A Randomized, Multicenter, Open Phase II Study of Cetuximab With Docetaxel, Cisplatin as Induction Chemotherapy in Unresectable, Locally Advanced Head and Neck Squamous Cell Carcinoma (HNSCC)
Inclusion Criteria:
- Unresectable, locally advanced (cT4b &/or cN2-3) HNSCC
- ECOG performance status 0-1
- Age 18 or older than 18 years
- Measurable disease by RECIST criteria
- Having signed informed consent
- ALT and AST<2.5 times ULN
- Serum albumin level ≥3.0g/dL
- Serum AKP < 2.5 times ULN
- Bilirubin level < 1.5mg/dL
- Serum creatinine <1.5 times ULN
- WBC>3000/mm3, absolute neutrophil count ≥1500/mm3, platelet>75,000/mm3, Hb>9g/dl
Exclusion Criteria:
- Previous cytotoxic chemotherapy for HNSCC
- Radiotherapy for targeted lesions within six months
- Previous EGFR pathway-targeting therapy
- Prior surgery for cancer (excluding diagnostic biopsy within 4 weeks prior to study
entry)
- Distant metastatic disease
- Heart failure, coronary artery disease, myocardial infarction within the last 6
months
- Known allergy to any study treatment
- Pregnancy or lactation period
- Any investigational agent within the past 28 days
- Other previous malignancy within 5 year, except adequately treated in situ cervical
cancer, or non-melanoma skin cancer
- Legal incapacity