Transoral Surgical Resection Followed by De-escalated Adjuvant IMRT in Resectable p16+ Locally Advanced Oropharynx Cancer
NCT05388773 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 150
Last updated 2025-06-19
Summary
This is a trial studying patients with human papilloma virus (HPV) positive oropharyngeal cancer with tumors that can be removed via transoral surgery. Following surgery, patients will be classified as either low, intermediate, or high risk based on the characteristics of the tumors. Low risk patients (Arm S) will receive no further treatment after surgery. Intermediate risk patients (Arm RT) will be treated with Intensity Modulated Radiotherapy (IMRT) after surgery. High risk patients (Arm CRT) will receive a combination of IMRT and chemotherapy after surgery. Patients will be followed for up to five years after the completion of treatment.
Conditions
- Oropharynx Cancer
Interventions
- PROCEDURE
-
therapeutic conventional surgery
Transoral surgical resection of tumor(s).
- OTHER
-
laboratory biomarker analysis
Correlative studies
- OTHER
-
quality-of-life assessment
Ancillary studies.
- RADIATION
-
intensity-modulated radiation therapy
Low-dose IMRT
- DRUG
-
Given IV.
- DRUG
-
Given IV
Sponsors & Collaborators
-
Heath Skinner
lead OTHER
Principal Investigators
-
Heath Skinner, MD, PhD · UPMC Hillman Cancer Center
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-07-20
- Primary Completion
- 2028-12-31
- Completion
- 2030-12-31
- FDA Drug
- Yes
- FDA Device
- Yes
Countries
- United States
Study Locations
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