastases
* Contraindications for administration of cisplatin or carboplatin
* Allergy to cisplatin and/or its excipients
* Vaccination against yellow fever, recent or planned
* Administration of phenytoin with prophylactic purpose
* Other cancer, except for cancer in situ of the cervix, skin Carcinoma (except melanoma) or cancer controlled for more than 5 years
* Pregnant, breastfeeding or without birth control woman. Woman having the ability to procreate should have (serum or urinary) negative pregnancy test within 14 days prior to study treatment decision-making. (Men or women) patients should use a reliable contraceptive method throughout the treatment and at least 6 months after the end of chemotherapy.
* Persons deprived of liberty under supervision or under curatorship, or unable to adhere to medical follow-up of the study for geographical, social or psychological reasons.
Primary outcome measure(s)
Progression-free survival — From date of randomization to date of disease progression or death, which occur first, assessed during 62 months Compare progression-free survival between the 2 treatment arms: radiation therapy alone versus radiochimiotherapy in adjuvant patients treatment operated.
Trial sites (1)
Facility
City
Region
Status
Hôpital Bégin
Saint-Mandé
France
More Groupe Oncologie Radiotherapie Tete et Cou trials in France
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time.