Comparing two treatment regimen for sinuses tumors and salivary glands: radiotherapy versus chemoradiotherapy

2024-513972-16-00 Protocol GORTEC 2016-02 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 30 Jan 2017 · Status Ongoing, recruitment ended · 2 EU/EEA countries · 33 sites · Protocol GORTEC 2016-02

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 342
Countries 2
Sites 33

- Resected tumors of sinuses or salivary glands - Non-operable tumors of sinuses or salivary glands - Carcinomas of major salivary glands - Malignant tumors of sinuses

To Compare progression free survival (PFS) between the 2 treatment arms: RT only versus RT-CT as adjuvant therapy in surgical patients

Key facts

Sponsor
Groupe Oncologie Radiotherapie Tete Cou
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
30 Jan 2017 → ongoing
Decision date (initial)
2024-08-28
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-513972-16-00
EudraCT number
2016-001816-39

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Therapy

To Compare progression free survival (PFS) between the 2 treatment arms: RT only versus RT-CT as adjuvant therapy in surgical patients

Secondary objectives 5

  1. Compare the 2 treatment arms in operated patients in terms of: • Overall survival (OS) • Quality of life (QoL) • Time to locoregional progression • Time to distant progression • Severe acute toxicity (grade ≥ 3 occurring during treatment and within the following 6 months) • Severe late toxicity (grade ≥ 3 occurring from 6 months after the end of radiotherapy treatment)
  2. Evaluate major and minor prognostic factors (T, R1 margins, high-grade histological subtypes according to REFCOR, N+ with/without capsular rupture, perineural sheathing, vascular emboli)
  3. Compare the oncological efficacy (PFS, OS, Time to progression) between the 2 arms in non-operated patients and study whether the effect of adding chemotherapy is similar in operated and non-operated patients.
  4. Evaluate the specific toxicity of proton therapy associated with cisplatin
  5. Analyze the oncological results by type of histology (Adenoid Cystic Carcinoma, intestinal type carcinoma, high-grade salivary gland tumors)

Conditions and MedDRA coding

- Resected tumors of sinuses or salivary glands - Non-operable tumors of sinuses or salivary glands - Carcinomas of major salivary glands - Malignant tumors of sinuses

VersionLevelCodeTermSystem organ class
26.1 PT 10060121 Squamous cell carcinoma of head and neck 100000004864

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Resected tumors of the sinuses or salivary glands: T3-4 N0 or T1-4 N1-3 or T1-2 N0 with invaded edges or positive margins (< 5 mm) or Unresectable or inoperable tumors of the sinuses or salivary glands
  2. Carcinomas of the main salivary glands (parotid, submandibular or sublingual glands) and accessories or Malignant tumors of the sinuses with any histological type except melanomas, lymphomas, mesenchymal tumors (sarcoma type), squamous cell carcinomas and nasopharyngeal carcinomas of type 1, 2, 3.
  3. Age ≥ 18 years
  4. Performance index according to the World Health Organization (WHO) criteria from 0 to 2
  5. For patients ≥ 70 years, the G8 questionnaire score must be > 14 with no falls noted in the previous 12 months or presenting a geriatric assessment compatible with the administration of chemotherapy
  6. Estimated life expectancy greater than or equal to 6 months

Exclusion criteria 4

  1. History of radiotherapy in the ENT region and/or neoadjuvant chemotherapy for the pathology concerned
  2. Synchronous metastases
  3. Contraindications to the administration of cisplatin or carboplatin
  4. Other cancer, except in situ cervical cancer, skin carcinoma (except melanoma) or cancer controlled for more than 5 years

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Progression-free survival

Secondary endpoints 7

  1. Overall survival
  2. Quality of life
  3. Time to locoregional progression
  4. Time to distance progression
  5. Rate of acute toxicity grade ≥ 3
  6. Rate of late toxicities of grade ≥ 3
  7. Prognostic criteria

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Cisplatin 1 mg/ml Concentrate for Solution for Infusion

PRD1951618 · Product

Active substance
Cisplatin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
SOLUTION FOR INFUSION
Max daily dose
100 mg/m2 milligram(s)/sq. meter
Max total dose
300 mg/m2 milligram(s)/sq. meter
Max treatment duration
43 Day(s)
Authorisation status
Authorised
ATC code
L01XA01 — CISPLATIN
Marketing authorisation
S00850
MA holder
ACCORD HEALTHCARE LIMITED
MA country
Cyprus
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Groupe Oncologie Radiotherapie Tete Cou

Sponsor organisation
Groupe Oncologie Radiotherapie Tete Cou
Address
4 B Rue Emile Zola
City
Tours
Postcode
37000
Country
France

Scientific contact point

Organisation
Groupe Oncologie Radiotherapie Tete Cou
Contact name
Dr François Regis FERRAND

Public contact point

Organisation
Groupe Oncologie Radiotherapie Tete Cou
Contact name
Adeline PECHERY

Locations

2 EU/EEA countries · 33 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 2 1
France Ongoing, recruitment ended 340 32
Rest of world 0

Investigational sites

Belgium

1 site · Ongoing, recruitment ended
CHU De Charleroi Hopital Andre Vesale
Oncology-Radiotherapy, Rue De Gozee 706, 6110, Montigny-Le-Tilleul

France

32 sites · Ongoing, recruitment ended
Institut Curie
Medical oncology, 26 Rue D Ulm, 75005, Paris
Centre Marie Curie
Oncology-Radiotherapy, 159 boulevard du Maréchal Juin, 26000, Valence
Groupement De Cooperation Sanitaire Risssa Recherche & Innovation Sante Sarcelles
Oncology-Radiotherapy, 6 Avenue Charles Peguy, 95200, Sarcelles
Centre Hospitalier Universitaire De Nantes
Head and neck surgery, 1 Place Alexis Ricordeau, 44000, Nantes
Centre Hospitalier Regional Universitaire De Tours
Radiotherapy, 2 Boulevard Tonnelle, 37000, Tours
Centre Antoine Lacassagne
Radiotherapy, 33 Avenue De Valombrose, 06189, Nice Cedex 2
Clinique Victor Hugo
Oncology-Radiotherapy, 18 Rue Victor Hugo, Cs 81514, Le Mans Cedex 2
Centre Hospitalier Lyon Sud
Radiotherapy, 165 Chemin du Grand Revoyet, 69495 Pierre Bénite, Pierre Bénite
Centre Hospitalier De Niort
Oncology-Radiotherapy, 40 Avenue Charles De Gaulle, 79000, Niort
Centre Hospitalier Universitaire Amiens Picardie
Oncology-Radiotherapy, 1 Place Victor Pauchet, 80080, Amiens
Institut De Cancerologie De L Ouest
Medical oncology, 15 Rue Andre Boquel, 49100, Angers
Assistance Publique Hopitaux De Paris
Radiotherapy, 47 Boulevard De L Hopital, 75651, Paris Cedex 13
Centre Hospitalier Regional De Marseille
Radiotherapy, 264 Rue Saint Pierre, 13005, Marseille
Besancon University Hospital Center
Oncology-Radiotherapy, 3 Boulevard Alexander Fleming, Cs 81816, Besancon Cedex
Centre Francois Baclesse
Oncology-Radiotherapy, 3 Avenue Du General Harris, Cs 45026, Caen Cedex 5
Institut De Cancerologie De Lorraine
Radiotherapy, 6 Avenue De Bourgogne, 54500, Vandouvre Les Nancy
Centre De Lutte Contre Le Cancer Eugene Marquis
Radiotherapy, Avenue La Bataille Flandre Dunkerque, Cs 44229, Rennes Cedex
Hopital Tenon
Oncology-Radiotherapy, 4 Rue De La Chine, 75970, Paris Cedex 20
Centre Hospitalier Universitaire D Orleans
Oncology-Radiotherapy, 14 Avenue De L Hopital, Cs 86709, Orleans Cedex 2
Centre Hospitalier Universitaire Reims
Oncology-Radiotherapy, Rue Du General Koenig, 51092, Reims Cedex
Institut De Cancerologie De L Ouest
Medical oncology, Boulevard Jacques Monod, 44805, Saint-Herblain Cedex
Centre Oscar Lambret
Radiotherapy, 3 Rue Frederic Combemale, 59000, Lille
Centre Hospitalier Universitaire De Bordeaux
Medical oncology, 1 Rue Jean Burguet, 33000, Bordeaux
Centr Georges Francois Leclerc
Radiotherapy, 1 Rue Professeur Marion, 21000, Dijon
Institut Gustave Roussy
Medical oncology, 114 Rue Edouard Vaillant, 94800, Villejuif
University Hospital Of Clermont-Ferrand
Head and neck surgery, 58 Rue Montalembert, 63003, Clermont Ferrand Cedex 1
Institut Universitaire Du Cancer Toulouse-Oncopole
Medical oncology, 1 Avenue Irene Joliot Curie, 31100, Toulouse
Institut De Cancerologie Strasbourg Europe
Medical oncology, 17 Rue Albert Calmette, 67200, Strasbourg
Assistance Publique Hopitaux De Paris
Oncology-Radiotherapy, 2 Rue Ambroise Pare, 75475, Paris Cedex 10
Hopital Nord Franche Comte
Radiotherapy, 100 Route De Moval, 90400, Trevenans
Centre Hospitalier Intercommunal Creteil
Oncology-Radiotherapy, 40 Avenue De Verdun, 94000, Creteil
Centre Hospitalier Valence
Head and neck surgery, 179 Boulevard Marechal Juin, 26000, Valence

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2022-12-21 2022-12-27 2024-10-08
France 2017-01-30 2017-01-30 2025-03-14

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 13 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-513972-16-00_public 8.1
Recruitment arrangements (for publication) Document pas applicable 1
Recruitment arrangements (for publication) Document pas applicable 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults_ ancilliary_public 5
Subject information and informed consent form (for publication) L1_SIS and ICF adults_DE_public 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF adults_FR_public 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF adults_NL_public 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF adults_public 6.2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Cisplatine_BE 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Cisplatine_FR 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_DE 2024-513972-16-00_public 8
Synopsis of the protocol (for publication) D1_Protocol Synopsis_FR 2024-513972-16-00_public 8
Synopsis of the protocol (for publication) D1_Protocol Synopsis_NL 2024-513972-16-00_public 8

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-10 France Acceptable
2024-08-27
2024-08-28
2 SUBSTANTIAL MODIFICATION SM-2 2025-03-20 France Acceptable
2025-06-17
2025-06-18