Squamous Cell Carcinoma Head and Neck Cancer (HNSCC)
Investigational drug(s) / intervention(s)
Standard conventionally fractionated PORThypo-fractionated PORT
Standard conventionally fractionated PORT: 60Gy in 30 fractions over 6 weeks (5 fractions per week)
hypo-fractionated PORT: 4Gy in 15 fractions over 3 weeks (5 fractions per week)
Study summary
Hypo-fractionated radiotherapy reduces the OTT (overall treatment time) which may in turn reduce rapid accelerated repopulation of clonogenic cells during waiting period after surgery. If this holds true, there is a potential to achieve better loco-regional control in with PORT for HNSCC. There is a strong radiobiological and economic rationale for delivery hypo-fractionated radiotherapy in HNSCC. The HYPCON III trial will be aimed to reduce the number of fractions by 50% (30 fr to 15 fr)
Eligibility
Sex
ALL
Min age
18 Years
Max age
80 Years
Healthy volunteers
No
Inclusion Criteria:
* Patients with pT1-4 squamous cell carcinoma of oral cavity/ oropharynx/ larynx/ hypopharynx with any of the intermediate risk features:
* Positive lymph node (s)
* Perineural invasion
* Lympho-vascular invasion
* Close margins
* Age 18-80yrs
* ECOG performance status 0-1at time of surgery
* Informed consent
* Available FOR long term follow-up
Exclusion Criteria:
* High risk factors following resection: positive-margin(s)and/or extra nodal extension (ENE)
* pT1-2disease and no high-risk features (LVSI, PNI, Close margins,pN0)
* Patients receiving Neo-adjuvant or concurrent Chemotherapy
* Non-Squamous Histology
* Distant metastasis
* Synchronous or second primary malignancy outside of the oropharynx, oral cavity, larynx and hypopharynx
* Pregnant females or nursing mothers due to the probability of congenital anomalies and potential of this regimen to harm nursing infants.
* Prior Radiotherapy to head and neck region
Primary outcome measure(s)
loco-regional control at 24 months — 24 months
Trial sites (1)
Facility
City
Region
Status
Dr. Aman Sharma, Associate Professor, Radiation Oncology, NCI, AIIMS
Jhajjar
Haryana
Recruiting
More All India Institute of Medical Sciences trials in India
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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