Status:

RECRUITING

Radiotherapy Dose De-escalation in HPV-Associated Cancers of the Oropharynx

Lead Sponsor:

Duke University

Conditions:

Oropharynx Cancer

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The purpose of this study is to use intra-treatment 18FDG-PET/CT during definitive radiation therapy for human papillomavirus (HPV)-related oropharyngeal cancer (OPC) as an imaging biomarker to identi...

Eligibility Criteria

Inclusion

  • Histologic documentation of squamous cell carcinoma of the oropharynx with p16-positive immunohistochemical staining and/or positive HPV in situ hybridization (ISH) and/or positive HPV PCR
  • Stage I-III (AJCC 8th edition) with plan for concurrent chemotherapy per standard of care treatment
  • Zubrod/ECOG score of 0-1
  • Weight loss \<10% in the 3 months prior to diagnosis
  • ≥ 18 years of age
  • No prior chemotherapy for their current cancer diagnosis

Exclusion

  • Prior radiotherapy to the head and neck
  • Medical contraindications to radiation therapy
  • Absence of gross disease on imaging prior to beginning radiation therapy
  • Distant metastatic disease
  • Medical contraindication to PET/CT
  • History of active cancer other than non-melanoma skin cancer within the last 5 years

Key Trial Info

Start Date :

April 12 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2028

Estimated Enrollment :

120 Patients enrolled

Trial Details

Trial ID

NCT04667585

Start Date

April 12 2021

End Date

January 1 2028

Last Update

August 13 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Duke University Medical Center

Durham, North Carolina, United States, 27710

2

Duke Raleigh Hospital

Raleigh, North Carolina, United States, 27609