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Taking people in CanadaPhase 3

Shorter Radiation With Focused Boost for HPV-Linked Throat Cancer

Tests a shorter radiation course with a focused boost in adults with HPV-linked throat cancer.

Plain-language title generated from the registry record
Registry title: Stereotactic Boost and Short-course Radiation Therapy for Oropharynx Cancer

Key facts

Where
London and Montreal, CanadaSee the 2 sites
Phase
Phase 3

Where in Canada

  • London Health Sciences CenterLondon, CanadaTaking people
  • Centre Hospitalier de l'Université de MontréalMontreal, CanadaTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Centre hospitalier de l'Université de Montréal (CHUM)
Trial code
NCT04178174
Record updated
24 August 2026
Original description
This is a randomized clinical trial comparing the outcomes of short-course chemoradiation consisting in stereotactic boost to the gross tumor and de-esclalated chemoradiation to the elective neck in human papilloma associated oropharynx cancer vs. the current standard 7-week course chemoradiation.Read full original descriptionShow less

Stereotactic Boost and SHOrt-course Radiation Therapy for HPV-associated OroPharynx Cancer Trial: A Randomized Multicentric Phase III Trial

This is a randomized clinical trial comparing the outcomes of short-course chemoradiation consisting in stereotactic boost to the gross tumor and de-esclalated chemoradiation to the elective neck in human papilloma associated oropharynx cancer vs. the current standard 7-week course chemoradiation.

Inclusion: Age ≥18 years; Ability to provide written informed consent; Eastern Cooperative Oncology Group (ECOG) performance status 0-2; Biopsy proven diagnosis of squamous cell carcinoma of the oropharynx; Positive for HPV by p16 immunohistochemistry (IHC) or HPV in-situ hybridization (ISH); Clinical stage T1-3, N1 M0 (Stage I-II) as per AJCC 8th edition; Primary tumor < 30 cc; Planned for curative chemoradiation; For females of child-bearing age, a negative pregnancy test.

Exclusion: Previous irradiation of the head and neck region; Previous surgery of the HNC region (except for incisional or excisional biopsies); Non-Cisplatin concurrent chemotherapy; Prior induction chemotherapy; Connective tissue disease; Any medical condition that could, in the opinion of the investigator, prevent follow-up after radiotherapy; Clinical N3 classification, as per AJCC 8th edition; Clinically overt extranodal extension (ENE). As per AJCC 8th edition, clinically overt ENE is defined as invasion of the skin, infiltration of musculature/fixation to adjacent structures on clinical examination, cranial nerve, brachial plexus, sympathetic trunk or phrenic nerve invasion with dysfunction); Pregnancy or breastfeeding.

ClinicalTrials.gov NCT04178174