Phase II Study for Personalized Treatment of p16+ Oropharyngeal Cancer at University of Michigan (CuSToMIze)
Sponsor: University of Michigan Rogel Cancer Center
ClinicalTrials ID:NCT05894083
This study is exploring personalized treatment options for patients with early-stage p16+ oropharyngeal cancer. Participants will receive either surgery followed by observation or tailored radiation therapy, or a customized combination of chemotherapy and radiation.
Patient Parameters
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Program Overview
This clinical trial is focused on finding the best personalized treatment for patients with Stage I-II p16+ oropharyngeal cancer. The study is being conducted at the University of Michigan and involves two treatment approaches: one involves surgery followed by observation or radiation therapy based on risk, and the other involves a personalized combination of chemotherapy and radiation therapy.
Eligibility Criteria
Inclusion Criteria
- Diagnosed with squamous cell carcinoma of the oropharynx (such as tonsil or base of tongue) that is p16 positive or HPV positive.
- Cancer is at Stage I-II according to the AJCC 8th edition.
- No cancer spread to distant parts of the body.
- Must have a PET scan showing active cancer.
- Must be 18 years or older.
- Must be able to undergo PET/CT imaging.
- For surgical candidates, tumors must be removable through the mouth.
- Must have adequate blood cell counts and kidney function.
- Women and men must agree to use effective birth control during the study.
- Must provide informed consent to participate.
Exclusion Criteria
- Cancer at Stage 3 or 4, or with certain advanced features.
- Previous invasive cancer unless disease-free for at least 3 years.
- Previous treatment for the current cancer.
- Previous radiation in the same area that would overlap with study treatment.
- Severe health conditions like recent heart attack or severe infections.
- AIDS or severe liver problems.
- Pregnant or not willing to use birth control.
- Poorly controlled diabetes for certain participants.
- Enrolled in another active treatment clinical trial for the same cancer.
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