Phase 2 Pragmatic Trial of Sentinel Lymph Node Biopsy (SLNB) in Patients With Clinically Node-Negative (cN0), High-Risk Cutaneous Squamous Cell Carcinoma (cSCC) of the Head and Neck
NCT06990737 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 24
Last updated 2025-07-15
Summary
This is a phase 2 pragmatic study at a single site that evaluates the clinical benefit of SLNB in patients with high-risk cSCC and cN0. The primary goal is to evaluate the efficacy of SLNB based on the DFS rate at 2 years post-definitive therapy.
Conditions
- Cutaneous Squamous Cell Carcinoma of the Head and Neck
- Clinically Node-Negative (cN0)
- High-Risk Cutaneous Squamous Cell Carcinoma (cSCC) of the Head and Neck
Interventions
- PROCEDURE
-
Sentinel lymph node biopsy (SLNB)
Participants will have SLNs excised from the affected area(s) per standard of care
- PROCEDURE
-
Lymphadenectomy
Surgeon preference will dictate the order of the surgery for resecting the primary tumor. Elective neck dissection (END) will include nodal basins based on the primary site of disease, at-risk nodal basins, and any additional dissection per the surgeon's discretion. In the event of a positive SLN, the completion neck dissection (CND) should be completed.
- DRUG
-
Adjuvant Definitive Therapy
Use of chemotherapy will depend on the specific phase of treatment and high-risk features as per standard of care and NCCN Head and Neck Cancer-Clinical Practice Guidelines in Oncology
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
University of California, Davis
lead OTHER
Principal Investigators
-
Andrew Birkeland, MD · University of California, Davis
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-06-25
- Primary Completion
- 2031-08-01
- Completion
- 2032-08-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
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