Inclusion Criteria:
- Histologically or cytologically confirmed head and neck carcinoma which has not been treated with any first-line therapy and will be treated with radiotherapy
- Measurable disease by ultrasound, or MRI performed within 28 days prior to treatment
- Eastern Co-operative Oncology Group (ECOG) Performance Status of 0 or 1
- Life expectancy of at least 6 months
- Adequate bone marrow, liver and renal function as assessed by the following laboratory requirements to be conducted within 7 days prior to dosing:
1. hemoglobin >90 mg/dL
2. leukocytes >3,000/mL
3. absolute neutrophil count >1,500/mL
4. platelets >100,000/mL
5. total bilirubin within normal institutional limits
6. AST(SGOT)/ALT(SGPT) <2.5 X institutional upper limit of normal
7. creatinine within normal institutional limits or creatinine clearance >60 mL/min/1.73 m2 for patients with creatinine levels above institutional upper limit of normal
- Subjects must give appropriate written informed consent prior to participation in the study;
- Subjects must be able and willing to comply with the safety procedures during the Scanning Period;
Exclusion Criteria:
- Chemotherapy, radiotherapy, or major surgery within 4 weeks prior to registering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks prior to registration
- Receiving any other investigational agents
- Known brain metastases
- History of allergic reactions attributed to compounds of similar chemical or biologic composition
- Contraindications to radiotherapy such as but not limited to:
1. previous radiotherapy to an involved area
2. active collagen vascular disease
3. genetic diseases associated with hyper-radiosensitivity
- Any clinically serious infections requiring systemic anti-bacterial, antifungal or antiviral therapy
- Uncontrolled intercurrent illness including, but not limited to ongoing or active infection,
- Symptomatic congestive heart failure, unstable angina pectoris, and cardiac arrhythmia
- History of active ongoing seizure disorder
- Any condition that is unstable or could jeopardize the safety of the patient and their compliance in the study