Actively Recruiting

Phase 2
Age: 18Years - 99Years
All Genders
NCT06477692

Invert-Prospective Phase II Randomized Trial of Involved Nodal Versus Elective Neck RadioTherapy

Led by University of Texas Southwestern Medical Center · Updated on 2026-04-17

80

Participants Needed

1

Research Sites

189 weeks

Total Duration

On this page

Sponsors

U

University of Texas Southwestern Medical Center

Lead Sponsor

N

National Cancer Institute (NCI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

To determine the risk of solitary elective volume recurrence following involved nodal radiotherapy (INRT) versus elective nodal irradiation (ENI)

CONDITIONS

Official Title

Invert-Prospective Phase II Randomized Trial of Involved Nodal Versus Elective Neck RadioTherapy

Who Can Participate

Age: 18Years - 99Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Pathologically-proven diagnosis of squamous cell carcinoma of the oropharynx, larynx, or hypopharynx
  • Clinically or radiographically measurable disease at primary site and/or nodal stations; diagnostic lymph node excision of 2 nodes or fewer allowed
  • Diagnostic or therapeutic transoral resection allowed for T1-2 tonsil or base of tongue cancer
  • Clinical stage I-IVB (AJCC 7th edition); excludes stages I-II glottic cancer
  • Age 18 years or older
  • ECOG Performance Status 0-2
  • Men and women of child-bearing potential must use adequate contraception before, during, and for 90 days after treatment
  • Female of child-bearing potential defined as woman not postmenopausal for at least 12 consecutive months or without hysterectomy/bilateral oophorectomy
  • Neck CT and/or MRI and PET-CT required
  • Ability to understand and willingness to sign informed consent
Not Eligible

You will not qualify if you...

  • Presence of distant metastasis
  • Inability to undergo diagnostic or simulation CT with contrast
  • Inability to undergo PET-CT
  • Stage I and II glottic carcinoma
  • Gross total excision of both primary and nodal disease
  • Synchronous non-skin cancer outside oropharynx, larynx, hypopharynx except low/intermediate-risk prostate or well-differentiated thyroid cancer
  • Prior invasive malignancy with expected disease-free interval less than 3 years
  • Prior systemic chemotherapy for current cancer
  • Prior radiotherapy overlapping study region
  • Receiving other investigational agents
  • History of allergic reactions to chemotherapy agents used in study
  • Uncontrolled illness including active infection, symptomatic heart failure, unstable angina, arrhythmia, psychiatric illness or social situations limiting compliance
  • Severe immunosuppression including HIV or prior organ/stem cell transplant

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

UT Southwestern Medical Center

Dallas, Texas, United States, 75390

Actively Recruiting

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Research Team

S

Sarah Neufeld

CONTACT

L

Liliana Robles

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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