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CompletedNCT01358097Updated Apr 10, 2014

Role of Immune Activation in Response of Head and Neck Squamous Cell Carcinoma to Therapy

An observational study in Head and Neck Cancer, Oropharyngeal Cancer and Human Papillomavirus, sponsored by Icahn School of Medicine at Mount Sinai. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-04-10.

Sponsored by Icahn School of Medicine at Mount Sinai · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
33
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate the role of the immune system in the response of squamous cell cancers of the head and neck to treatment that includes radiation therapy. Current research demonstrates that several natural immune cells and molecules affect the way the body's immune system interacts with a cancerous growth. Some cancers may be related to infection with a virus, such as the Human Papilloma Virus (HPV). Studying the activity of the immune system in head and neck cancers, especially cancers related to HPV infections, can provide valuable information to better understand the body's interaction with cancer cells.

Read the detailed description

This is a study of the immune response in patients with oropharyngeal cancer who undergo treatment with radiation, chemoradiation, or robotic surgery. Many oropharyngeal cancers are caused by infection with the human Papillomavirus (HPV), and patients with HPV-mediated tumors have much better prognosis and treatment response compared to patients with HPV-negative tumors. The investigators will test the hypothesis that radiation-based therapy of oropharyngeal cancer is associated with activation of the endogenous HPV-specific immune response. In this study the investigators will collect blood at several time points before, during, and after treatment to monitor the immune response in patients with tumors positive and negative for HPV versus normal healthy volunteers.

02

Conditions studied

  • Head and Neck Cancer
  • Oropharyngeal Cancer
  • Human Papillomavirus
  • Squamous Cell Cancer

Keywords

  • Head and neck cancer
  • Oropharyngeal cancer
  • Human papillomavirus
  • Squamous cell carcinoma
  • Radiation treatment
  • Chemotherapy
  • Induction chemotherapy
  • Immune status
  • Immune monitoring
  • head and neck robotic surgery
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's enrollment of 33 is below the median of 149 across 1,175 observational studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Icahn School of Medicine at Mount Sinai is the lead sponsor of 764 studies on the registry; 181 are open to participants now.

Of its 121 completed or terminated interventional studies of FDA-regulated products, 82 (68%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients with new head and neck cancer, who reside in the tri-state area.

Inclusion criteria

  • The patient has biopsy-proven squamous cell carcinoma, Stage II-IV, of the oropharynx or larynx.
  • The patient is to undergo treatment with radiation, chemo-radiation, or robotic surgery.
  • The patient is able to give informed consent.
  • The patient is at least 18 years old.
  • The patient's ECOG performance status is \</=2.

Exclusion criteria

Exclusion Criteria:

  • The patient has had prior head and neck squamous cell carcinoma, with the exception of superficial cutaneous basal cell or squamous cell carcinomas.
  • The patient has active cancer in another part of the body, with the exception of superficial cutaneous basal cell or squamous cell carcinomas.
  • If a cancer survivor, the disease free interval is less than 5 years, with the exception of superficial cutaneous basal cell or squamous cell carcinomas.
  • The patient is a minor.
  • The patient is pregnant.
  • The patient is a prisoner.
  • The patient is incapable of understanding the consent process.
  • The patient has previously received definitive surgical, radiation, or chemoradiation treatment for HNSCC.
  • The patient has a history of HIV or other known cause of immunosuppression, or is actively taking immunosuppressive medications due to organ transplantation, rheumatoid disease, or other medical conditions.
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
33 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Patients with HPV positive tumors
  • Patients with HPV negative tumors
  • Control
06

What researchers measure

Primary outcomes

  1. HPV-specific T-cell response

    Time frame: at time of enrollment into study (baseline)

  2. HPV-specific T-cell response

    Time frame: after 3 weeks of treatment

  3. HPV-specific T-cell response for HPV+ tumors

    Time frame: 3 months after completion of treatment

  4. HPV-specific T-cell response for HPV+ tumors

    Time frame: 6 months after completion of treatment

  5. HPV-specific T-cell response

    Time frame: 1 year after completion of treatment

  6. HPV-specific T-cell response

    Time frame: 2 years after completion of treatment

  7. HPV-specific T-cell response

    Time frame: 3 years after completion of treatment

Secondary outcomes

  1. Circulating immune cells and cytokines

    Time frame: at time of enrollment into study (baseline)

  2. Circulating immune cells and cytokines

    Time frame: after 3 weeks of treatment

  3. Circulating immune cells and cytokines

    Time frame: 3 months after completion of treatment

  4. Circulating immune cells and cytokines

    Time frame: 6 months after completion of treatment

  5. Circulating immune cells and cytokines

    Time frame: one year after completion of treatment

  6. Clinical outcome correlation

    Time frame: three years after treatment

  7. inflammatory/regulatory cytokines

    Time frame: at time of enrollment (baseline)

  8. inflammatory/regulatory cytokines

    Time frame: after 3 weeks of treatment

  9. inflammatory/regulatory cytokines

    Time frame: 3 months after completion of treatment

  10. inflammatory/regulatory cytokines

    Time frame: 6 months after completion of treatment

  11. inflammatory/regulatory cytokines

    Time frame: 1 year after completion of treatment

  12. serum nitrite/nitrate

    Time frame: after 3 weeks of treatment

  13. serum nitrite/nitrate

    Time frame: 3 months after completion of treatment

  14. serum nitrite/nitrate

    Time frame: 6 months after completion of treatment

  15. serum nitrite/nitrate

    Time frame: 1 year after completion of treatment

07

Study locations

1 site
  • Icahn School of Medicine at Mount Sinai, Otolaryngology - Head and Neck Surgery
    New York, New York 10029, United States
08

References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 10, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01358097
Lead sponsor
Icahn School of Medicine at Mount Sinai
Responsible party
Sponsor
First posted
May 23, 2011
Start date
Oct 2010
Primary completion
Sep 2013
Completion
Sep 2013
Last update
Apr 10, 2014

Study contacts

Andrew Sikora, MD, PhD
principal investigator · Icahn School of Medicine at Mount Sinai

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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