NIMRAD (A Randomised Placebo-controlled Trial of Synchronous NIMorazole Versus RADiotherapy Alone in Patients With Locally Advanced Head and Neck Squamous Cell Carcinoma Not Suitable for Synchronous Chemotherapy or Cetuximab)
Head and Neck Squamous Cell Carcinoma
Conditions: official terms
Carcinoma - Carcinoma, Squamous Cell - Head and Neck Neoplasms
Study Type
Study Phase
Phase 3
Study Design
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
Name: Nimorazole Type: Drug
Name: Radiotherapy Type: Radiation
Overall Status
The purpose of this study is to see whether adding Nimorazole to standard radiotherapy benefits patients with locally advanced head and neck squamous cell carcinoma.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: N/A
Minimum Age: 18 Years
Gender: Both
Criteria: Inclusion Criteria:

- Histologically confirmed head and neck squamous cell carcinoma; all primary subsites EXCEPT nasal cavity, oral cavity, nasopharynx and paranasal sinus (i.e. oropharynx, hypopharynx, larynx are allowed)

- Stage T3/T4 N0; any node +ve case including T1 node +ve; T2N0 base of tongue/hypopharnx

- Pateints suitable for definitive radiotherapy. Block dissections may be performed pre-RT for N2/N3 disease

- WHO status 0-2

- Patient fit and able to undergo RT with nimorazole and be expected to complete treatment

- Absence of another disease or previous malignancy which is likely to interfere with the treatment or assessment of response

- No evidence of distant metasteses (M0)

- Unable to tolerate/unlikely to benefit from platinum chemotherapy or monoclonal antibody therapy

- Women must be postmenopausal (no menstrual period for a minimum of 1 year) or have a negative serum pregnancy test on entry in the study (even if surgically sterilised)

- Greater than 18 years of age; no upper age limit

- written informed consent

- available for follow up within the United Kingdom

- Adequate renal and liver function - absolute neurophil count >=1.5 x 109/L, creatinine <=2x ULN, platelets > 100x109/L, bilirubin <=2 x ULN, AST <3 x ULN

- The capacity to understand the patient information sheet and the ability to provide written informed consent.

- Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests and other study procedures.

Exclusion Criteria:

- Patients with T1N0 tumours or those within the nasopharynx, nasal cavity or sinus, oral cavity; T2No larynx and tonsil; unknown primary cancer.

- Any prior chemotherapy in the last 6 months or RT within the planned radiation field

- Presence of any life threatening illness such as unstable angina or severe chronic obstructive pulmonary disease

- Mental disability or patient otherwise unable to give informed consent and/or complete patient questionnaires

- Hb <100 g/l (patients with anaemia may be transfused to bring Hb levels to >100 g/l within 1 week of treatment start)

- Peripheral neurophathy as assessed clinically (CTCAE >=2)

- Use of any investigational drug within 30 days prior to screening

- Severe and/or uncontrolled medical disease

- Any malabsorption syndrome (i.e. partial gastrectomy, small bowel resection, Crohn's disease or ulcerative colitis)
Cheltenham general hospital
Cheltenham, Gloucestershire, United Kingdom
Status: Recruiting
Clatterbridge centre for oncology
Bebington, Merseyside, United Kingdom
Status: Recruiting
St James' Hospital
Leeds, West Yorkshire, United Kingdom
Status: Recruiting
Belfast City Hospital
Belfast, United Kingdom
Status: Not yet recruiting
Queen Elizabeth hospital
Birmingham, United Kingdom
Status: Recruiting
Bristol Haematology and Oncology centre
Bristol, United Kingdom
Status: Recruiting
Addenbrookes Hospital
Cambridge, United Kingdom
Status: Recruiting
Velindre Cancer Centre
Cardiff, United Kingdom
Status: Not yet recruiting
The Beatson west of scotland cancer centre
Glasgow, United Kingdom
Status: Not yet recruiting
The Royal Surrey County Hospital
Guildford, United Kingdom
Status: Not yet recruiting
The Royal Marsden
London, United Kingdom
Status: Recruiting
The Christie NHS Foundation Trust
Manchester, United Kingdom
Status: Recruiting
Mount Vernon
Middlesex, United Kingdom
Status: Not yet recruiting
Freeman hospital
Newcastle, United Kingdom
Status: Not yet recruiting
Nottingham University hospitals
Nottingham, United Kingdom
Status: Not yet recruiting
Weston Park Hospital
Sheffield, United Kingdom
Status: Recruiting
Singleton Hospital
Swansea, United Kingdom
Status: Not yet recruiting
Start Date
May 2014
Completion Date
June 2020
Christie Hospital NHS Foundation Trust
Christie Hospital NHS Foundation Trust
Record processing date processed this data on July 28, 2015 page