A Trial Evaluating Omission of Radiotherapy to Regional Lymphatic's

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age18-70
SponsorAll India Institute of Medical Sciences

About this trial

The present study is a phase II/III prospective randomized trial designed to determine whether eliminating of post operative radiotherapy to regional lymphatics in pN0-N1oral cavity is associated with similar treatment outcomes.

Eligibility criteria

Qualifiers

Aged 18 or above and less than 70 years

Stage pT1-4histological confirmed squamous cell carcinoma of oral cavity undergoing radical excision and ipsilateral/bilateral neck dissection.

Patient with high risk features: positive or close (≤ 5mm) margin, presence of LVI or PNI, pT3-4

At least one dissected hemi-neck (at least 12 nodes recovered in one dissected hemi-neck)

Disqualifiers

Non squamous histology

Presences of distant metastases

pT1-2 disease and no high risk features

Pathologically N2/N3 disease.

Trial design

Treatments tested in this trial

  • IMRT - adjuvant concurrent CRT/ RT
  • ommission of IMRT - adjuvant concurrent CRT/ RT for regional lymphatics
  • Cisplatin

Treatment groups

396 Participants
are divided into 2 treatment groups

Sponsors and collaborators

All India Institute of Medical Sciences

Lead sponsor

All India Institute of Medical Sciences, Rishikesh

Collaborator

All India Institute of Medical Sciences, Raipur

Collaborator

Jawaharlal Institute of Postgraduate Medical Education & Research

Collaborator