QUantitative Assessment of Swallowing After Radiation (QUASAR)
NCT04359199 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 42
Last updated 2023-02-10
Summary
To use novel methods for quantitative analysis of VFSS (videofluoroscopic swallow study, also known as modified barium swallow) to study and compare dysphagia in patients treated for head and neck carcinoma with concurrent radiation therapy and chemotherapy (cisplatin) or targeted therapy (cetuximab) vs. immunotherapy (pembrolizumab, nivolumab, or durvalumab).
Our hypothesis is that pharyngeal constriction will be greater (lower ratio) with concurrent immunotherapy compared to chemotherapy, as measured by the pharyngeal constriction ratio (PCR).
Conditions
- Head and Neck Cancer
- Dysphagia
- Oropharyngeal Dysphagia
- Oropharynx Cancer
- Oropharynx Squamous Cell Carcinoma
Interventions
- RADIATION
-
Radiation Therapy
Routine radiation dosing (approximately 70 Gy in 35 fractions over 6.5 weeks) to the head and neck for the treatment of head and neck cancer
- DRUG
-
Cetuximab is an epidermal growth factor receptor (EGFR) inhibitor used for the treatment of head and neck cancer
- DRUG
-
Cisplatin is a chemotherapy medication used to treat a number of cancers, including head and neck cancer
- DRUG
-
Immunotherapy
Keytruda or Pembrolizumab is a highly selective humanized monoclonal IgG4 antibody directed against the PD-1 receptor on the cell surface. Opdivo or Nivolumab is a targeted therapy. It is a human programmed death receptor-1 (PD-1) blocking antibody. Imfinzi or Durvalumab is an anti-cancer ("antineoplastic") drug. This medication is classified as an Anti-PD-L1 monoclonal antibody.
Sponsors & Collaborators
-
Loren Mell, MD
lead OTHER
Principal Investigators
-
Loren K Mell, MD · University of California, San Diego
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-09-01
- Primary Completion
- 2023-12-31
- Completion
- 2024-12-31
Countries
- United States
Study Locations
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