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NCT04667585Active, not recruiting

Radiotherapy Dose De-escalation in HPV-Associated Cancers of the Oropharynx

Radiotherapy Dose De-escalation in HPV-Associated Cancers of the Oropharynx Using Metabolic Signature From Interim 18FDG-PET/CT

Source: ClinicalTrials.gov · Last updated 12 Jun 2026

Brief summary (registry, in English)

The purpose of this study is to use intra-treatment 18FDG-PET/CT during definitive radiation therapy for human papillomavirus (HPV)-related oropharyngeal cancer (OPC) as an imaging biomarker to identify and select patients with a favorable response for chemoradiation dose de-escalation. This study will prospectively evaluate the clinical outcomes for patients undergoing dose de-escalation.

Status (registry)
Active, not recruiting
Study type
Interventional
Enrollment
120 (estimated)
First submitted
19 Nov 2020
Start date
12 Apr 2021
Primary completion date
Jul 2028
Lead sponsor
Duke University
NCT number
NCT04667585

What you commit to

  • Study type: Interventional
  • Planned participants: 120
  • From 12 Apr 2021 to the primary completion date, Jul 2028
  • 2 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Prior radiotherapy to the head and neck
  • Medical contraindications to radiation therapy
  • Absence of gross disease on imaging prior to beginning radiation therapy

Other illness

  • Distant metastatic disease
  • History of active cancer other than non-melanoma skin cancer within the last 5 years

Other

  • Medical contraindication to PET/CT

Who the study is looking for

  • Histologic documentation of squamous cell carcinoma of the oropharynx with p16-positive immunohistochemical staining and/or positive HPV in situ hybridization (ISH) and/or positive HPV PCR
  • Stage I-III (AJCC 8th edition) with plan for concurrent chemotherapy per standard of care treatment
  • Zubrod/ECOG score of 0-1
  • Weight loss \<10% in the 3 months prior to diagnosis
  • ≥ 18 years of age
  • No prior chemotherapy for their current cancer diagnosis

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (2)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Duke University Medical Center
Coordinator of this site? Confirm its status
DurhamUnited StatesUnknown status
Duke Raleigh Hospital
Coordinator of this site? Confirm its status
RaleighUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.