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Trial Comparing Avg. Global Qual of Lifescore in Hypo Frac. RT vs Conv. Frac. in H&N Cancers (HYPORT-HN) 600
Hypofractionated radiotherapy would result in significant benefits in terms of shortening the overall treatment time...
Mehr anzeigenA Randomised Non Inferiority Trial to Compare the Average Global Quality of Life Score Following Hypofractionated Radiotherapy Versus Conventional Fractionation in Head and Neck Cancers
- HYPORT-HN
- 2024/TMC/307/IRB11
Head and Neck cancer
| Teilnehmergruppe/Studienarm | Intervention/Behandlung |
|---|---|
Aktives VergleichspräparatRadiotherapy - conventional Conventional Radiotherapy of 66 Gy in 30 fractions in definitive setting and 60 Gy in 30 fractions in adjuvant setting Total Duration- 6 weeks | Radiotherapy - Conventional Conventional Radiotherapy of 66 Gy in 30 fractions in definitive setting and 60 Gy in 30 fractions in adjuvant setting. Total duration - 6 Weeks |
ExperimentellRadiotherapy - hypofractionated Hypofractionated Radiotherapy of 55 Gy in 20 fractions in definitive setting and 52.5 Gy in 20 fractions in adjuvant setting. Total duration - 4 Weeks | Radiotherapy - hypofractionated Hypofractionated Radiotherapy of 55 Gy in 20 fractions in definitive setting and 52.5 Gy in 20 fractions in adjuvant setting. Total duration - 4 Weeks |
| Ergebnismessung | Beschreibung der Messung | Zeitrahmen |
|---|---|---|
To compare the average global quality of life score following hypofractionated radiotherapy versus conventional fractionation in head and neck cancer | Patients reported outcomes in the form of EORTC QLQ C30 questionnaire at regular designated intervals using electronic patient reported outcome monitoring systems (e-PROMS).
EORTC QLQ C30 stands for European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire C30.
The score will range from 0 to 100 as per the Scoring of the EORTC QLQ-C30 version 3.0.
A higher score will denote a better quality of life. | 2 Years |
| Ergebnismessung | Beschreibung der Messung | Zeitrahmen |
|---|---|---|
To compare the locoregional control at 2 years between the hypofractionated and conventional arm. | To get a Radiological assessment done 3 months post treatment and then followup the patient clinically and only get a radiological correlation if suggested clinically. | 2 Years |
To compare acute and late toxicities of hypofractionated radiotherapy with conventional fractionation | To compare physician reported and patient reported acute toxicities like mucositis, dermatitis and dysphagia between the two groups using weekly assessment of acute toxicities using the RTOG and CTCAE v5 criteria during radiation. | 2 Years |
Age ≥ 18 years
ECOG performance status 0 - 2.
Patients diagnosed with invasive squamous cell cancer of the head and neck region which includes lip, oral cavity, nasopharynx, oropharynx, hypopharynx, supraglottis, glottis and subglottis.
Patients who are being treated with curative intent treatment either with surgery followed by adjuvant radiotherapy with or without chemotherapy or definitive chemoradiation.
Patients must have a histopathological proof of malignancy, such as biopsy or post operative histopathology report. Biopsies or surgeries done outside must have been reviewed for pathological confirmation and specimen adequacy at the treating institute.
Patients with non metastatic cancer, optimally staged with the following:
- Contrast enhanced CT scan of the neck and thorax for cancer lip, oral cavity, oropharynx, hypopharynx, supraglottis, glottis and subglottis
- Magnetic Resonance Imaging of the neck and CT thorax for cancer of nasopharynx
- Concurrent illness like severe cardiac, renal or hepatic dysfunction and, including severe infection that may jeopardise the ability of the patient to undergo the procedures outlined in this protocol with reasonable safety
- Serious medical or psychiatric conditions that might limit the ability of the patient to comply with the protocol.
West Bengal