Treatment of Early Supraglottic Squamous Cell Carcinoma With Advance Technologies

NCT ID: NCT05611515

Last Updated: 2022-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

108 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-06-17

Study Completion Date

2026-12-31

Brief Summary

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In this project, the investigators will realize an observational, prospective, multicentric and international clinical trial, to objectively compare patients with SSCC according to 3 arms of treatment:

* Arm 1: Radiotherapy ± chemotherapy
* Arm 2: Trans-oral Laser Microsurgery (TLM)
* Arm 3: Trans-oral Robotic Surgery (TORS)

The main goal is to evaluate the efficacy of each treatment with four classes of outcomes:

* The quality of life (QoL) before and after each treatment option, using validated questionnaires
* Oncological outcomes
* Functional outcomes
* Economical Resources

The population will include cT1-T2 /cN0-N1/M0 supraglottic squamous cell carcinoma.

The primary outcome is a Clinical Dysphagia QoL evaluation assessed by the MD Anderson Dysphagia questionnaire. Secondary outcomes include others QoL evaluation, oncological and functional measures and cost parameters. The sample size needs to reach 36 patients per arm (total 108).

Detailed Description

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Conditions

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Supraglottic Squamous Cell Carcinoma Early Stage (T1-T2, N0-N1,M0)

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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TORS

Patients operated by Trans-oral Robotic Surgery (TORS)

TORS

Intervention Type PROCEDURE

* Arm 1: Intensity-Modulated Radiation Therapy (IMRT)
* Arm 2: Trans-oral Laser Microsurgery (TLM)
* Arm 3: Trans-oral Robotic Surgery (TORS)

TLM

Patients operated by Trans-oral Laser Microsurgery (TLM)

TORS

Intervention Type PROCEDURE

* Arm 1: Intensity-Modulated Radiation Therapy (IMRT)
* Arm 2: Trans-oral Laser Microsurgery (TLM)
* Arm 3: Trans-oral Robotic Surgery (TORS)

IMRT

Patients treated by Intensity Modulated Radiation Therapy (IMRT)

TORS

Intervention Type PROCEDURE

* Arm 1: Intensity-Modulated Radiation Therapy (IMRT)
* Arm 2: Trans-oral Laser Microsurgery (TLM)
* Arm 3: Trans-oral Robotic Surgery (TORS)

Interventions

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TORS

* Arm 1: Intensity-Modulated Radiation Therapy (IMRT)
* Arm 2: Trans-oral Laser Microsurgery (TLM)
* Arm 3: Trans-oral Robotic Surgery (TORS)

Intervention Type PROCEDURE

Other Intervention Names

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TLM IMRT

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of SSCC (with histological confirmation)

* cT1-T2 / cN0-N1/ M0 according to 8th TNM classification (UICC/AJCC)
* WITH a Multidisciplinary Tumor Board decision according to the NCCN or European guidelines
* Diagnostic imaging (Head and neck and pulmonary CT or PET/CT, +/- IRM if needed) realized within 1 month before the study inclusion
* ≥ 18 years old and able to provide an informed consent
* ECOG/WHO performance status ≤ 2

Exclusion Criteria

* \- Previous radiotherapy +/- chemotherapy treatment of the head and neck region
* Previous history of head and neck cancer within 5 years
* Prior invasive malignant disease unless disease-free for at least 5 years or more, with exception of non-melanoma skin cancer
* Non-supraglottic or unknown primary site
* Clinical and radiological signs of nodal extracapsular extension
* Significant trismus (maximum inter-incisal opening ≤ 35 mm)
* Pre-existing dysphagia not related to the cancer or the biopsy (from neurological disorders for example)
* Unable or unwilling to complete Quality of Life questionnaires
* Serious medical comorbidities or contraindication for surgery and/or radiation
* Pregnancy and lactation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire UCLouvain Namur

OTHER

Sponsor Role lead

Responsible Party

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Professor Maximilien Gourdin

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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CHU UCL Namur

Yvoir, Namur, Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Hassid Samantha, Doctor

Role: CONTACT

003281423782

Facility Contacts

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Hassid Dr Samantha, Doctor

Role: primary

003281423782

References

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Hassid S, Krug B, Deheneffe S, Daisne JF, Delahaut G, Lawson G, Crott R, Van der Vorst S. Treatment of supraglottic squamous cell carcinoma with advanced technologies: observational prospective evaluation of oncological outcomes, functional outcomes, quality of life and cost-effectiveness (SUPRA-QoL). BMC Cancer. 2023 Jun 1;23(1):493. doi: 10.1186/s12885-023-10953-9.

Reference Type DERIVED
PMID: 37264321 (View on PubMed)

Other Identifiers

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B0392022000044

Identifier Type: -

Identifier Source: org_study_id

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