Personalized Volume-deescalated Elective Nodal Irradiation in Oropharyngeal Head and Neck Squamous Cell Carcinoma

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Zurich

About this trial

Multicentric prospective model-based de-escalation of the elective clinical target volumes (CTV) in radiotherapy of oropharyngeal carcinoma of all stages with the goal to reduce toxicity.

The study investigates the feasibility of this approach as measured by the number of expected out-of-field recurrencies based on the individual patient's state of disease progression and risk factors

Eligibility criteria

Qualifiers

Patients with a newly diagnosed (no pre-treatment) squamous cell carcinoma of the oropharynx (i.e. tonsils, base of tongue, oropharyngeal walls, oropharyngeal surface of epiglottis; ICD-10 codes C01, C09, C10), T1-4, N0-3.

Treatment with definitive (chemo) radiotherapy planned, with elective irradiation of the lymph nodes.

Age ≥ 18 years, no upper age limit.

ECOG performance score < 3.

Disqualifiers

Patients with a newly diagnosed (no pre-treatment) squamous cell carcinoma of the oropharynx (i.e. tonsils, base of tongue, oropharyngeal walls, oropharyngeal surface of epiglottis; ICD-10 codes C01, C09, C10), T1-4, N0-3.

Treatment with definitive (chemo) radiotherapy planned, with elective irradiation of the lymph nodes.

Age ≥ 18 years, no upper age limit.

ECOG performance score < 3.

Trial design

Treatments tested in this trial

  • De-escalation of irradiated volume

Treatment groups

120 Participants
are divided into 1 treatment group

Sponsors and collaborators

University of Zurich

Lead sponsor

Insel Gruppe AG, University Hospital Bern

Collaborator

University Hospital, Geneva

Collaborator

Ospedale Regionale Bellinzona e Valli

Collaborator

Réseau Hospitalier Neuchâtelois

Collaborator

Kantonsspital Aarau

Collaborator