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Brief Title: A Phase II Clinical Trial to Study the Efficacy and Safety of a New Drug P276-00 in Treatment of Recurrent and/or Locally Advanced Head and Neck Cancer
Official Title: An Open Label, Multicenter Phase II Study to Evaluate Efficacy and Safety of P276-00 in Indian Subjects With Recurrent, Metastatic or Unresectable Locally Advanced Squamous Cell Carcinoma of Head and Neck
Study ID: NCT00824343
Brief Summary: This is a single arm phase II trial to study the efficacy and safety of a Cdk inhibitor P276-00 in the treatment of squamous cell carcinoma of head and neck. Patients with recurrent or metastatic disease that is unresectable and incurable by radiation will be enrolled. Thirty eight evaluable patients need to be enrolled in the study. All patients will receive protocol treatment i.e. P276-00 as an intravenous infusion from day 1 to day 5 and from day 8 to day 12 in each 21 day cycle till progression of disease or unacceptable toxicity. Safety evaluations by means of recording vitals, physical examination and lab investigations like hematology and clinical chemistry will be undertaken at regular intervals in each cycle. Tumor measurements by spiral CT scan will be undertaken at baseline and at the end of every 2 cycles for response evaluation by RECIST criteria. All patients will be followed up for survival status till one year of cycle 1 day 1.
Detailed Description: P276-00 was administered at a dose of 185mg/m2/day from day 1 to day 5 in each 21 day cycle. The protocol was amended in July 2009. As per the amendment P276-00 will be administered at a dose of 144 mg/m2/day from day 1 to day 5 and from day 8 to day 12 in each 21 day cycle till progression of disease or unacceptable toxicity.33 patients have been recruited in version 1 protocol, 38 more evaluable patients need to be recruited in version 2 protocol. Allowing for approximately 30% drop-outs, it is estimated that, for enrolling 38 evaluable subjects in the study, approximately 54 subjects would be enrolled. As the study has already enrolled 33 subjects, the sample size for the study to accommodate for same number of subjects (38 evaluable) in the revised protocol is estimated as approximately 87 (33 + 54) subjects. Hence the total sample size (accounting for drop-outs) is 87 patients.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Bharath Hospital & Institute of Oncology, Mysore, Mysore, Karnataka, India
Regional Cancer Centre, Trivandrum, Kerala, India
Kashyap Nursing Home, Mumbai, Maharashtra, India
Jaslok Hospital, Mumbai, Mumbai, Maharashtra, India
Central India Cancer Research Institute,, Nagpur, Maharashtra, India
Deenanath Mangeshkar Hospital & Research Centre, Pune, Maharashtra, India
Bhagwan Mahaveer Cancer Hospital & Research Centre, Dept. Of Medical Oncology, Jaipur, Jaipur, Rajasthan, India
V. N. Cancer Centre, GKNM Hospital,, Coimbatore, Tamilnadu, India
Dept. Of Surgical Oncology, CSM Medical University, Lucknow, Lucknow, UttarPradesh, India
Name: Dr. Ajay Mehta
Affiliation: Director and Onco-Surgeon, Central India Cancer Research Institute, Nagpur
Role: PRINCIPAL_INVESTIGATOR
Name: Dr. M S Vishveshwara
Affiliation: Radiation Oncologist, Bharat Hospital Institute of Oncology, Mysore
Role: PRINCIPAL_INVESTIGATOR
Name: Dr. Sanjeev Misra
Affiliation: Oncosurgeon, Department of Surgical Oncology, CSM Medical University, Lucknow
Role: PRINCIPAL_INVESTIGATOR
Name: Dr. Rejnish Kumar
Affiliation: Associate Professor, Regional Cancer Centre, Trivandram
Role: PRINCIPAL_INVESTIGATOR
Name: Dr. Lalit Mohan Sharma
Affiliation: Consultant Medical Oncologist, Bhagwan Mahavir Cancer Hospital and Research Centre, Jaipur
Role: PRINCIPAL_INVESTIGATOR
Name: Dr. Maheboob Basade
Affiliation: Medical Oncologist, Jaslok Hospital, Mumbai
Role: PRINCIPAL_INVESTIGATOR
Name: Dr. Nilesh Lokeshwar, MD, DM
Affiliation: Medical Oncologist
Role: PRINCIPAL_INVESTIGATOR
Name: Dr. Chetan Deshmukh, MD, DM
Affiliation: Medical Oncologist, Deenanath Mangeshkar Hospital and Research Centre, Pune, India
Role: PRINCIPAL_INVESTIGATOR
Name: Dr. M Nagarajan, MD
Affiliation: Radiation Oncologist, V. N. Cancer Centre, GKNM Hospital, Coimbatore, India
Role: PRINCIPAL_INVESTIGATOR