A Study of Radiation Therapy After Surgery in People With Oral Tongue Squamous Cell Carcinoma

NCT ID: NCT06485778

Last Updated: 2025-10-24

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

Clinical Phase

PHASE2

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-27

Study Completion Date

2026-06-30

Brief Summary

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This study will test whether limiting standard photon intensity modulated radiation therapy (IMRT) to exclude the oral tongue surgical site can decrease the risk of side effects caused by oral radiation. The researchers will also find out if this approach affects the rate of disease coming back after treatment (recurrence), and will measure participants' quality of life by having them complete questionnaires.

Detailed Description

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Conditions

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Oral Tongue Squamous Cell Carcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Phase 2 single arm trial enrolling post operative oral tongue squamous cell carcinoma patients with pT1-2N0-N2b.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Radiation Therapy

These patients will then receive bilateral cervical nodal irradiation with the primary post operative site excluded (30 fractions). They will be monitored for both physician reported toxicities.

Group Type EXPERIMENTAL

Photon intensity modulated radiation therapy (IMRT)

Intervention Type RADIATION

Patients will receive bilateral cervical nodal irradiation with the primary post operative site excluded (30 fractions).

Life questionnaire's

Intervention Type OTHER

EORTC QLQ C30/HN 35 and MDADI

Interventions

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Photon intensity modulated radiation therapy (IMRT)

Patients will receive bilateral cervical nodal irradiation with the primary post operative site excluded (30 fractions).

Intervention Type RADIATION

Life questionnaire's

EORTC QLQ C30/HN 35 and MDADI

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18
* Surgical resection of all gross disease without evidence of residual loco-regional disease on simulation PET/CT.
* pT1-2, or pT3 by DOI, pN0-2b Squamous Cell Carcinoma of the Oral Tongue confirmed on final surgical pathology. Patients must have:

* at least two of the following pathologic risk features

* LVI
* DOI ≥ 4mm and ≤ 10mm OR
* 1 or 2 pathologically positive nodes N1 to low volume N2b. OR DOI \>10 mm OR
* \<=cT3N2b who undergo induction with near pCR (\<5% viable) or pCR at primary site
* Primary specimen surgical margins ≥3 mm (if \<WPOI 5, margin can be \>= 2.2mm)
* Signed informed consent form by the participant or their legally authorized representative (LAR)

Exclusion Criteria

* N2c/N3 nodal disease
* pT3 by size
* \>2 pathologically positive nodes
* Primary specimen surgical margin \< 3 mm
* Extensive Perineural Invasion (PNI); non-extensive PNI is permitted.
* Extra-capsular extension in any pathologically positive lymph node
* Prior or simultaneous invasive malignancy that, in the opinion of the PI, represents a competing risk of death equivalent to the patient's oral tongue squamous cell carcinoma.
* Auto-immune conditions that would otherwise preclude radiation in the opinion of the PI (e.g. Scleroderma).
* Lack of ability to understand and willingness to sign a written informed consent and complete questionnaires.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sean McBride, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Memorial Sloan Kettering Basking Ridge

Basking Ridge, New Jersey, United States

Site Status RECRUITING

Memorial Sloan Kettering Monmouth

Middletown, New Jersey, United States

Site Status RECRUITING

Memorial Sloan Kettering Bergen

Montvale, New Jersey, United States

Site Status RECRUITING

Memorial Sloan Kettering Suffolk - Commack

Commack, New York, United States

Site Status RECRUITING

Memorial Sloan Kettering Westchester

Harrison, New York, United States

Site Status RECRUITING

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status RECRUITING

Memorial Sloan Kettering Nassau

Uniondale, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Sean McBride, MD, PhD

Role: CONTACT

646-608-2450

Nancy Lee, MD

Role: CONTACT

212-639-3341

Facility Contacts

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Sean McBride, MD, MPH

Role: primary

646-608-2450

Sean McBride, MD

Role: primary

646-608-2450

Sean McBride, MD

Role: primary

646-608-2450

Sean McBride, MD

Role: primary

646-608-2450

Sean McBride, MD

Role: primary

646-608-2450

Sean McBride, MD

Role: primary

646-608-2450

Nancy Lee, MD

Role: backup

212-639-3341

Sean McBride, MD

Role: primary

646-608-2450

Related Links

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http://www.mskcc.org/mskcc/html/44.cfm

Memorial Sloan Kettering Cancer Center

Other Identifiers

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24-167

Identifier Type: -

Identifier Source: org_study_id

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