Reduced Radiation Doses for Throat Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores whether lower doses of radiation can effectively treat throat cancer while reducing long-term side effects. Participants will receive either 44 or 54 doses of radiation, depending on the cancer's spread, or may be observed after surgery if they meet certain criteria. This trial suits individuals with surgically removable throat cancer, particularly if linked to HPV, a common virus. The researchers aim to balance effective treatment with minimizing radiation's harsh effects. As an unphased trial, it allows participants to contribute to important research that could enhance future treatment options.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research has shown that lower radiation doses can safely treat throat cancer. For those receiving 44 doses of radiation, studies have found typical doses range from 44 to 60 Gy (a measure of radiation), and patients generally tolerate them well. Many patients even receive up to 70 Gy without serious side effects, suggesting that 44 Gy might be easier on the body.
For the 54-dose treatment, research on reduced radiation for HPV-positive throat cancer has shown promising safety results. One study found that lowering the radiation dose can still be effective and improve quality of life by reducing long-term side effects. These findings suggest that the 54-dose treatment is also likely manageable for patients.
Both treatment options aim to be effective while causing fewer side effects, making them potentially safer alternatives to higher-dose treatments.12345Why are researchers excited about this trial?
Researchers are excited about these treatments for throat cancer because they focus on reducing radiation exposure while maintaining effectiveness. Traditionally, patients undergo a standard radiation regimen, which can be taxing and lead to significant side effects. By offering 44 or 54 gray fractions, these treatments aim to tailor radiation doses based on the extent of cancer spread, potentially reducing the risk of side effects. This personalized approach could lead to improved quality of life for patients while effectively managing the cancer.
What evidence suggests that this trial's treatments could be effective for throat cancer?
This trial will compare different radiation doses for throat cancer treatment. Research has shown that lowering the radiation dose can be effective and reduce side effects. Participants may receive 44 doses of radiation. Studies have found that patients, especially those with HPV-positive cancer, can achieve successful results with fewer side effects, leading to a better quality of life. Alternatively, participants may receive 54 doses of radiation. Research indicates that this approach can also significantly reduce side effects for HPV-positive throat cancer while still effectively controlling the cancer. Both options in this trial aim to balance effective treatment with fewer long-term side effects.678910
Who Is on the Research Team?
Michael Sim, MD
Principal Investigator
Indiana University School of Medicine, Indiana University Simon Cancer Center
Are You a Good Fit for This Trial?
This trial is for adults over 18 with HPV-positive throat cancer that can be removed surgically. They should have a performance status indicating they are relatively active and must not have distant spread of cancer or other cancers in the last 5 years, except certain skin and thyroid cancers. Women must not be pregnant or breastfeeding.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Surgery
Participants undergo transoral robotic surgery (TORS) for HPV+ OPSCC
Adjuvant Treatment
Participants receive adjuvant radiation therapy based on risk stratification
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- 44 doses of radiation
- 54 doses of radiation
Find a Clinic Near You
Who Is Running the Clinical Trial?
Indiana University
Lead Sponsor