resectable human papilloma virus associated locally advanced oropharyngeal cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. previously untreated oropharyngeal cancer, pathologically diagnosed as squamous cell carcinoma or undifferenciated carcinoma. 2. cases with high risk human papilloma virus, proven from biopsy samples with PCR and with p16 immunopositivity. 3. stage III/IV resectable cases without distant metastases (excluding T1N1cases) (unsesectable cases are defined as T4b cases of TNM classification (7th edition) or cases with primary tumor or lymph node metastasis fixed with carotid artery, skull base, deep layer of cervial fascia or cervical spine) 4. cases with clinically or radiographically evident measurable lesions 5. cases over 20 years old 6. unimpaired physical condition i.e. performance status 0-2 (ECOG Score) 7. Hemoglobin levels of 10.0g/dl or above 8. cases expected to survive more than 3 months from the start of the treatment 9. patients with written informed cosent
Exclusion criteria
Exclusion criteria: 1. previously irradiated the same field as currently scheduled 2. presence of active second primary cancer. heterochronic second primary cancers with no evidence of disease more than 36 months and superficial second primary cancers are allowed. 3. presence of active infectious disease or presence of fever above 38 centidegree 4. cases judged as inappropriate 5. T4 or/and N3
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| response rate (defined as the proportion of the patients who achieved completer response and/or complete metabolic response) | — |
Secondary
| Measure | Time frame |
|---|---|
| 2-year overall survival rate, 2-year disease specific survival rate, 2-year recurrence free survival rate, 2-year progression free survival rate | — |
Countries
Japan
Contacts
Osaka University Graduate School of Medicine Dept. of Otorhinolaryngology-Head and Neck Surgery