PIRATES: Image-guided Hyper-fractioned Dose-escalation With Proton Therapy for Head and Neck Cancer

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Medical Center Groningen

About this trial

In this study the safety \& feasibility of image-guided mid-treatment hyper-fractioned dose-escalation with proton therapy will be assessed for the treatment of locally advanced HPV-negative squamous cell oropharyngeal cancer

Eligibility criteria

Qualifiers

Biopsy proven diagnosis of squamous cell carcinoma originating in the oropharynx.

Routine staging procedures, including CT of the head and neck region and chest, head and neck FDG-PET/CT and MRI (treatment planning allowed), and endoscopic evaluation when indicated.

Negative for p16

Stage III-IV

Disqualifiers

underwent definitive resection of their primary tumor or nodal disease, except for incisional or excisional biopsies.

have no detectable tumor anymore at both the primary site and lymph nodes at week 4 in treatment, because there will not be a volume to boost.

are unable or unwilling to give written, informed consent

have contra-indications for chemotherapy. This is at the discretion of the treating medical oncologist.

Trial design

Treatments tested in this trial

  • Image guided hybrid hyper-fractioned dose escalation with proton therapy

Treatment groups

17 Participants
are divided into 1 treatment group

Sponsors and collaborators

University Medical Center Groningen

Lead sponsor

M.D. Anderson Cancer Center

Collaborator