CClinicalTrials.gg
CompletedNCT00047125Updated Jul 9, 2018

Radiation Therapy in Treating Patients With Metastases to the Lymph Nodes in the Neck From an Unknown Primary Tumor

A Phase 3 interventional study of radiation therapy in Carcinoma of Unknown Primary, sponsored by European Organisation for Research and Treatment of Cancer - EORTC. Completed at 262 sites in 6 countries. Open to female participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2018-07-09.

Sponsored by European Organisation for Research and Treatment of Cancer - EORTC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
18 Years to 120 Years
Sex
Female
01

Study summary

RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Giving radiation therapy in different ways may kill more tumor cells. It is not yet known which regimen of radiation therapy is more effective in treating patients who have metastases to the lymph nodes in the neck.

PURPOSE: Randomized phase III trial to compare different radiation therapy regimens in treating patients who have metastases to the lymph nodes in the neck from an unknown primary tumor.

Read the detailed description

OBJECTIVES:

  • Compare the disease-free survival of patients with cervical lymph node metastases of squamous cell carcinoma from an unknown primary treated with selective irradiation vs extensive irradiation.
  • Compare the overall survival of patients treated with these regimens.
  • Compare the incidence of acute and late side effects in the head and neck region in patients treated with these regimens.
  • Compare control of the neck and incidence of subsequent primary in the head and neck region in patients treated with these regimens.
  • Compare quality of life of patients treated with these regimens.

OUTLINE: This is a randomized, open-label, multicenter study. Patients are stratified according to disease stage (N1-2a vs N2b-3), radiation technique (2D vs 3D conformal vs intensity-modulated), and participating center. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients undergo selective irradiation of the ipsilateral level of the neck once daily 5 days a week for 6 weeks.
  • Arm II: Patients undergo extensive irradiation of the neck (nasopharyngeal, oropharyngeal, hypopharyngeal, and laryngeal mucosa and ipsilateral neck node areas on both sides of the neck) once daily 5 days a week for 6 weeks.

In both arms, treatment continues in the absence of unacceptable toxicity or disease progression.

Quality of life is assessed at baseline, at week 4, on the last day of therapy, and then every 3 months for 1 year.

Patients are followed at day 30, every 3 months for 3 years, every 6 months for 2 years, and then annually thereafter.

PROJECTED ACCRUAL: A total of 600 patients (300 per treatment arm) will be accrued for this study within 7 years.

02

Conditions studied

  • Carcinoma of Unknown Primary

Keywords

  • newly diagnosed carcinoma of unknown primary
  • squamous cell carcinoma of unknown primary
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's enrollment of 600 is above the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

European Organisation for Research and Treatment of Cancer - EORTC is the lead sponsor of 342 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed squamous cell carcinoma in cervical lymph node metastasis from an unknown primary tumor

    • Histopathological grade WHO 1-3
    • Pathological stage N1, N2a, N2b, or N3
    • No N2c (i.e., bilateral metastatic nodes)
    • No single node in supraclavicular fossa or submandibular area
    • No evidence of primary tumor in head and neck, lung, esophageal, or other site
  • Prior radical, radical modified, or extended radical dissection within the past 8 weeks

    • Selective neck dissection allowed (surgeon must justify why standard procedure was not performed)
    • No node excision alone
    • R0 or R1 disease after dissection
  • No distant metastases

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • ECOG 0-2 OR
  • Karnofsky 60-100%

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Other

  • Able and willing to complete quality of life questionnaires
  • No other prior or concurrent malignancy except adequately treated basal cell skin cancer or carcinoma in situ of the cervix
  • No psychological, familial, sociological, or geographical condition that would preclude study compliance
  • Not pregnant or nursing
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • Concurrent chemotherapy allowed

Endocrine therapy

  • Not specified

Radiotherapy

  • Not specified

Surgery

  • See Disease Characteristics

Other

  • No other prior therapy for carcinoma of unknown primary except neck dissection
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
600 participants (actual)

Study arms

  • Experimental
    Selective irradiation

    Irradiation of the ipsilateral level I - V of the neck up to a dose of 60 Gy (30x2Gy in 6 weeks).

    Radiation: radiation therapy

  • Active comparator
    Extensive irradiation + ipsilaterals levels

    Irradiation on the whole mucosa of the larynx, hypopharynx, oropharynx and nasopharynx, and on both sides of the neck (levels I -V) up to a prophylactic dose of 50 Gy (25 x 2 Gy in 5 week).Irradiation of the ipsilateral level I - V of the neck should continue with an additional 10 Gy boost for a total dose of 60 Gy (30 x 2 Gy in 6 weeks).

    Radiation: radiation therapy

Interventions

  • Radiationradiation therapy
06

What researchers measure

Primary outcomes

  1. disease-free survival

07

Study locations

262 sites
  • University of Alabama at Birmingham Comprehensive Cancer Center
    Birmingham, Alabama 35294-3300, United States
  • Comprehensive Cancer Institute
    Huntsville, Alabama 35801, United States
  • MBCCOP - Gulf Coast
    Mobile, Alabama 36607, United States
  • Montgomery Cancer Center
    Montgomery, Alabama 36106-3657, United States
  • DCH Cancer Treatment Center
    Tuscaloosa, Alabama 35401, United States
  • Foundation for Cancer Research and Education
    Phoenix, Arizona 85013, United States
  • Providence Saint Joseph Medical Center - Burbank
    Burbank, California 91505, United States
  • Mount Diablo Medical Center
    Concord, California 94524-4110, United States
  • City of Hope Comprehensive Cancer Center
    Duarte, California 91010-3000, United States
  • California Cancer Center
    Fresno, California 93720, United States
  • Saint Agnes Cancer Center
    Fresno, California 93720, United States
  • Sutter Health Western Division Cancer Research Group
    Greenbrae, California 94904, United States
  • Loma Linda University Cancer Institute at Loma Linda University Medical Center
    Loma Linda, California 92354, United States
  • Veterans Affairs Medical Center - Long Beach
    Long Beach, California 90822, United States
  • USC/Norris Comprehensive Cancer Center and Hospital
    Los Angeles, California 90033-0804, United States
  • Jonsson Comprehensive Cancer Center, UCLA
    Los Angeles, California 90095-1714, United States
  • CCOP - Bay Area Tumor Institute
    Oakland, California 94609-3305, United States
  • Huntington Cancer Center at Huntington Hospital
    Pasadena, California 91105, United States
  • Robert and Beverly Lewis Family Cancer Care Center at Pomona Valley Hospital Medical Center
    Pomona, California 91767, United States
  • Radiation Oncology Centers - Sacramento
    Sacramento, California 95816, United States
  • Radiation Medical Group, Incorporated
    San Diego, California 92101, United States
  • Naval Medical Center - San Diego
    San Diego, California 92134-3202, United States
  • UCSF Comprehensive Cancer Center
    San Francisco, California 94115, United States
  • O'Connor Hospital
    San Jose, California 95128, United States
  • CCOP - Santa Rosa Memorial Hospital
    Santa Rosa, California 95403, United States
  • St. Joseph's Regional Cancer Center
    Stockton, California 95204, United States
  • Torrance Memorial Medical Center
    Torrance, California 90505, United States
  • David Grant Medical Center
    Travis Air Force Base, California 94535, United States
  • Memorial Hospital Cancer Center
    Colorado Springs, Colorado 80909, United States
  • University of Colorado Cancer Center at University of Colorado Health Sciences Center
    Denver, Colorado 80010, United States
  • CCOP - Colorado Cancer Research Program, Incorporated
    Denver, Colorado 80224, United States
  • St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center
    Grand Junction, Colorado 81502-1628, United States
  • Hospital of St. Raphael
    New Haven, Connecticut 06511, United States
  • Yale Comprehensive Cancer Center
    New Haven, Connecticut 06520-8040, United States
  • CCOP - Christiana Care Health Services
    Newark, Delaware 19713, United States
  • Sibley Memorial Hospital
    Washington, District of Columbia 20016, United States
  • 21st Century Oncology - Fort Myers
    Fort Myers, Florida 33901-8082, United States
  • Shands Cancer Center at the University of Florida Health Science Center
    Gainesville, Florida 32610-0385, United States
  • Florida Radiation Oncology Group
    Jacksonville, Florida 32207, United States
  • Holmes Regional Medical Center
    Melbourne, Florida 32901-3276, United States
  • CCOP - Mount Sinai Medical Center
    Miami Beach, Florida 33140, United States
  • University of Miami Sylvester Cancer Center
    Miami, Florida 33136, United States
  • Baptist Hospital of Miami
    Miami, Florida 33176-2197, United States
  • MD Anderson Cancer Center Orlando
    Orlando, Florida 32806-2134, United States
  • Bay Medical Center
    Panama City, Florida 32401, United States
  • Gulf Coast Cancer Treatment Center
    Panama City, Florida 32405-4587, United States
  • Sarasota Radiation and Medical Oncology Center
    Sarasota, Florida 34233, United States
  • Tallahassee Memorial Hospital
    Tallahassee, Florida 32308, United States
  • H. Lee Moffitt Cancer Center and Research Institute
    Tampa, Florida 33612-9497, United States
  • Winship Cancer Institute of Emory University
    Atlanta, Georgia 30322, United States
  • CCOP - Atlanta Regional
    Atlanta, Georgia 30342-1701, United States
  • Medical Center/John B. Amos Community Cancer Center
    Columbus, Georgia 31901, United States
  • Regional Radiation Oncology Center at Rome
    Rome, Georgia 30165, United States
  • MBCCOP - Hawaii
    Honolulu, Hawaii 96813, United States
  • Northwest Community Hospital
    Arlington Heights, Illinois 60005, United States
  • Robert H. Lurie Comprehensive Cancer Center at Northwestern University
    Chicago, Illinois 60611-3013, United States
  • CCOP - Central Illinois
    Decatur, Illinois 62526, United States
  • Ingalls Memorial Hospital
    Harvey, Illinois 60426, United States
  • Cardinal Bernardin Cancer Center at Loyola University Medical Center
    Maywood, Illinois 60153, United States
  • Lutheran General Cancer Care Center
    Park Ridge, Illinois 60068, United States
  • CCOP - Scott and White Hospital
    Peoria, Illinois 61602, United States
  • Methodist Medical Center of Illinois
    Peoria, Illinois 61636, United States
  • St. John's Cancer Center at St. John's Medical Center
    Anderson, Indiana 46016, United States
  • Bloomington Hospital
    Bloomington, Indiana 47402, United States
  • Veterans Affairs Medical Center - Indianapolis (Roudebush)
    Indianapolis, Indiana 46202, United States
  • Methodist Cancer Center at Methodist Hospital
    Indianapolis, Indiana 46206-1367, United States
  • Community Regional Cancer Care
    Indianapolis, Indiana 46219, United States
  • Oncology Institute of Greater Lafayette
    Lafayette, Indiana 47904, United States
  • Ball Memorial Hospital Cancer Center
    Muncie, Indiana 47303-3499, United States
  • CCOP - Northern Indiana CR Consortium
    South Bend, Indiana 46601, United States
  • Wendt Regional Cancer Center of Finley Hospital
    Dubuque, Iowa 52001, United States
  • St. Elizabeth Medical Center
    Edgewood, Kentucky 41017, United States
  • Central Baptist Hospital
    Lexington, Kentucky 40503, United States
  • Cancer Center at Lexington Clinic
    Lexington, Kentucky 40504, United States
  • Markey Cancer Center at University of Kentucky Chandler Medical Center
    Lexington, Kentucky 40536-0293, United States
  • James Graham Brown Cancer Center at University of Louisville
    Louisville, Kentucky 40202, United States
  • Louisville Radiation Oncology Center at Caritas Regional Cancer Center
    Louisville, Kentucky 40215, United States
  • Merle M. Mahr Cancer Center at Regional Medical Center of Hopkins County
    Madisonville, Kentucky 42431, United States
  • Mary Bird Perkins Cancer Center
    Baton Rouge, Louisiana 70809, United States
  • Tulane Cancer Center at Tulane University Hospital and Clinic
    New Orleans, Louisiana 70112-2699, United States
  • MBCCOP - LSU Health Sciences Center
    New Orleans, Louisiana 70112, United States
  • CCOP - Ochsner
    New Orleans, Louisiana 70121, United States
  • Maine Medical Center
    Portland, Maine 04102, United States
  • Anne Arundel Oncology Center
    Annapolis, Maryland 21401, United States
  • Greenebaum Cancer Center at University of Maryland Medical Center
    Baltimore, Maryland 21201, United States
  • Greater Baltimore Medical Center and Cancer Center
    Baltimore, Maryland 21204, United States
  • Harbor Hospital Center
    Baltimore, Maryland 21215-1290, United States
  • Sinai Hospital of Baltimore
    Baltimore, Maryland 21215, United States
  • St. Agnes Cancer Center
    Baltimore, Maryland 21229, United States
  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
    Baltimore, Maryland 21231-2410, United States
  • Peninsula Regional Medical Center
    Salisbury, Maryland 21801, United States
  • Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
    Boston, Massachusetts 02114, United States
  • Cancer Research Center at Boston Medical Center
    Boston, Massachusetts 02118, United States
  • Cape Cod Hospital
    Hyannis, Massachusetts 02601, United States
  • Veterans Affairs Medical Center - Boston (Jamaica Plain)
    Jamaica Plain, Massachusetts 02130, United States
  • NSMC Cancer Center
    Peabody, Massachusetts 01960, United States
  • CCOP - Michigan Cancer Research Consortium
    Ann Arbor, Michigan 48106, United States
  • University of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109-0010, United States
  • Barbara Ann Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Josephine Ford Cancer Center at Henry Ford Hospital
    Detroit, Michigan 48202, United States

Showing the first 100 of 262 sites across 6 countries.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00047125
Lead sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Collaborators
Radiation Therapy Oncology Group, NCIC Clinical Trials Group, Danish Head and Neck Cancer Group
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
Jul 2002
Primary completion
Jul 2004
Last update
Jul 9, 2018

Study contacts

Vincent G. Gregoire, MD, PhD
study chair · Cliniques universitaires Saint-Luc
Sharon A. Spencer, MD
study chair · University of Alabama at Birmingham
Samy El-Sayed, MD, FFR, FRCR, FRCP
study chair · Ottawa Regional Cancer Centre
Esat M. Ozsahin, MD, PhD
study chair · Centre Hospitalier Universitaire Vaudois
Cai Grau, MD
study chair · Aarhus Universitetshospital - Aarhus Sygehus

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion