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NCT03656133 · REGISTRY CONDITION SEARCH

Use of a Proliferation Saturation Index to Determine Personalized Radiotherapy for HPV + Oropharyngeal Cancers

Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.

Phase
NA
Status at capture
COMPLETED
Registry last update
2026-02-20

This study is to determine whether a mathematical model can be used to choose a radiation delivery method to improve the rate of a rapid response.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

Who could take part
eligibility Criteria
Inclusion Criteria: * Stated willingness to comply with all study procedures and availability for the duration of the study * Male or female, aged ≥ 18 years * Pathologically (histologically or cytologically) proven diagnosis of p16+ or HPV+ squamous cell carcinoma (including the histological variants papillary squamous cell carcinoma and basaloid squamous cell carcinoma) of the oropharynx; cytologic diagnosis from a cervical lymph node is sufficient in the presence of clinical evidence of a primary tumor in the oropharynx. Clinical evidence should be documented, and may consist of pathology, palpation, imaging, or endoscopic evaluation, and should be sufficient to estimate the size of the primary (for T stage). * American Joint Committee on Cancer (AJCC) 8th edition staging T1-3 N0-1 MO * Patients must have clinically or radiographically evident measurable disease at the primary site or at nodal stations. * CT or MRI performed at least 1 week apart. This can consist of diagnostic imaging and radiation therapy planning imaging. * No evidence of distant metastases * Eastern Cooperative Oncology Group Performance Status 0 to 3 Exclusion Criteria: * Age \< 18 * Positive urine pregnancy test * Evidence of distant metastases * Gross total excision of both primary and nodal disease; this includes tonsillectomy, local excision of primary site, and nodal excision that remove all clinically and radiographically evident disease * Prior radiotherapy to the region of the study cancer that would result in overlap of radiation therapy fields * Patients with a medical condition or social situation that at the discretion of the PI would preclude them from completion of the trial
healthy Volunteers
false
minimum Age
18 Years
sex
ALL
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    Investigators will use an individual patient proliferation saturation index (PSI) to select radiotherapy fractionation (conventional fractionation or hyperfractionation) to improve the likelihood of a rapid response (defined as ≥ 32% reduction in volume at 4 weeks). Radiotherapy fractionation: Standard fractionation at 2Gy once daily or Hyperfractionation at 1.2 Gy twice daily (≥ 6 hours apart)
    intervention Names
    1. Radiation: Radiotherapy fractionation
    label
    Radiotherapy Fractionation
    type
    EXPERIMENTAL
interventions
  1. arm Group Labels
    1. Radiotherapy Fractionation
    description
    Standard fractionation at 2Gy once daily or Hyperfractionation at 1.2 Gy twice daily (≥ 6 hours apart)
    name
    Radiotherapy fractionation
    type
    RADIATION
Study design
allocation
NA
intervention Model
SINGLE_GROUP
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
55
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    Fractionation of radiation will be individualized based on patient Proliferation Saturation Index (PSI). Objective is to increase the rate of response of ≥ 32% at 4 weeks to 63% of patients, above the expected 49%. Result is reported as percentage of participants who met the criteria for ≥ 32% reduction in tumor volume by week 4.
    measure
    Percentage of Response at Week 4 of Treatment
    time Frame
    At 4 weeks of treatment
secondary Outcomes
  1. description
    Rate of complete response by Computed Tomography (CT) at 2 months or Positron Emission Topography (PET)/CT at 3 months following completion of therapy
    measure
    Rate of Complete Response at 2-3 Months
    time Frame
    2-3 months post treatment
Full study description
brief Summary
This study is to determine whether a mathematical model can be used to choose a radiation delivery method to improve the rate of a rapid response.
detailed Description
Investigators hypothesize that using individual patient proliferation saturation index (PSI) to select radiotherapy fractionation (conventional fractionation or hyperfractionation) may improve the likelihood of a rapid response (defined as ≥ 32% reduction in volume at 4 weeks).
Source references
Source notices and limitations
    Discovery and provenance
    1. release id
      ctgov-registry-1336d216cbd1bbff780dac70
      edge id
      nct-edge-8da5bd366d8a943af723
      requested nct id
      NCT03656133
      primary nct id
      NCT03656133
      source kind
      ctgov_condition_query
      source record id
      Source null
      source file sha256
      fd31a95088dd8ee475e2862bffd724180f0c754cf3f0e892cba5b448df424980
      payload sha256
      f86a3af2c1fbcfb0d6010f2d04f8c85e889c1d51c12422e209ae59e1deab782c
      payload
      clinical indication matching status
      condition_index_match_asserted_by_registry_not_reviewed
      end exclusive
      true
      id
      nct-edge-8da5bd366d8a943af723
      link basis
      returned_by_explicit_condition_and_posted_results_filter_query
      nct id
      NCT03656133
      occurrences
      1. context exact
        NCT03656133
        end
        11
        exact text
        NCT03656133
        start
        0
      offset unit
      unicode_code_points
      query cond
      Laryngeal Cancer
      query disease state id
      ds-laryngeal-cancer
      source file
      /Users/arunverma/Documents/ChatGPT/Cancer Statistics Website/research-data/2026-09-10/clinicaltrials-condition/round-0000/raw/cond-laryngeal-cancer-000.json
      source file sha256
      fd31a95088dd8ee475e2862bffd724180f0c754cf3f0e892cba5b448df424980
      source json pointer
      /studies/72/protocolSection/identificationModule/nctId
      source kind
      ctgov_condition_query
      source record id
      Source null
      source string basis
      parsed_JSON_string_unmodified
      source string sha256
      d3836e2739afc3e62346a0e6ae27d4a8915e8332d301e479b3f2a1c4208f86de

    Preserved source evidence · Not medical advice