P53 Mutational Status and cf HPV DNA for the Management of HPV-associated OPSCC

PHASE2CompletedINTERVENTIONAL
Enrollment

195

Participants

Timeline

Start Date

December 31, 2016

Primary Completion Date

December 14, 2022

Study Completion Date

December 14, 2022

Conditions
Carcinoma, Squamous CellHead and Neck NeoplasmsOropharyngeal Neoplasms
Interventions
RADIATION

Intensity Modulated Radiotherapy (IMRT)

60- 70 Gy at 2 Gy/fx

DRUG

Cisplatin (or alternative)

The acceptable weekly chemotherapy regimens are Cisplatin 30 to 40 mg/m2 (first choice), Cetuximab 250mg/m2 (second choice), Carboplatin AUC 1.5 and paclitaxel 45 mg/m2 (third choice), Carboplatin AUC 3 (fourth choice). Chemotherapy will be given intravenously weekly during IMRT, 6 -7 total doses.

PROCEDURE

Assessment for surgical evaluation

Decision for surgical evaluation will be based on the results of the PET/CT and clinical exam 10-16 weeks after CRT. Patients with a positive PET/CT scan will undergo surgical evaluation at the discretion of the surgeon. Patients with a negative PET/CT scan will be observed.

Trial Locations (4)

27599

University of North Carolina at Chapel Hill, Department of Radiation Oncology, Chapel Hill

27607

Rex Healthcare, Raleigh

32206

University of Florida Proton Therapy Institute, Jacksonville

32610

University of Florida, Gainesville

All Listed Sponsors
lead

UNC Lineberger Comprehensive Cancer Center

OTHER

NCT03077243 - P53 Mutational Status and cf HPV DNA for the Management of HPV-associated OPSCC | Biotech Hunter | Biotech Hunter