Study on Personalized Radiation Therapy for High-Risk HPV-Related Throat Cancer
Sponsor: University of Michigan Rogel Cancer Center
ClinicalTrials ID:NCT06234748
This clinical trial is exploring a new approach to radiation therapy for patients with high-risk HPV-related throat cancer. The study aims to see if using advanced imaging techniques can improve treatment outcomes while maintaining or reducing side effects compared to traditional methods.
Patient Parameters
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Program Overview
The purpose of this study is to investigate whether personalized radiation therapy, guided by advanced imaging techniques like DCE MRI and FDG-PET, can be effectively used to treat high-risk HPV-related throat cancer. The goal is to enhance the radiation treatment specifically for patients with high-risk p16+ oropharyngeal cancer, potentially improving outcomes while keeping side effects similar to or less than those of standard treatments.
Eligibility Criteria
Inclusion Criteria
- Diagnosed with advanced p16+ squamous cell carcinoma of the oropharynx and referred for chemo-radiation therapy.
- Classified as Stage III (cT4 or N3) according to AJCC 8.
- Good overall health with an ECOG performance status of 0 or 1.
- Meet specific blood test criteria within four weeks before joining the study, including:
- White blood cell count over 3500/ul.
- Granulocyte count over 1500/ul.
- Platelet count over 100,000/ul.
- Total Bilirubin less than 1.5 times the upper limit of normal.
- AST and ALT less than 2.5 times the upper limit of normal.
- Creatinine clearance over 30cc/min.
- Able to receive chemotherapy as determined by the treating oncologist.
- Aged 18 or older.
- Must understand the study is experimental and provide written consent.
- Women of childbearing potential and men must agree to use effective birth control during the study.
Exclusion Criteria
- Pregnant women or those not willing to use effective contraception, as the treatment may harm an unborn baby.
- Unable to undergo MRI or PET scans with contrast due to medical reasons.
- Have had another invasive cancer within the last 3 years, except for certain skin cancers or non-invasive cancers like carcinoma in situ.
- Have received any prior treatment for the current cancer, although past chemotherapy for a different cancer is allowed if it was over 3 years ago.
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