CClinicalTrials.gg
CompletedNCT00581971RAD0201Updated Apr 25, 2013Results posted

Radiosensitization With Celecoxib and Chemoradiation for Head and Neck Cancer

A Phase 1/2 interventional study of celecoxib and Carboplatin in Cancer, sponsored by University of Alabama at Birmingham. Completed at 1 site in United States. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2013-04-25.

Sponsored by University of Alabama at Birmingham · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
19 Years and older
Sex
All
01

Study summary

This is a single-institution, open-label, non-randomized phase IB/II trial of celecoxib administered concurrently with carboplatin, paclitaxel, and radiation therapy in patients with locally advanced or recurrent squamous cell carcinoma of the head and neck.

Read the detailed description

Treatment for this protocol consists of radiotherapy, 70.2Gy, at 1.8Gy qd, Monday through Friday.Celecoxib 400mg bid is taken during radiotherapy, starting 1 week before radiotherapy. Carboplatin IV, AUC 2.0, weekly for weeks 1 through 7,Paclitaxel 45 mg/m2, weekly for weeks 1 through 7, and Celecoxib 400mg bid, continuing after therapy for two years or until disease progression.

02

Conditions studied

  • Cancer

Keywords

  • Radiosensitization
  • COX-2 inhibitor
  • Celecoxib
  • Head and Neck Cancer
  • Chemoradiation
03

In context

Lead sponsor

University of Alabama at Birmingham is the lead sponsor of 1,396 studies on the registry; 284 are open to participants now.

Of its 156 completed or terminated interventional studies of FDA-regulated products, 124 (79%) have results posted.

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

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically proven primary squamous cell carcinoma arising in the oropharynx, oral cavity, hypopharynx, or larynx. Patients with recurrences after primary surgery (with no history of radiotherapy or chemotherapy) are also eligible.
  • The patient has stage III or IV disease, T3 or higher, or N2 or higher, nonmetastatic. Recurrent need not satisfy these staging requirements on restating, but patients must be nonmetastatic, and either be unresectable, medically inoperable, or refuse further surgery.
  • Performance status \< 2 (ECOG scale) with a life expectancy of > 12 months.
  • Age > 19 years.
  • The patient is medically fit to tolerate a course of definitive radiation therapy.
  • The patient has:

    • adequate hepatic function with bilirubin \< 1.5 x upper limit of normal (ULN),
    • transaminases (SGOT and SGPT) may be up to 2.5 x ULN if alkaline phosphatase is \< ULN, or alkaline phosphatase may be up to 4 x ULN if transaminases are \< ULN,
    • adequate renal function with serum creatinine \< 1.5 mg/dl (or estimated creatinine clearance of > 50 mL/min),
    • normal serum calcium,
    • adequate hematologic function as: defined by an absolute neutrophil count > 1500/ml, hematocrit > 24 %, and platelet count > 100,000/ml. Patients with hematocrit between 24 % and 30 % should undergo transfusion or treatment with epoetin, and may be enrolled.
  • The patient may have had a prior malignancy but must be disease-free for 5 years prior to study entry. A history of superficial non-melanoma skin cancer or in situ carcinoma of the cervix less than three years will be allowed.
  • The patient must agree to use effective contraception if procreative potential exists, and continue contraception for at least 3 months following completion of the study.
  • Patient must be informed of the investigational nature of the study and sign an informed consent form.

Exclusion criteria

Exclusion Criteria:

  • The patient has received radiation therapy previously to the head and neck. Previous radiotherapy for skin cancers of the head and neck are permitted if the fields do not overlap.
  • The patient has received prior chemotherapy for head and neck cancer.
  • The patient is pregnant or lactating.
  • Squamous cell carcinoma arising in the nasopharynx, sinuses, salivary glands, or the primary is unknown.
  • Non-squamous histologies (such as adenoid cystic or mucoepidermoid)
  • Peripheral neuropathy > Grade 2.
  • Serious non-malignant disease (e.g. congestive heart failure, uncontrolled atrial fibrillation, active hepatitis, renal failure or renal transplant).
  • Scleroderma or active connective disorder (Lupus)
  • Allergy to celecoxib, sulfonamides, or other NSAIDS
  • Any underlying psychological condition that would prohibit the understanding and rendering of informed consent.
  • Major surgery \< 3 weeks prior to study entry
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Celecoxib+Carboplatin/Paclitaxel+Radiation Therapy

    Drug: celecoxib · Drug: Carboplatin · Drug: Paclitaxel · Radiation: Radiation Therapy

Interventions

  • Drugcelecoxib

    400mg bid starting 1 week before radiotherapy and taken through radiotherapy.

    Also known as: Celebrex

  • DrugCarboplatin

    IV, AUC 2.0, weekly for weeks 1 through 7

    Also known as: Paraplatin

  • DrugPaclitaxel

    IV 30 mg/m2, weekly for weeks 1 through 7

    Also known as: Taxol

  • RadiationRadiation Therapy

    70.2Gy, at 1.8Gy qd, Monday through Friday

06

What researchers measure

Primary outcomes

  1. Toxicity of Celecoxib With Concurrent Weekly Chemotherapy and Radiotherapy in the Treatment of Locally Advanced or Recurrent Squamous Cell Carcinoma of the Head and Neck.

    Particpants experiencing Acute Toxicities \> Grade 3

    Time frame: 2 years from radiation therapy

  2. Response as Evaluated by Recurrence of Diseases

    Evaluate the response to concurrent celecoxib, carboplatin, paclitaxel, and radiotherapy in the treatment of locally advanced SSC of the head and neck. Response is determined by local control only, local and distant metastasis, distant metastasis only, second primary, and surgical salvage.

    Time frame: 2 years from end of treatment (Radiation therapy)

07

Results

Posted Apr 25, 2013

Participant flow

Participant flow — Overall Study
MilestoneCelecoxib + Carboplatin/Paclitaxel+Radiation Therapy
Started30
Completed30
Not completed0

Outcome measures

PrimaryToxicity of Celecoxib With Concurrent Weekly Chemotherapy and Radiotherapy in the Treatment of Locally Advanced or Recurrent Squamous Cell Carcinoma of the Head and Neck.

Particpants experiencing Acute Toxicities \> Grade 3

Time frame:
2 years from radiation therapy
Reported as:
Number · participants
Toxicity of Celecoxib With Concurrent Weekly Chemotherapy and Radiotherapy in the Treatment of Locally Advanced or Recurrent Squamous Cell Carcinoma of the Head and Neck.
participantsAcute Toxicity
Hematologic12
Dermatitis7
Mucositis/Dysphagia16
PrimaryResponse as Evaluated by Recurrence of Diseases

Evaluate the response to concurrent celecoxib, carboplatin, paclitaxel, and radiotherapy in the treatment of locally advanced SSC of the head and neck. Response is determined by local control only, local and distant metastasis, distant metastasis only, second primary, and surgical salvage.

Time frame:
2 years from end of treatment (Radiation therapy)
Reported as:
Number · Participants
Response as Evaluated by Recurrence of Diseases
ParticipantsRecurrence
Local Control Only6
Local Control and Distant Metastasis2
Distant Metastatsis Only1
Secondary Primary - Site Unknown2
Surgical Salvage3

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Celecoxib + Carboplatin/Paclitaxel+Radiation Therapy—12/30 (40%)29/30 (96.7%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
EventCelecoxib + Carboplatin/Paclitaxel+Radiation Therapy
VomitingGastrointestinal disorders3/30
NeutropeniaBlood and lymphatic system disorders3/30
Febrile NeutropeniaImmune system disorders2/30
StrokeVascular disorders1/30
AnemiaBlood and lymphatic system disorders1/30
PneumoniaInfections and infestations1/30
ThrombosisVascular disorders1/30
SyncopeNervous system disorders1/30
DyspneaRespiratory, thoracic and mediastinal disorders1/30
Radiation DermatitisSkin and subcutaneous tissue disorders1/30
Most frequent other events
Most frequent other events
EventCelecoxib + Carboplatin/Paclitaxel+Radiation Therapy
DysphagiaGastrointestinal disorders21/30
NeutropeniaBlood and lymphatic system disorders10/30
MucositisGastrointestinal disorders8/30
Radiation DermatitisSkin and subcutaneous tissue disorders5/30
EsophagitisGastrointestinal disorders3/30
NauseaGastrointestinal disorders3/30
DehydrationMetabolism and nutrition disorders3/30
AnemiaBlood and lymphatic system disorders2/30
VomitingGastrointestinal disorders2/30
DyspneaRespiratory, thoracic and mediastinal disorders2/30

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Celecoxib + Carboplatin/Paclitaxel+Radiation Therapy
<=18 years0
Between 18 and 65 years29
>=65 years1
Age Continuous
Age Continuous(years)Celecoxib + Carboplatin/Paclitaxel+Radiation Therapy
Mean53.83 ± 8.06
Sex: Female, Male
Sex: Female, Male(Participants)Celecoxib + Carboplatin/Paclitaxel+Radiation Therapy
Female4
Male26
Region of Enrollment
Region of Enrollment(participants)Celecoxib + Carboplatin/Paclitaxel+Radiation Therapy
United States30
08

Study locations

1 site
  • University of Alabama at Birmingham
    Birmingham, Alabama 35249, United States
09

References and documents

Publications

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10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 25, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00581971
Lead sponsor
University of Alabama at Birmingham
Collaborators
Bristol-Myers Squibb, Pharmacia
Responsible party
Sharon Spencer, MD, (Professor - Radiation Oncology, University of Alabama at Birmingham) — Principal investigator
First posted
Dec 28, 2007
Start date
Sep 2002
Primary completion
Dec 2007
Completion
Mar 2012
Results posted
Apr 25, 2013
Last update
Apr 25, 2013

Study contacts

Sharon Spencer, M.D.
principal investigator · University of Alabama at Birmingham

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2013. You cannot join it, but the record below documents what was studied.

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