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Trial Title: Pilot Trial of Adaptive Radiotherapy Boost for HNSCC

NCT ID: NCT06137274

Condition: Squamous Cell Carcinoma
Head and Neck Cancer

Conditions: Official terms:
Carcinoma
Carcinoma, Squamous Cell

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Radiation
Intervention name: Intensity-modulated radiotherapy
Description: All patients will be treated with intensity-modulated radiotherapy (IMRT) plans.
Arm group label: Adaptive Radiotherapy treatment

Other name: IMRT

Intervention type: Other
Intervention name: Magnetic Resonance Guidance
Description: All patients will undergo combined CT and/or MR simulation and will be treated with a sequential-boost technique.
Arm group label: Adaptive Radiotherapy treatment

Other name: View Ray

Summary: The purpose of the study is to determine if it is feasible to use magnetic resonance imaging (MRI) to adjust a portion of radiation therapy for patients with head and neck squamous cell carcinoma . The technique under study will be used to personalize the study treatment based on response, keeping all treatments within standard of care guidelines.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Provision of signed and dated informed consent form - Stated willingness to comply with all study procedures and availability for the duration of the study - ECOG performance status of 0, 1 - Patients with histologically or cytologically confirmed squamous cell carcinoma of the oral cavity, oropharynx, nasopharynx, hypopharynx, larynx, or unknown primary in the neck. - Patients with measurable disease, either at primary site or neck per RECIST 1.1. - For patients planned to receive chemotherapy, adequate hematologic, hepatic and renal function as outlined in protocol. - International normalized ratio of prothrombin time (INR) and prothrombin time (PT) within 28 days before randomization must be WNL for the lab. Patients who are therapeutically treated with an agent such as warfarin may participate if they are on a stable dose and no underlying abnormality in coagulation parameters exists per medical history. - Negative serum pregnancy test within before starting study treatment in woman with childbearing potential. Exclusion Criteria: - Pregnancy or lactation - Patients who have had prior radiotherapy to the head and neck or prior systemic therapy for the index cancer. - Patients who had undergone definitive surgery for the index cancer. - Patients with distant metastatic disease - Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, or psychiatric illness/social situations that would limit compliance with study requirements.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Moffitt Cancer Center

Address:
City: Tampa
Zip: 33612
Country: United States

Status: Recruiting

Contact:
Last name: Kevin Samnarine

Phone: 813-745-4245
Email: kevin.Samnarine@moffitt.org

Investigator:
Last name: George Yang, MD
Email: Principal Investigator

Start date: December 18, 2023

Completion date: October 2026

Lead sponsor:
Agency: H. Lee Moffitt Cancer Center and Research Institute
Agency class: Other

Source: H. Lee Moffitt Cancer Center and Research Institute

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06137274

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