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allgemeines Einige Studien nehmen alle HNO-Tumoren (meistens nur Plattenepithelkarzinome) auf.
Studien spezieller HNO-Tumoren Pharynx-Tumoren Larynx-Tumoren
Studiengruppen HNSG-AIRO Head and Neck Study Group of the Italian Association of Radiation Oncology
GORTEC Groupe d’Oncologie Radiothérapie Tête Et Cou
Radiotherapie
GORTEC 98-03 Eine 2.-Bestrahlung verbessert das Ergebnis einer Chemotherapie von rezidivierenden, bestrahlten HNO-Tumoren oder 2. Tumoren nicht.
GORTEC2004-03 IMRT
RTOG 79-13 (4) Hyperfractionated photon radiation therapy in the treatment of advanced squamous cell carcinoma of the oral cavity, pharynx, larynx, and sinuses, using radiation therapy as the only planned modality.
ARO 2005-3 Wirksamkeit einer adjuvanten Strahlentherapie bei Patienten mit einem Plattenepithelkarzinom der Mundhöhle oder des Oropharynx und gesicherter solitärer ipsilateraler zervikaler Lymphknotenmetastasse (pN1). DÖSAK / ARO. Phase III
RTOG 83-13 (5,6) Dose-response relationships for late radiation effects in the head and neck.
RTOG 90-03 (7) Altered fractionation radiation for locally advanced head and neck cancer
PARSPORT Parotid-sparing intensity modulated versus conventional radiotherapy in head and neck cancer.
Chemotherapie
AIO 1108 Cetuximab, fluorouracil, cisplatin alone or with docetaxel for recurrent/metastatic head and neck cancer.
GORTEC 2000-01 Induction chemotherapy using cisplatin (P) fluorouracil (F) with or without docetaxel (T) for organ preservation in hypopharynx and larynx cancer.
RTOG 92 34 Cetuximab-Induced Skin Rash and Clinical Outcome for Head and Neck Cancer.
Radio - Chemotherapie
ARO 2009-4 Radiochemotherapie Stadien III, IV. Paclitaxel-Cisplatin (PACCIS-RCH) v. 5-FU-Cisplatin
Erlanger-Studie Radiochemotherapie lokal fortgeschrittener Kopf-Hals-Tumoren
RTOG 01-29 Acceleriert + Chemo v konventionell + Chemo: Ergebnis gleich. Phase III, 721 Pat.
ARO 95-06 Hyperfraktionierte accelerierte Radiochemotherapie mit und ohne simultane FU-Mitomycin - Chemotherapie
GORTEC 99-02 Acceleriert v Acceleriert + Chemo v konventionell + Chemo. Phase III, 840 Pat
ARO 2009-4 PacCis-RCT Randomisierte Phase III Studie zur Radiochemotherapie lokal weit fortgeschrittener Kopf-Hals-Tumoren der Stadien III und IV A-B. Phase III. Fietkau, Erlangen
ARO 2014-1, ESCALOX Haben die selektive Dosiseskalation der Strahlentherapie und der Tumorhypoxiestatus Einfluß auf die Lokalkontrolle von Kopf-Hals-Tumoren nach Radiochemotherapie? Phase III. Molls, München
SEQB Zweiarmige randomisierte Phase-III Studie zur Wirksamkeit und Sicherheit einer Radiochemotherapie mit „Simultan Integriertem Boost (SIB) vs. „Sequentiellem Boost (SEQB)“ bei Patienten mit inoperablen lokal fortgeschrittenen Kopf-Hals-Tumoren. (Stromberger, Berlin)
EORTC 22931 Postoperative irradiation with or without concomitant chemotherapy for locally advanced head and neck cancer.
RTOG 05 22 Concurrent accelerated radiation plus cisplatin with or without cetuximab for stage III to IV head and neck carcinoma.
RTOG 99 14 Concomitant Boost Radiation Plus Concurrent Cisplatin for Advanced Head and Neck Carcinomas
SAKK 10/94 Concomitant cisplatin and hyperfractionated radiotherapy in locally advanced head-and-neck cancer
Target - Therapie
EXTREME-Studie Erbitux in first-line treatment of recurrent or metastastic head and neck cancer
GORTEC 2006-01 Sunitinib monotherapy in palliative squamous cell carcinoma of the head and neck
GORTEC 2008-02 figitumumab in recurrent or metastatic squamous cell carcinoma of the head and neck.
RT v RT + Erbitux Bonner-Studie Erbitux und Strahlentherapie für Patienten mit lokal fortgeschrittenen Kopf-Hals - Tumoren
RT + Cisplatin v RT + Erbitux RTOG 1016 HPV-positiv Cisplatin besser als Erbitux (8)
post OP RCh  v RCh + Lapatinib EGF102988 Postoperative Adjuvant Lapatinib and Concurrent Chemoradiotherapy Followed by Maintenance Lapatinib Monotherapy in High-Risk Patients With Resected Squamous Cell Carcinoma of the Head and Neck: Kein Benefit durch Lapatinib (8).
Immun - Therapie CheckMate 141 Nivolumab verbessert bei rezidivierten, fortgeschrittenen HNO - Plattenepithel - Karzinomen das Gesamtüberleben signifikant gegenüber einer Monochemotherapie bei deutlich weniger Nebenwirkungen!
KEYNOTE-012 Pembrolizumab in recurrent/metastatic head and neck squamous cell carcinoma
DAHANCA 5 p16INK4A ist mit HPV-Infektion assoziiert und verbessert die Prognose
N09C6 (Alliance) Doxepin Rinse Versus Placebo in the Treatment of Acute Oral Mucositis Pain in Patients Receiving Head and Neck Radiation Therapy With or Without Chemotherapy
PET-CT PET-CT-Surveillance versus neck dissection in advanced head and neck cancer.
RTOG 99 03 Erythropoietin and Local-Regional Control in Anemic Patients Treated With Radiation Therapy for Squamous Cell Carcinoma of the Head and Neck.
Quellen 1.) Pignon JP, Bourhis J, Domenge C, et al. for the MACH-NC (Meta-Analysis of Chemotherapy in Head and Neck Cancer) Collaborative Group:
Chemotherapy added to locoregional treatment for head and neck cancer squamous cell carcinoma: Three meta-analyses of updated individual data.
Lancet 355(2000):949–955

2.) Bourhis J, Armand C, Pignon JP:
Update of MACH-NC (Meta-Analysis of Chemotherapy in Head and Neck Cancer) database focused on concomitant chemoradiotherapy.
JCO 23(Suppl)(2004):488 (Abstract)

3.) Denis F, Garaud P, Bardet E, et al.:
Final results of the 94-01 French Head and Neck Oncology and Radiotherapy Group randomized trial comparing radiotherapy alone with concomitant radiochemotherapy in advanced-stage oropharynx carcinoma.
JCO 22(2004):69–76.

4.) Marcial VA, Pajak TF, Chang C, et al.:
Hyperfractionated photon radiation therapy in the treatment of advanced squamous cell carcinoma of the oral cavity, pharynx, larynx, and sinuses, using radiation therapy as the only planned modality: (preliminary-report) by the Radiation Therapy Oncology Group (RTOG).
Int J Radiat Oncol Biol Phys 1987;13:41-47.

5.) Bentzen SM, Thames HD.:
Dose-response relationships for late radiation effects in the head and neck: Regarding the analysis of the RTOG 8313 trial, Fu et al. IJROBP 32:577-588; 1995.
Int J Radiat Oncol Biol Phys 1996;34:523-524.

6.) Cox JD, Pajak TF, Marcial VA, et al.:
Interfraction interval is a major determinant of late effects, with hyperfractionated radiation therapy of carcinomas of upper respiratory and digestive tracts dresults from Radiation-Therapy Oncology Group protocol 8313.
Int J Radiat Oncol Biol Phys 1991;20:1191-1195.

7.)Beitler JJ, Zhang Q, Fu KK, et al.:
Final results of local-regional control and late toxicity of RTOG 9003: A randomized trial of altered fractionation radiation for locally advanced head and neck cancer.
Int J Radiat Oncol Biol Phys 2014;89:13-20.

8.) Harrington K, et al.:
Postoperative Adjuvant Lapatinib and Concurrent Chemoradiotherapy Followed by Maintenance Lapatinib Monotherapy in High-Risk Patients With Resected Squamous Cell Carcinoma of the Head and Neck: A Phase III, Randomized, Double-Blind, Placebo-Controlled Study.
J Clin Oncol 2015;33:4202-4209. DOI: 10.1200/JCO.2015.61.4370

9.) Gillison ML, Trotti AM, Harris J, et al.:
Radiotherapy plus cetuximab or cisplatin in human papillomavirus-positive oropharyngeal cancer (NRG Oncology RTOG 1016): A randomised, multicentre, non-inferiority trial.
Lancet 2019;393:40-50

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