Radiation Therapy With Cisplatin or Cetuximab in Treating Patients With Oropharyngeal Cancer
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ClinicalTrials.gov Identifier: NCT01302834 |
Recruitment Status :
Active, not recruiting
First Posted : February 24, 2011
Results First Posted : January 9, 2020
Last Update Posted : October 3, 2023
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Conditions |
Head and Neck Cancer Precancerous Condition |
Interventions |
Biological: cetuximab Drug: cisplatin Radiation: IMRT |
Enrollment | 987 |
Recruitment Details | |
Pre-assignment Details | Sites were required to submit participant tumor tissue for central p16 evaluation within one week of registration. If participants were determined to be p16-positive and continued on the study, then treatment arm was assigned. Of 987 participants registered, 849 were randomized. |
Arm/Group Title | IMRT + Cisplatin | IMRT + Cetuximab |
---|---|---|
Arm/Group Description |
Intensity-modulated radiotherapy (IMRT) with concurrent cisplatin Cisplatin: 100 mg/m2 IV on days 1 and 22 of IMRT IMRT: 35 fractions over 6 weeks, 6 fractions per week, 2 Gray per fraction to total dose of 70 Gy. |
Intensity-modulated radiotherapy (IMRT) with concurrent cetuximab Cetuximab: 400 mg/m2 IV 5-7 days before IMRT then 250 mg/m2 IV weekly for 7 weeks IMRT: 35 fractions over 6 weeks, 6 fractions per week, 2 Gray per fraction to total dose of 70 Gy. |
Period Title: Overall Study | ||
Started | 424 | 425 |
Eligible [1] | 406 | 399 |
Started Treatment [2] | 398 | 394 |
AE Assessed 1 Month Post-treatment (PT) [3] | 369 | 363 |
AE Assessed 3 Months PT [4] | 359 | 367 |
AE Assessed 6 Months PT [5] | 361 | 352 |
AE Assessment 1 Year PT [6] | 360 | 351 |
AE Assessed 2 Years PT [7] | 311 | 303 |
AE Assessed 5 Years PT [8] | 92 | 86 |
Dental Health Assessed 1 Year PT [9] | 267 | 267 |
Dental Health Assessed 2 Years PT [10] | 208 | 201 |
Dental Health Assessed 5 Years PT [11] | 44 | 43 |
Feeding Tube Assessed [12] | 368 | 356 |
Progressed [13] | 76 | 122 |
Completed [14] | 406 | 399 |
Not Completed | 18 | 26 |
Reason Not Completed | ||
Protocol Violation | 17 | 23 |
HIV positive | 1 | 3 |
[1]
All eligible participants
[2]
Eligible and started study treatment
[3]
Eligible, started study treatment, and had adverse events (AE) assessment 1 month post-treatment
[4]
Eligible, started study treatment, and had adverse events assessment 3 months post-treatment
[5]
Eligible, started study treatment, and had adverse events assessment 6 months post-treatment
[6]
Eligible, started study treatment, and had adverse events assessment 1 year post-treatment
[7]
Eligible, started study treatment, and had adverse events assessment 2 years post-treatment
[8]
Eligible, started study treatment, and had adverse events assessment 5 years post-treatment
[9]
Eligible, started study treatment, and had dental health assessment 1 year post-treatment
[10]
Eligible, started study treatment, and had dental health assessment 2 years post-treatment
[11]
Eligible, started study treatment, and had dental health assessment 5 years post-treatment
[12]
Eligible, started study treatment, and had feeding tube assessment 1 year post-treatment
[13]
Eligible and experienced local, regional, or distant progression or death
[14]
Subjects contributing any data to analysis are considered to have completed the study
|
Arm/Group Title | IMRT + Cisplatin | IMRT + Cetuximab | Total | |
---|---|---|---|---|
Arm/Group Description |
Intensity-modulated radiotherapy (IMRT) with concurrent cisplatin Cisplatin: 100 mg/m2 IV on days 1 and 22 of IMRT IMRT: 35 fractions over 6 weeks, 6 fractions per week, 2 Gray per fraction to total dose of 70 Gy. |
Intensity-modulated radiotherapy (IMRT) with concurrent cetuximab Cetuximab: 400 mg/m2 IV 5-7 days before IMRT then 250 mg/m2 IV weekly for 7 weeks IMRT: 35 fractions over 6 weeks, 6 fractions per week, 2 Gray per fraction to total dose of 70 Gy. |
Total of all reporting groups | |
Overall Number of Baseline Participants | 406 | 399 | 805 | |
Baseline Analysis Population Description |
Eligible participants
|
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Age, Continuous
Median (Inter-Quartile Range) Unit of measure: Years |
||||
Number Analyzed | 406 participants | 399 participants | 805 participants | |
58
(52 to 63)
|
58
(52 to 63)
|
58
(52 to 63)
|
||
Age, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 406 participants | 399 participants | 805 participants |
<= 65 |
344 84.7%
|
345 86.5%
|
689 85.6%
|
|
> 65 |
62 15.3%
|
54 13.5%
|
116 14.4%
|
|
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
||||
Number Analyzed | 406 participants | 399 participants | 805 participants | |
Female |
33 8.1%
|
44 11.0%
|
77 9.6%
|
|
Male |
373 91.9%
|
355 89.0%
|
728 90.4%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||
Number Analyzed | 406 participants | 399 participants | 805 participants | |
Hispanic or Latino |
11 2.7%
|
15 3.8%
|
26 3.2%
|
|
Not Hispanic or Latino |
383 94.3%
|
369 92.5%
|
752 93.4%
|
|
Unknown or Not Reported |
12 3.0%
|
15 3.8%
|
27 3.4%
|
|
Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 406 participants | 399 participants | 805 participants |
White |
380 93.6%
|
367 92.0%
|
747 92.8%
|
|
Black |
17 4.2%
|
19 4.8%
|
36 4.5%
|
|
Other |
2 0.5%
|
8 2.0%
|
10 1.2%
|
|
Unknown |
7 1.7%
|
5 1.3%
|
12 1.5%
|
|
Zubrod performance status
[1] Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 406 participants | 399 participants | 805 participants |
0 |
295 72.7%
|
300 75.2%
|
595 73.9%
|
|
1 |
111 27.3%
|
99 24.8%
|
210 26.1%
|
|
[1]
Measure Description: Measure Description: 0 - Asymptomatic; 1 - Symptomatic but completely ambulatory; 2 - Symptomatic, <50% in bed during the day; 3 - Symptomatic, >50% in bed, but not bedbound; 4 - Bedbound; 5 - Death
|
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Smoking history
[1] Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 406 participants | 399 participants | 805 participants |
0 pack-years |
194 47.8%
|
181 45.4%
|
375 46.6%
|
|
>0 to <= 10 pack-years |
59 14.5%
|
68 17.0%
|
127 15.8%
|
|
>10 pack-years |
153 37.7%
|
150 37.6%
|
303 37.6%
|
|
[1]
Measure Description: Smoking history as measured in pack-years. It is calculated by multiplying the number of packs of cigarettes smoked per day by the number of years the person has smoked.
|
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Smoking history
[1] Median (Inter-Quartile Range) Unit of measure: Pack-years |
||||
Number Analyzed | 406 participants | 399 participants | 805 participants | |
2
(0 to 22)
|
3
(0 to 24)
|
2
(0 to 23)
|
||
[1]
Measure Description: Measure Description: Smoking history as measured in pack-years. It is calculated by multiplying the number of packs of cigarettes smoked per day by the number of years the person has smoked.
|
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Primary site
[1] Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 406 participants | 399 participants | 805 participants |
Tonsillar fossa, tonsil |
202 49.8%
|
199 49.9%
|
401 49.8%
|
|
Base of tongue |
174 42.9%
|
179 44.9%
|
353 43.9%
|
|
Oropharynx, not otherwise specified |
16 3.9%
|
15 3.8%
|
31 3.9%
|
|
Pharyngeal oropharynx |
8 2.0%
|
5 1.3%
|
13 1.6%
|
|
Soft palate |
4 1.0%
|
0 0.0%
|
4 0.5%
|
|
Vallecula |
2 0.5%
|
1 0.3%
|
3 0.4%
|
|
[1]
Measure Description: Primary location of tumor
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Tumor stage
[1] Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 406 participants | 399 participants | 805 participants |
T1 |
89 21.9%
|
86 21.6%
|
175 21.7%
|
|
T2 |
162 39.9%
|
163 40.9%
|
325 40.4%
|
|
T3 |
108 26.6%
|
100 25.1%
|
208 25.8%
|
|
T4 |
47 11.6%
|
50 12.5%
|
97 12.0%
|
|
[1]
Measure Description: Tumor stage per the American Joint Committee on Cancer (AJCC) 7th ed. refers to the size and/or extent of the main tumor. The higher the number after the T, the larger the tumor or the more it has grown into nearby tissues.
|
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Node category
[1] Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 406 participants | 399 participants | 805 participants |
N0 |
20 4.9%
|
14 3.5%
|
34 4.2%
|
|
N1 |
20 4.9%
|
25 6.3%
|
45 5.6%
|
|
N2a |
59 14.5%
|
56 14.0%
|
115 14.3%
|
|
N2b |
209 51.5%
|
208 52.1%
|
417 51.8%
|
|
N2c |
82 20.2%
|
83 20.8%
|
165 20.5%
|
|
N3 |
16 3.9%
|
13 3.3%
|
29 3.6%
|
|
[1]
Measure Description: Regional lymph nodes staging per American Joint Committee on Cancer (AJCC) 7th ed. refers to the number and/or extent of spread of lymph nodes that contain cancer. The higher the number after the N, the greater the involvement of regional lymph nodes.
|
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Overall stage
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 406 participants | 399 participants | 805 participants | |
III |
29 7.1%
|
31 7.8%
|
60 7.5%
|
|
IV |
377 92.9%
|
368 92.2%
|
745 92.5%
|
|
[1]
Measure Description: Overall cancer stage per American Joint Committee on Cancer (AJCC) 7th ed. combines tumor (T), regional lymph node (N), and distant metastasis (M) staging to determine an overall stage of 0, I, II, III, or IV, ranging from least to most advanced, respectively. Stage III: T3/N0/M0 or T1-3/N1/M0; Stage IV: T4/any N/M0 or any T/N2-3/M0.
|
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Risk group per study RTOG-0129
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 406 participants | 399 participants | 805 participants | |
Low risk |
289 71.2%
|
284 71.2%
|
573 71.2%
|
|
Intermediate risk |
117 28.8%
|
115 28.8%
|
232 28.8%
|
|
[1]
Measure Description: Risk group as defined by recursive partitioning analysis of study RTOG-0129 (NCT00047008). Low-risk consists of patients with p16-positive tumors and 10 or fewer pack-years or p16-positive, >10 pack-years, and N0-2a disease. Intermediate-risk consists of p16-positive, >10 pack-years, and N2b-3 disease or p16-negative, 10 or fewer pack-years, and T2-3 disease. High-risk consists of p16-negative, 10 or fewer pack-years, and T4 disease or p16-negative and >10 pack-years.
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Name/Title: | Wendy Seiferheld |
Organization: | NRG Oncology |
Phone: | 215-574-3208 |
EMail: | seiferheldw@nrgoncology.org |
Responsible Party: | Radiation Therapy Oncology Group |
ClinicalTrials.gov Identifier: | NCT01302834 |
Other Study ID Numbers: |
RTOG-1016 CDR0000695731 NCI-2011-02638 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) ) |
First Submitted: | February 22, 2011 |
First Posted: | February 24, 2011 |
Results First Submitted: | November 27, 2019 |
Results First Posted: | January 9, 2020 |
Last Update Posted: | October 3, 2023 |