Randomized Phase II/III Trial of Radiation with High-Dose Cisplatin (100 mg/m2) Every Three Weeks Versus Radiation with Low-Dose Weekly Cisplatin (40 mb/m2) for Patients with Locoregionally Advanced Squamous Cell Carcinoma of the Head and Neck (SCCHN)
<strong>OBJECTIVES</strong>
The trial objectives will be assessed within each patient cohort as defined below:
<ul>
<li>Non-OPC/p16-negative OPC Cohort: Patients with laryngeal and hypopharyngeal cancer: T3-4 N0, T1-4 N1-3, or T2N0 (hypopharynx only). Patients with oropharyngeal cancer and p16-negative: T2N1, T1-4 N2-3, or T3-4 N0-1.</li>
<li>p16-positive OPC/CUP Cohort: Patients with oropharyngeal cancer and p16-positive: ≤ 10 pack-years and T1-3 N2-3 or T4 N0-3; > 10 pack-years and T1-2 N2-3 or T3-4 N0-3. Patients with cancer of unknown primary and p16-positive: T0 N2-3 are included.</li>
</ul>
<u><strong>Primary Objectives</strong></u>
<ul>
<li>Phase II:
<ul>
<li>To determine whether radiation with low-dose cisplatin weekly is superior in terms of acute toxicity, as measured by the T-scores (TAME method), to radiation with high-dose cisplatin every 3 weeks for patients with locoregionally advanced squamous cell carcinoma of the head and neck (SCCHN).</li>
</ul>
</li>
<li>Phase III:
<ul>
<li>To determine whether radiation with low-dose cisplatin weekly is non-inferior to radiation with high-dose cisplatin every 3 weeks in terms of overall survival (OS) for patients with locoregionally advanced SCCHN.</li>
<li>To determine whether radiation with low-dose cisplatin weekly is superior in terms of acute toxicity, as measured by the T-scores (TAME method), to radiation with high-dose cisplatin every 3 weeks for patients with locoregionally advanced SCCHN.</li>
</ul>
</li>
</ul>
<u><strong>Secondary Objectives</strong></u>
<ul>
<li>To assess and compare progression-free survival (PFS) between arms.</li>
<li>To assess and compare locoregional failure and distant metastasis between arms.</li>
<li>To assess acute and late toxicity (CTCAE v5.0).</li>
<li>To assess patient-reported outcomes quality of life (PRO/QOL), as measured by the Functional Assessment of Cancer Therapy-Head and Neck (FACT-H&N) (primary PRO), between arms.</li>
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Participating Institutions
Huntsman Cancer Institute : Steph Peterson; University of Utah : Steph Peterson