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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04901234
Registration number
NCT04901234
Ethics application status
Date submitted
17/05/2021
Date registered
25/05/2021
Date last updated
12/12/2023
Titles & IDs
Public title
Adaptive RadioTherapy for OroPharynx Cancer
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Scientific title
Adaptive RadioTherapy for Locally Advanced OroPharynx Cancer (ART-OPC) A Phase II Randomized Trial
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Secondary ID [1]
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ART-OPC
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Universal Trial Number (UTN)
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Trial acronym
ART-OPC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Oropharynx Cancer
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Radiotherapy; Complications
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Radiotherapy Side Effect
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Dysphagia
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MRI
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Condition category
Condition code
Cancer
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Head and neck
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Standard radiotherapy +/- chemotherapy
Treatment: Other - Experimental radiotherapy +/- chemotherapy
Active comparator: Standard radiotherapy - Radiotherapy as planned at baseline, with replanning allowed only if significant weight loss or change in anatomy due to unforeseen circumstances (eg that would affect dosimetry and treatment delivery of baseline treatment plan). No adaptation to shrinking tumour is allowed.
Experimental: Adaptive radiotherapy - Systematic radiation treatment plan adaptation according to the shrinking tumour on mid-treatment MRI.
Treatment: Other: Standard radiotherapy +/- chemotherapy
No radiotherapy adaptation unless major dosimetric deviation
Treatment: Other: Experimental radiotherapy +/- chemotherapy
Systemic MRI-based radiotherapy adaptation mid-treatment
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Patient-reported dysphagia
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Assessment method [1]
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Patient-reported dysphagia as measured by the MD Anderson Dysphagia Index. Overall score ranges from 0 to 100, with higher score representing better functioning and quality of life.
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Timepoint [1]
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at 6 months post treatment
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Secondary outcome [1]
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Acute and late toxicities
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Assessment method [1]
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Rate of grade = 3 late toxicity as per CTCAE v5.0
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Timepoint [1]
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From treatment start to 5-years after the end of chemoradiation]
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Eligibility
Key inclusion criteria
* Age =18 years
* Ability to provide written informed consent.
* Stage T3-T4N0-3 as per AJCC 8th edition
* Eastern Cooperative Oncology Group (ECOG) performance status 0-2.
* Biopsy proven diagnosis of squamous cell carcinoma of the oropharynx.
* Planned for curative radiotherapy +/- chemotherapy
* For females of child-bearing age, a negative pregnancy test
* Patients treated with induction chemotherapy can be included if they have residual tumor in place.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Previous irradiation of the head and neck (HNC) region, excluding superficial radiation therapy for non-melanomatous skin cancer
* Previous surgery of the HNC region (except for incisional or excisional biopsies)
* Pregnancy or breastfeeding
* Connective tissue disease
* Any medical condition that could, in the opinion of the investigator, prevent follow-up after radiotherapy.
* Patients with contra-indications to MRI will be excluded.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
30/07/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2026
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Austin Health - Melbourne
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Recruitment postcode(s) [1]
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- Melbourne
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Quebec
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Funding & Sponsors
Primary sponsor type
Other
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Name
Centre hospitalier de l'Université de Montréal (CHUM)
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Address
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Other collaborator category [1]
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Government body
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Name [1]
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Austin Health
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a phase II randomized trial, where patients with histologically proven squamous cell carcinoma of oropharynx that have primary tumor (T3 - T4) in place, treated with curative intent chemoradiation, will be randomized to systematic mid-treatment MRI-based radiotherapy adaptation vs. standard of care. The primary objective is to compare patient-rated dysphagia (as assessed by the MD Anderson Dysphagia Inventory composite score at 6 months post-treatment in patients undergoing routine mid-treatment MR-guided radiotherapy adaptation vs. in patients receiving the current standard of care.
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Trial website
https://clinicaltrials.gov/study/NCT04901234
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04901234
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