DAHANCA 30: A randomized non-inferiority trial of hypoxia-profile guided hypoxic modification with nimorazole during radiotherapy/chemoradiotherapy of squamous cell carcinoma of the head and neck.

2024-516178-31-00 Protocol DAHANCA 30 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 24 Aug 2016 · Status Ongoing, recruitment ended · 2 EU/EEA countries · 9 sites · Protocol DAHANCA 30

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 1,262
Countries 2
Sites 9

Head and neck squamous cell carcinoma (HNSCC)

To show comparable treatment response in a group of head and neck cancer patients predicted as non-responders to the hypoxic modifier nimorazol with a hypoxia gene profile, when these patients where randomized to concommitant nimorazole or not.

Key facts

Sponsor
Region Midtjylland
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
24 Aug 2016 → ongoing
Decision date (initial)
2024-11-29
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-516178-31-00
EudraCT number
2015-004133-27
ClinicalTrials.gov
NCT02661152

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To show comparable treatment response in a group of head and neck cancer patients predicted as non-responders to the hypoxic modifier nimorazol with a hypoxia gene profile, when these patients where randomized to concommitant nimorazole or not.

Conditions and MedDRA coding

Head and neck squamous cell carcinoma (HNSCC)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Patients with HNSCC tumors where, in accordance with DAHANCA's guidelines, hypoxic modification with nimorazole under primary radiotherapy is indicated. • In addition; a) No concurrent or earlier malignant diseases that can affect the treatment, evaluation and outcome of the actual disease b) Informed consent in accordance with regulations c) Radiotherapy planned to start within 3 weeks from inclusion d) Hypoxic status from gene profile testing must be available no later than by the initiation of radiotherapy.

Exclusion criteria 1

  1. Concurrent or previous malignant disease, enrollement in a competing trial, pregnancy or breast feeding.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Locoregional control after radiotherapy (not including possible salvage treatment).

Secondary endpoints 1

  1. Local control (T-site), regional control (N-site), distant metastases, locoregional control after salvage treatment, overall survival (survival, disease- free survival, disease-specific survival), acute or late morbidity

Investigational products

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

Test 1

Nimoral tablets 500 mg

PRD11639985 · Product

Active substance
Nimorazole
Substance synonyms
NITRIMIDAZINE
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
3500 mg milligram(s)
Max total dose
75000 mg milligram(s)
Max treatment duration
6 Week(s)
Authorisation status
Not Authorised
ATC code
L01XD — AGENTS USED IN PHOTODYNAMIC THERAPY
MA holder
AARHUS UNIVERSITY HOSPITAL
Paediatric formulation
No
Orphan designation
No

Auxiliary 1

Cisplatin

SCP134220 · ATC

Active substance
Cisplatin
Substance synonyms
Cis-diamminedichloroplatinum, (SP-4-2)-cis -diamminedichloroplatinum, CDDP
Route of administration
INFUSION
Max daily dose
40 mg/m2 milligram(s)/square meter
Max total dose
70 mg milligram(s)
Max treatment duration
6 Week(s)
Authorisation status
Authorised
ATC code
L01XA01 — CISPLATIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Region Midtjylland

Sponsor organisation
Region Midtjylland
Address
Palle Juul-Jensens Boulevard 99
City
Aarhus N
Postcode
8200
Country
Denmark

Scientific contact point

Organisation
Region Midtjylland
Contact name
Kasper Toustrup

Public contact point

Organisation
Region Midtjylland
Contact name
Kasper Toustrup

Third parties 1

OrganisationCity, countryDuties
Aarhus Universitet
ORG-100028380
Aarhus N, Denmark On site monitoring, Code 9

Locations

2 EU/EEA countries · 9 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruitment ended 858 6
Norway Ongoing, recruitment ended 404 3
Rest of world 0

Investigational sites

Denmark

6 sites · Ongoing, recruitment ended
Region Syddanmark
Dept of oncology, J.B. Winsloews Vej 18, 5000, Odense C
Rigshospitalet
Dept of oncology, Blegdamsvej 9, 2100, Copenhagen Oe
Region Midtjylland
Dept of oncology, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N
Næstved Hospital
Dept of oncology, Ringstedgade 61, 4700, Næstved
Region Hovedstaden
Dept of oncology, Herlev Ringvej 75, 2730, Herlev
Region Nordjylland
Dept of oncology, Moelleparkvej 10, 9000, Aalborg

Norway

3 sites · Ongoing, recruitment ended
Helse Bergen HF
Dept of oncology, P. O. Box 1400, 5021, Bergen
Oslo University Hospital HF
Dept of oncology, P. O. Box 4953, 0424, Oslo
St. Olavs Hospital HF
Dept of oncology, P. O. Box 3250, Torgarden, Trondheim

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2016-08-24 2016-08-29 2024-12-07
Norway 2016-08-24 2017-06-28 2024-12-07

Results and documents

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

Documents 6 files

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

TypeTitleVersion
Protocol (for publication) DAHANCA 30 protocol for CTIS 1.17
Recruitment arrangements (for publication) Placeholder document 1
Recruitment arrangements (for publication) Placeholder document 1
Subject information and informed consent form (for publication) Pasientsamtykke DAHANCA 30 til CTIS NO 1.14
Subject information and informed consent form (for publication) Subject information and informed consent form DAHANCA 30 protokol DK 1.17
Synopsis of the protocol (for publication) Synopsis of DAHANCA 30 protokol in danish 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-30 Denmark Acceptable
2024-11-28
2024-11-29