Metabolic Reprogramming Therapy for Treatment of Recurrent Head and Neck Cancers

Not Recruiting

Trial ID: NCT01163487

Purpose

The purpose of this study is to study the effect of the drug DCA (dichloroacetate) on recurrent head and neck cancers. Part of this study will also use EF5 PET scan to study tumor hypoxia.

Official Title

Phase I Trial of Metabolic Reprogramming Therapy for Treatment of Recurrent Head and Neck Cancers

Stanford Investigator(s)

Quynh-Thu Le, MD
Quynh-Thu Le, MD

Katharine Dexter McCormick and Stanley McCormick Memorial Professor and Professor, by courtesy, of Otolaryngology - Head & Neck Surgery (OHNS)

A. Dimitrios Colevas, MD
A. Dimitrios Colevas, MD

Professor of Medicine (Oncology) and, by courtesy, of Otolaryngology - Head & Neck Surgery (OHNS) and of Radiation Oncology (Radiation Therapy)

Billy W Loo, Jr, MD PhD FASTRO FACR
Billy W Loo, Jr, MD PhD FASTRO FACR

Professor of Radiation Oncology (Radiation Therapy)

Eligibility

Inclusion Criteria:

* Pathologically confirmed head and neck squamous cell carcinoma
* Age \> 18 years old
* Patients must have unresectable disease in which there is no accepted potentially curative treatment option
* Patients must have acceptable organ and marrow function as defined below:
* leukocytes \>3,000/uL
* absolute neutrophil count \>1,500/uL
* platelets \>90,000/uL
* total bilirubin \<=1.5X normal institutional limits
* AST(SGOT)/ALT(SGPT) \<=2.5 X normal institutional limits with the following exceptions:

1. Patients with documented tumors involving the liver who have Grade \<2 elevations in AST, ALT, and/or alkaline phosphatase are eligible if \<5X ULN.
2. Patients with documented tumors involving bone who have a Grade \<2 elevation in alkaline phosphatase are eligible if \<5X ULN.
* creatinine \<=1.5X normal institutional limits OR creatinine clearance \>50 mL/min on the basis of the Cockcroft-Gault glomerular filtration rate estimation
* Patients must have non-cranial gross disease that is greater than 1 cm on CT scan prior to enrollment
* Disease must be FDG-avid on PET scanning
* Creatinine within normal institutional limits
* Eastern Clinical Oncology Group performance status 0, 1 or 2 (Appendix 1)
* Life expectancy \> 12 weeks
* Both men and women and members of all races and ethnic groups are eligible for this trial.

Exclusion Criteria:

* Women who are pregnant
* Administration of any systemic cytotoxic agents within the last 2 weeks of enrollment
* Patients who are unwilling or unable to provide informed consent
* Patients who have potentially curable disease
* Participation in another concurrent treatment protocol

Intervention(s):

drug: Dichloroacetate

device: EF5

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
ccto-office@stanford.edu
650-498-7061

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