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Patients with locally advanced suqamous cell carcinoma of the head and neck region receive a hypoxia scan either by magnetic resonance tomography, computed tomography or fluoromisonidazole (FMISO)-PET-CT. Patients presenting with hypoxia are randomized into standard therapy consisting of intensity modulated radiotherapy (IMRT) with 70 Gy plus either 5-fluorouracil/mitomycin C or cisplatinum (Arm A) or a dose escalation of 10% (77Gy) to the hypoxic volume applied via simultaneous integrated boost in addition to the standard treatment (Arm B).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard therapy | Active Comparator | Standard radiochemotherapy (70 Gy, 5-fluorouracil 600 mg/m2 d1-5, mitomycin C d1+36 or cisplatinum 40 mg/m2 weekly for 5 weeks) |
|
| dose escalation | Experimental | Standard plus 10% dose escalation to the hypoxic volume |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| radiochemotherapy with 70 Gy | Radiation |
| ||
| radiochemotherapy with 77 Gy |
| Measure | Description | Time Frame |
|---|---|---|
| time to local recurrence | 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Daniel Zips, Prof. Dr. med. | Contact | +49 7071 29 82141 | daniel.zips@med.uni-tuebingen.de | |
| Silke Theden, Mrs. | Contact | +49 7071 29 83420 | silke.theden@med-uni-tuebingen.de |
| Name | Affiliation | Role |
|---|---|---|
| Stefan Welz, Dr. med. | radiation oncology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tuebingen university, radiation oncology | Recruiting | Tübingen | Baden-Wurttemberg | 72076 | Germany |
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| ID | Term |
|---|---|
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| ID | Term |
|---|---|
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| D059248 | Chemoradiotherapy |
| ID | Term |
|---|---|
| D003131 | Combined Modality Therapy |
| D013812 | Therapeutics |
| D004358 | Drug Therapy |
| D011878 | Radiotherapy |
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| Radiation |
|
| D009369 | Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D009371 | Neoplasms by Site |