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Study identifier: NCT03396718 Synced from ClinicalTrials.gov · July 29, 2026
● Recruiting

De-escalation of Adjuvant Radio (Chemo) Therapy for HPV-positive Head-neck Squamous Cell Carcinomas

Condition: Head-and-neck Squamous Cell Carcinoma  ·  Sponsor: Technische Universität Dresden

PhaseNA
Planned participants304
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

In patients with squamous cell carcinoma of the oral cavity, the oropharynx and larynx with local advanced tumors (pathologic stage T3 = pT3) and or lymph node involvement (pN+) postoperative radio - or radiochemotherapy is the standard of care. Postoperative radiochemotherapy is indicated in patients with multiple lymph node metastasis, lymph node metastasis with extracapsular spread and / or residual tumor (R1-Status) after resection. Oropharyngeal cancer caused by HPV (human papillomavirus 16) is a distinct subgroup with a known sensitivity to radiotherapy (RTx) or radiochemotherapy (RCTx). Additionally a superior outcome after R(C)Tx over HPV negative patients was shown for patients treated with primary or adjuvant RCTx. To date it is unknown if the total dose of the radiotherapy can be safely reduced with the aim to decrease the therapy associated late effects. Patients with a HPV associated carcinoma that take part in the study will be treated with a reduced radiotherapy dose, chemotherapy will be prescribed based on clinical factors (number of affected lymph node, presence of extracapsular spread or residual tumor). Radiation dose will be reduced in two steps.

This description comes directly from the study's public registry record.

Talk to the study team

Mechthild Krause, Prof.  ·  +49 351 458 2238  ·  mechthild.krause@uniklinikum-dresden.de

Fabian Lohaus, MD  ·  +49 351 458 2238  ·  fabian.lohaus@uniklinikum-dresden.de

Always discuss trial participation with your own doctor first.

Locations (10)

University Clinic TübingenTübingen, Baden-Wurttemberg, GermanyRecruiting
University Clinic EssenEssen, North Rhine-Westphalia, GermanyRecruiting
University Clinic DresdenDresden, Saxony, GermanyRecruiting
Charité - Universitätsmedizin BerlinBerlin, GermanyNot Yet Recruiting
University Clinic FrankfurtFrankfurt am Main, GermanyRecruiting
University Clinic FreiburgFreiburg im Breisgau, GermanyRecruiting
University Clinic HeidelbergHeidelberg, GermanyRecruiting
LMU Munich University HospitalMünchen, GermanyRecruiting
TUM University HospitalMünchen, GermanyRecruiting
University Clinic RegensburgRegensburg, GermanyRecruiting

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Source record: clinicaltrials.gov/study/NCT03396718