Transoral Surgery Followed By Low-Dose or Standard-Dose Radiation Therapy With or Without Chemotherapy in Treating Patients With HPV Positive Stage III-IVA Oropharyngeal Cancer
NCT01898494 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 519
Last updated 2026-04-01
Summary
This randomized phase II trial studies how well transoral surgery followed by low-dose or standard-dose radiation therapy works in treating patients with human papilloma virus (HPV) positive stage III-IVA oropharyngeal cancer. Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving radiation therapy with chemotherapy may kill any tumor cells that remain after surgery. It is not yet known how much extra treatment needs to be given after surgery.
Conditions
- Human Papilloma Virus Infection
- Stage III Squamous Cell Carcinoma of the Oropharynx
- Stage IVA Squamous Cell Carcinoma of the Oropharynx
- Stage IVB Squamous Cell Carcinoma of the Oropharynx
Interventions
- PROCEDURE
-
Transoral surgery
Undergo transoral surgical resection
- RADIATION
-
intensity-modulated radiation therapy
Undergo standard-dose or low-dose IMRT
- DRUG
-
Given IV
- DRUG
-
Given IV
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
ECOG-ACRIN Cancer Research Group
lead NETWORK
Principal Investigators
-
Robert Ferris · ECOG-ACRIN Cancer Research Group
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-01-22
- Primary Completion
- 2020-11-30
- Completion
- 2026-12-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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