Oropharynx (OPX) Biomarker Trial

NCT ID: NCT06356272

Last Updated: 2025-11-05

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

440 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-11-15

Study Completion Date

2029-11-30

Brief Summary

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The purpose of this research is to identify a biomarker that is exists when human papillomavirus (HPV) mediated oropharyngeal squamous cell carcinoma is present and does not exist when HPV mediated oropharyngeal squamous cell carcinoma is absent.

Detailed Description

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PRIMARY OBJECTIVE:

I. To identify a biomarker (or biomarkers) that is present when disease is present (i.e., at diagnosis or recurrence) and not present when disease is absent (i.e., after treatment, in HPV negative patients or in normal controls).

OUTLINE: This is an observational study.

Patients undergo blood sample collection, saliva sample collection, complete questionnaires and have their medical records reviewed on study.

Conditions

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Salivary Gland Neoplasms Thyroid Gland Neoplasm Clinical Stage III HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8 Clinical Stage IV HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8 Metastatic Oropharyngeal Squamous Cell Carcinoma Oropharyngeal Squamous Cell Carcinoma Recurrent Oropharyngeal Squamous Cell Carcinoma Stage III Oropharyngeal (p16-Negative) Carcinoma AJCC v8 Stage IV Oropharyngeal (p16-Negative) Carcinoma AJCC v8 Head and Neck Carcinoma Head and Neck Neoplasm

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Observational

Patients undergo blood sample collection, saliva sample collection, complete questionnaires and have their medical records reviewed on study.

Non-Interventional Study

Intervention Type OTHER

Non-interventional study

Interventions

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Non-Interventional Study

Non-interventional study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Able to provide written consent
* Groups 1-3:

* Must undergo p16 staining on biopsy for enrollment
* Patients with \< 70% of tumor cells positive for p16 will be considered p16 negative
* Must undergo HPV16 family in situ hybridization (ISH) and/or RNA on biopsy or surgical specimen, unless amount of tissue is too small to have conclusive HPV ISH testing done on it
* Willingness and intent to return in person to enrolling institution for follow-up (during the Active Monitoring Phase of the study) for at least 2 of the standard follow-up time points for a total of 3 time-points including pre-treatment. A participant who does not return in person to Mayo Clinic Rochester for every standard of care post-treatment follow up will not be considered deviating from the protocol
* Group 4:

* Clinical suspicion or histopathologic diagnosis of head and neck cancer or neoplasm

* Primary salivary neoplasm
* Primary thyroid neoplasm
* Primary head and neck neoplasm
* Multi-cancer early detection (MCED) testing concerning for cancer
* Patient has given permission to give his/her tumor/tissue/blood/saliva sample for research testing
* Ability to complete questionnaire(s) by themselves or with assistance

Exclusion Criteria

* Receiving any other investigational agent which would be considered as a treatment for the primary neoplasm.
* Groups 1-3:

* Other active malignancy ≤ 5 years prior to registration

* EXCEPTIONS: Non-melanotic skin cancer, non-metastatic thyroid cancer, non-metastatic prostate cancer, carcinoma-in-situ of the cervix, HPV+ oropharyngeal squamous cell carcinoma (SCC) (which can be enrolled in group 3)
* NOTE: If there is a history of prior malignancy, they must not be receiving other specific treatment for their cancer
* History of any head and neck malignancy, other than the tumor for which they are being treated
* Group 4, Cohort A, B, C:

* Other active malignancy ≤ 5 years prior to registration

* EXCEPTIONS: Non-metastatic prostate cancer, carcinoma-in-situ of the cervix, non metastatic cutaneous basal cell carcinoma
* NOTE: If there is a history or prior malignancy, they must not be receiving other specific treatment for their cancer
* History of any head and neck malignancy, other than the present neoplasm
* Note these are clarifications of inclusion into Group 4, Cohorts D and E:

* Presence of other active malignancy or recurrent head and neck neoplasms are allowed in this arm
* Receipt of cancer specific therapy for other malignancy is allowed in this arm
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kathryn M. Van Abel, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic in Rochester

Locations

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Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Clinical Trials Referral Office

Role: CONTACT

855-776-0015

Facility Contacts

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Clinical Trials Referral Office

Role: primary

855-776-0015

Diane Vogen

Role: backup

507-266-1247

Related Links

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Other Identifiers

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NCI-2024-00965

Identifier Type: REGISTRY

Identifier Source: secondary_id

19-006036

Identifier Type: OTHER

Identifier Source: secondary_id

19-006036

Identifier Type: -

Identifier Source: org_study_id

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