To investigate the effect of Bevacizumab on asymptomatic radiotherapy-induced brain injury patients with head and neck cancer.
Radiotherapy-induced brain injury (RI) is a serious complication of radiotherapy in head and neck cancer (HNC) patients. Previous studies have confirmed that Bevacizumab has a good effect on patients with symptomatic RI .However, patients with RI maybe do not show clinical symptoms in the early stage. The clinical symptoms will appear with the progression of the RI lesion. There has been no relevant research on whether early intervention is necessary for asymptomatic RI. The investigators conduct this multicenter, randomized clinical research to explore the efficacy and safety of Bevacizumab in asymptomatic RI.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
204
Bevacizumab 2.5mg/kg, q2w, 4 cycles.
Sun Yat-Sen Memorial Hospital
Guangzhou, Guangdong, China
RECRUITINGThe incidence and duration of onset of clinical symptoms.
The incidence and duration of onset of clinical symptoms within 1 year after treatment between the treatment group and the control group.
Time frame: Change form baseline to evaluation at 1 year.
change of RI volume.
The change of RI volume between the treatment group and the control group.
Time frame: Change form baseline to evaluation at 1 year.
change of cognitive function.
The change of cognitive function (MoCa scores) between the treatment group and the control group. The MoCA score ranges from 0 to 30, and higher scores mean a better outcome.
Time frame: Change form baseline to evaluation at 1 year.
overall survival
the overall survival between the treatment group and the control group.
Time frame: Change form baseline to evaluation at 1 year.
change of quality of life.
The change of quality of life ( WHOQOL scale) between the treatment group and the control group. The higher the QOL scores mean a better outcome.
Time frame: Change form baseline to evaluation at 1 year.
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