A Phase I/II Trial of Boron Neutron Capture Therapy (BNCT) for Recurrent Head and Neck Cancer at Tsing-Hua Open Pool Reactor
This is a prospective, single arm, open label phase I/II trial with boron neutron capture
(BNCT) therapy for patients with previously irradiated and locally recurrent head and neck
cancer.
The eligibility criteria are patients with locoregionally recurrent head and neck cancer;
good performance status; inoperable, clinical measurable tumor size; good organ function and
good compliance. No systemic treatment is in use. Once entering this study, patients will
receive angiographies to evaluate bloody supply of the tumor and PET scan with
18F-fluoro-L-BPA as the tracer. Tumor-to- normal tissue ratios were evaluated from static
emission scans. Boron concentration of normal tissues is derived from measurement of BPA
concentration in the blood. Treatment planning with THORplan will be done after Computerized
Tomography (CT) simulation. After treatment plan approved and on the day of treatment,
intravenous or intra-arterial L-BPA- Fructose complex 500 mg/kg was administered at a
constant rate over about 3 hours before and during neutron irradiation. Neutron beam
irradiations were given at the THOR with prescription dose of 20 to 25 Gy (Eq) for the tumor
in one fraction on day 1 and repeated on day 30. Patients will be regularly followed up at
OPD for toxicities (NCI Common Terminology Criteria) and response evaluation (RECIST
criteria)by MRI and PET, time to progression measurement, survival status and change of
quality of life. Maximally 27 patients will be enrolled. After first 10 patients, the
preliminary results will be reviewed before further patients' enrollment.
Interventional
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Treatment toxicities and response rate
CTC ver 4 for toxicities RECIST for response
2 years
Yes
Ling-Wei Wang, MD
Principal Investigator
Cancer Center, Veterans General Hospital-Taipei, Taiwan
Taiwan: Department of Health
BNCT_090514
NCT01173172
July 2010
October 2012
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