Actively Recruiting

Age: 18Years +
All Genders
ID04564989

Prospective Observational Study to Validate Circulating HPV DNA and Prognostic Genomic Biomarkers in HPV-associated Oropharyngeal Squamous Cell Carcinoma

Led by UNC Lineberger Comprehensive Cancer Center · Updated on 2026-04-28

220

Participants Needed

3

Research Sites

N/A

Total Duration

On this page

Sponsors

U

UNC Lineberger Comprehensive Cancer Center

Lead Sponsor

M

Mayo Clinic

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are investigating whether the recurrence of HPV-associated oropharyngeal squamous cell carcinoma (OPSCC) can be predicted by specific genetic mutations and blood markers. The study focuses on mutations in the TRAF3 and CYLD genes and measurements of circulating HPV DNA in blood plasma. It also examines the relationship between HPV integration and these mutations to improve prediction of cancer recurrence. This observational study involves patients with p16 positive squamous cell carcinoma of the oropharynx or unknown primary who are planned to receive definitive cancer treatment. Participants are monitored without assigned treatments, as this study observes their condition and collects data over time. Participants will be followed for up to 5 years after their cancer therapy completion. During this time, researchers will assess recurrence through biopsy confirmation and imaging, monitor progression-free survival, and evaluate the predictive values of the biomarkers. Quality of life questionnaires will also be completed periodically until recurrence or the end of follow-up. The study aims to better understand how these biomarkers relate to disease outcomes.

CONDITIONS

Brief Title

Prospective Observational Study to Validate Circulating HPVDNA and Prognostic Genomic Biomarkers in HPV-associated OPSCC

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 18 years of age or older
  • T0-T2 N2a-N3 M0 or T3-T4 N0-N3 M0 stage according to AJCC 7th edition
  • Biopsy confirmed squamous cell carcinoma of the oropharynx or unknown primary
  • No prior therapy for this cancer
  • No evidence of distant metastatic disease
  • p16 positive tumor with diffuse expression of at least 70% tumor cells and moderate or higher staining intensity
  • Planned to receive definitive cancer treatment
  • ECOG Performance Status of 0 or 1
  • Able to comply with treatment plan and follow-up schedule
  • Provide informed consent specific to this study
Not Eligible

You will not qualify if you...

  • Prior radiation therapy to head and neck
  • Prior history of head and neck cancer
  • Inadequate pre-treatment tissue sample for tumor genomic analyses

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Monitoring

Duration - Up to 5 years

Participants who receive definitive cancer treatment are observed to validate circulating HPV DNA and prognostic genomic biomarkers in HPV-associated oropharyngeal squamous cell carcinoma.

Trial Site Locations

Total: 3 locations

1

Mayo Clinic

Rochester, Minnesota, United States, 55905

Active, Not Recruiting

2

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States, 27599

Actively Recruiting

3

Trident Medical Center (HCA Healthcare )

North Charleston, South Carolina, United States, 29406

Actively Recruiting

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Research Team

L

Lori Stravers

W

Wendell Yarbrough, MD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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