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| Name | Class |
|---|---|
| Centre Georges Francois Leclerc | OTHER |
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The objective of the study is to assess the feasibility of increasing dose of irradiation with IMRT using a SIB approach over 6 weeks.
The primary endpoint of the study will be acute toxicity assessed during treatment and during the first 3 months following the completion of radiotherapy The secondary endpoint will include loco-regional control, disease-free survival, survival and late toxicity at 2 years after completion of radiotherapy
Loco-regional failures remain a major concern following irradiation of locally advanced head and neck cancers. This has led radiation oncologists to investigate novel approaches offering better therapeutic indexes. Modification of dose fractionation schedules can improve the therapeutic outcome by using accelerated or hyperfractionated regimes -Ang, 1990; Ang, 1998; Fu, 2000; Gwozdz, 1997-. Intensity Modulated Radiation Therapy (IMRT) technique allows the planning and irradiation of different targets at different dose levels in a single treatment session, instead of successive treatment plans. With conventional 2D radiotherapy, both normal tissues and tumors are irradiated with a similar dose per fraction of 1.8-2 Gy, whereas with IMRT dose gradients are introduced in such a manner that normal tissues receive a much lower dose per fraction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 Patients | Experimental | Radiotherapy Patients |
|
| Group 2 | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Radiotherapy | Drug | Radiotherapy |
|
| Measure | Description | Time Frame |
|---|---|---|
| acute toxicity | acute toxicity | during treatment and during the first 3 months following the completion of radiotherapy |
| Measure | Description | Time Frame |
|---|---|---|
| composite endpoint | composite including loco-regional control, disease-free survival, survival and late toxicity | from ratiotherapy until 2 years after completion of radiotherapy |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vincent Gregoire, MD, PhD | Cliniques universitaires Saint Luc Brussels Belgium | Study Chair |
| Philippe Maingon, MD, PhD | Centre George-François Leclerc Dijon, France | Study Chair |
| Sandra Nuyts, MD | University hospital Gasthuisberg, Katholiek universiteit van Leuven | Principal Investigator |
| Gilles Calais, MD, PhD | CHU de Tours, Bretonneau | Principal Investigator |
| Antoine Serre, MD | centre Val d'Aurelle, Montpellier | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cliniques Universitaires Saint Luc | Brussels | 1200 | Belgium |
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| ID | Term |
|---|---|
| D002294 | Carcinoma, Squamous Cell |
| ID | Term |
|---|---|
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D011878 | Radiotherapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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| D018307 |
| Neoplasms, Squamous Cell |