Thermotherapy for Head and Neck Cancer Patients
NCT07690618 · Status: NOT_YET_RECRUITING · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2026-07-08
Summary
This phase I, single-center study evaluates the safety, tolerability, and recommended phase II dose (RP2D) of mild hyperthermia (thermotherapy) when added to standard-of-care treatment in patients with locally advanced head and neck squamous cell carcinoma (LAHNSCC). Tumor recurrence remains common despite chemoradiotherapy, highlighting the need for treatment intensification. Thermotherapy, which increases tumor temperature to 39-45°C, may enhance the effect of the treatment.
The study consists of two components: (1) a dose-escalation cohort in patients receiving definitive chemoradiotherapy, using a Time-to-Event Bayesian Optimal Interval (TiTE-BOIN) design to determine the RP2D based on dose-limiting toxicities (DLTs) and treatment tolerability; and (2) a parallel cohort of patients receiving radiotherapy alone, in whom thermotherapy is administered at dose levels previously shown to be safe and tolerable in the chemoradiotherapy cohort to evaluate tolerability in this patient population.
Besides the safety and tolerability of the thermotherapy RP2D, the secondary objectives include evaluation of safety in patients receiving radiotherapy alone, as well as exploratory assessment of tumor control and survival outcomes.
This study aims to support the development of safe and feasible thermotherapy-based treatment strategies to improve locoregional control and outcomes in patients with LAHNSCC.
Conditions
- Head and Neck Cancer
- Oropharyngeal Carcinoma
- Hypopharyngeal Carcinoma
- Laryngeal Carcinoma
- Head and Neck Squamous Cell Carcinoma
- Oral Cavity Carcinoma
- Locally Advanced Head and Neck Carcinoma
Interventions
- RADIATION
-
Concurrent chemoradiation
Standard of care chemoradiotherapy, 70 Gy in 35 daily fractions, 5 times per week with concurrent platinum based chemotherapy (cisplatin or carboplatin).
- RADIATION
-
Radiotherapy
Standard of care radiotherapy, often 70 Gy in 35 daily fractions, 5 times per week.
- OTHER
-
Thermotherapy
Patients will receive thermotherapy once weekly, adjuvant to standard of care (chemo)radiotherapy.
Sponsors & Collaborators
-
Dutch Cancer Society
collaborator OTHER -
Sensius BV
collaborator UNKNOWN - lead OTHER
Principal Investigators
-
Michiel Kroesen, MD, Dr. · Erasmus Medical 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
- 2026-08-01
- Primary Completion
- 2028-08-31
- Completion
- 2031-11-30
Countries
- Netherlands
Study Locations
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