Adjuvant Cetuximab and Chemoradiotherapy Using Either Cisplatin or Docetaxel in Treating Patients With Resected Stage III or Stage IV Squamous Cell Carcinoma or Lymphoepithelioma of the Head and Neck
Head and Neck Cancer
About this trial
This is an interventional treatment trial for Head and Neck Cancer focused on measuring stage III squamous cell carcinoma of the hypopharynx, stage IV squamous cell carcinoma of the hypopharynx, stage III squamous cell carcinoma of the oropharynx, stage IV squamous cell carcinoma of the oropharynx, stage III squamous cell carcinoma of the larynx, stage IV squamous cell carcinoma of the larynx, stage III lymphoepithelioma of the oropharynx, stage IV lymphoepithelioma of the oropharynx
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed squamous cell carcinoma of the head and neck meeting the following criteria: Site of tumor origin in the oral cavity, oropharynx, larynx, or hypopharynx (excluding lip, nasopharynx, or sinuses) Gross total resection must be completed within 7 weeks of randomization, with pathology demonstrating one or more of the following risk factors: Histologic extracapsular nodal extension Histologic involvement of ≥ 2 regional lymph nodes Invasive cancer seen on microscopic evaluation of the resection margin, with no evidence of gross tumor residual. Tonsillar cancer patients who undergo transoral excision of all gross tumor are eligible provided extracapsular nodal extension or involvement of ≥ 2 regional lymph nodes is histologically confirmed American Joint Committee on Cancer (AJCC) pathological stage III or IV No evidence of distant metastases No synchronous or concurrent head and neck primary tumors PATIENT CHARACTERISTICS: Age 18 and over Performance status Zubrod 0-1 Life expectancy Not specified Hematopoietic Absolute neutrophil count ≥ 2,000/mm^3 Platelet count ≥ 100,000/mm^3 Hemoglobin > 8.0 g/dL Hepatic Bilirubin ≤ 1.5 times upper limit of normal (ULN) Aspartate aminotransferase (AST) or alanine aminotransferase (ALT), and alkaline phosphatase meeting 1 of the following parameters: Alkaline phosphatase ≤ ULN AND AST or ALT ≤ 5 times ULN Alkaline phosphatase ≤ 2.5 times ULN AND AST or ALT ≤ 1.5 times ULN Alkaline phosphatase ≤ 5 times ULN AND AST or ALT ≤ ULN Renal Creatinine ≤ 1.5 mg/dL Cardiovascular No unstable angina No uncontrolled hypertension No myocardial infarction within the past 6 months (unless successfully treated with coronary artery bypass surgery or percutaneous transluminal coronary angioplasty) No uncontrolled arrhythmia No congestive heart failure No more than 2 heart-related hospitalizations within the past year No other active cardiac disease Pulmonary No more than 2 hospitalizations for chronic obstructive pulmonary disease within the past year Neurologic No pre-existing peripheral neuropathy ≥ grade 2 No uncontrolled seizure disorder No active neurological disease Other No prior severe hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80 No other invasive malignancy within the past 3 years except nonmelanoma skin cancer Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study participation PRIOR CONCURRENT THERAPY: Biologic therapy No prior anti-epidermal growth factor receptor antibody therapy Chemotherapy More than 3 years since prior cytotoxic chemotherapy Endocrine therapy Not specified Radiotherapy No prior head and neck radiotherapy Surgery See Disease Characteristics Other No prior tyrosine kinase inhibitor therapy
Sites / Locations
- University of Alabama at Birmingham Comprehensive Cancer Center
- Mobile Infirmary Medical Center
- Arizona Oncology Services Foundation
- Virginia G. Piper Cancer Center at Scottsdale Healthcare - Osborn
- Mayo Clinic Scottsdale
- Virginia G. Piper Cancer Center at Scottsdale Healthcare - Shea
- Auburn Radiation Oncology
- Providence Saint Joseph Medical Center - Burbank
- Radiation Oncology Centers - Cameron Park
- Mercy Cancer Center at Mercy San Juan Medical Center
- Loma Linda University Cancer Institute at Loma Linda University Medical Center
- Providence Holy Cross Cancer Center
- CCOP - Bay Area Tumor Institute
- Radiation Oncology Center - Roseville
- Radiological Associates of Sacramento Medical Group, Incorporated
- University of California Davis Cancer Center
- Mercy General Hospital
- Torrance Memorial Medical Center
- Solano Radiation Oncology Center
- University of Colorado Cancer Center at University of Colorado Health Sciences Center
- Hospital of Saint Raphael
- CCOP - Christiana Care Health Services
- Lynn Regional Cancer Center at Boca Raton Community Hospital - Main Center
- Michael & Dianne Bienes Comprehensive Cancer Center at Holy Cross Hospital
- Baptist Cancer Institute - Jacksonville
- Mayo Clinic - Jacksonville
- Ella Milbank Foshay Cancer Center at Jupiter Medical Center
- CCOP - Mount Sinai Medical Center
- University of Miami Sylvester Comprehensive Cancer Center
- M.D. Anderson Cancer Center Orlando
- Tallahassee Memorial Hospital
- H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
- John B. Amos Cancer Center
- Northeast Georgia Medical Center
- Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
- Saint Anthony's Hospital at Saint Anthony's Health Center
- Ingalls Cancer Care Center at Ingalls Memorial Hospital
- Cardinal Bernardin Cancer Center at Loyola University Medical Center
- Good Samaritan Regional Health Center
- Cancer Institute at St. John's Hospital
- Elkhart General Hospital
- Center for Cancer Therapy at LaPorte Hospital and Health Services
- CCOP - Northern Indiana CR Consortium
- Memorial Hospital of South Bend
- Wendt Regional Cancer Center at Finley Hospital
- John D. Cronin Cancer Center
- Markey Cancer Center at University of Kentucky Chandler Medical Center
- Tulane Cancer Center
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
- Massachusetts General Hospital Cancer Center
- Dana-Farber/Brigham and Women's Cancer Center
- Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
- Cancer Research Center at Boston Medical Center
- Hudner Oncology Center at Saint Anne's Hospital - Fall River
- St. Joseph Mercy Cancer Center at St. Joseph Mercy Hospital
- Josephine Ford Cancer Center at Henry Ford Hospital
- Genesys Hurley Cancer Institute
- Hurley Medical Center
- CCOP - Grand Rapids
- Lacks Cancer Center at Saint Mary's Health Care
- Borgess Medical Center
- West Michigan Cancer Center
- Bronson Methodist Hospital
- Upper Michigan Cancer Center at Marquette General Hospital
- Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph
- Fairview Ridges Hospital
- Mercy and Unity Cancer Center at Mercy Hospital
- Fairview Southdale Hospital
- Mercy and Unity Cancer Center at Unity Hospital
- Virginia Piper Cancer Institute at Abbott-Northwestern Hospital
- University of Minnesota Medical Center & Children's Hospital - Fairview
- Hubert H. Humphrey Cancer Center at North Memorial Medical Center
- Mayo Clinic Cancer Center
- CentraCare Clinic - River Campus
- Coborn Cancer Center
- CCOP - Metro-Minnesota
- Park Nicollet Health Services
- United Hospital
- Ridgeview Medical Center
- Regional Cancer Center at Singing River Hospital
- Saint Francis Medical Center
- Southeast Missouri Regional Cancer Center at Southeast Missouri Hospital
- CCOP - Kansas City
- Siteman Cancer Center at Barnes-Jewish Hospital
- CCOP - St. Louis-Cape Girardeau
- David C. Pratt Cancer Center at St. John's Mercy
- St. John's Regional Health Center
- Hulston Cancer Center at Cox Medical Center South
- Good Samaritan Cancer Center at Good Samaritan Hospital
- Methodist Cancer Center at Methodist Hospital - Omaha
- Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
- Cancer Institute of New Jersey at Cooper University Hospital - Camden
- Veterans Affairs Medical Center - East Orange
- Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital Marlton
- Saint Peter's University Hospital
- J. Phillip Citta Regional Cancer Center at Community Medical Center
- Fox Chase Virtua Health Cancer Program at Virtua West Jersey
- Long Island College Hospital
- Roswell Park Cancer Institute
- Memorial Sloan-Kettering Cancer Center
- SUNY Upstate Medical University Hospital
- Mission Hospitals - Memorial Campus
- Blumenthal Cancer Center at Carolinas Medical Center
- Wayne Memorial Hospital, Incorporated
- Leo W. Jenkins Cancer Center at ECU Medical School
- Iredell Memorial Hospital
- Forsyth Regional Cancer Center at Forsyth Medical Center
- McDowell Cancer Center at Akron General Medical Center
- Akron City Hospital
- Charles M. Barrett Cancer Center at University Hospital
- Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University
- Hillcrest Cancer Center at Hillcrest Hospital
- Oregon Health & Science University Cancer Institute
- Rosenfeld Cancer Center at Abington Memorial Hospital
- Bryn Mawr Hospital
- Dale and Frances Hughes Cancer Center at Pocono Medical Center
- Penn State Cancer Institute at Milton S. Hershey Medical Center
- Cancer Center of Paoli Memorial Hospital
- Kimmel Cancer Center at Thomas Jefferson University - Philadelphia
- Fox Chase Cancer Center - Philadelphia
- Mercy Cancer Institute at Mercy Hospital
- Reading Hospital and Medical Center
- Guthrie Cancer Center at Guthrie Clinic Sayre
- Mount Nittany Medical Center
- CCOP - MainLine Health
- Lankenau Cancer Center at Lankenau Hospital
- York Cancer Center at Apple Hill Medical Center
- Hollings Cancer Center at Medical University of South Carolina
- Bon Secours St. Francis Health System
- CCOP - Greenville
- CCOP - Upstate Carolina
- Gibbs Regional Cancer Center at Spartanburg Regional Medical Center
- Rapid City Regional Hospital
- Christine LaGuardia Phillips Cancer Center at Wellmont Holston Valley Medical Center
- Thompson Cancer Survival Center
- M.D. Anderson Cancer Center at University of Texas
- CCOP - Scott and White Hospital
- Cottonwood Hospital Medical Center
- McKay-Dee Hospital Center
- Utah Valley Regional Medical Center - Provo
- Dixie Regional Medical Center - East Campus
- Utah Cancer Specialists at UCS Cancer Center
- Huntsman Cancer Institute at University of Utah
- Latter Day Saints Hospital
- Danville Regional Medical Center
- Veterans Affairs Medical Center - Richmond
- Virginia Commonwealth University Massey Cancer Center
- St. Joseph Cancer Center
- CCOP - Virginia Mason Research Center
- University Cancer Center at University of Washington Medical Center
- Schiffler Cancer Center at Wheeling Hospital
- Green Bay Oncology, Limited at St. Vincent Hospital
- Green Bay Oncology, Limited at St. Mary's Hospital
- St. Mary's Hospital Medical Center - Green Bay
- St. Vincent Hospital Regional Cancer Center
- Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
- University of Wisconsin Comprehensive Cancer Center
- Bay Area Cancer Care Center at Bay Area Medical Center
- Medical College of Wisconsin Cancer Center
- All Saints Cancer Center at All Saints Healthcare
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
RT + cisplatin + cetuximab
RT + docetaxel + cetuximab
Loading dose of cetuximab followed by radiation therapy with weekly cisplatin and cetuximab.
Loading dose of cetuximab followed by radiation therapy (RT) with weekly docetaxel and cetuximab.