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Status unknownNCT03418909Updated Mar 30, 2023

Functional Outcome After Treatment for Oropharyngeal Squamous Cell Carcinoma

An observational study in Oropharynx Cancer, Pain and Swallowing Disorder, sponsored by Rigshospitalet, Denmark. Status unknown at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-30.

Sponsored by Rigshospitalet, Denmark · Observational

The sponsor has not verified this record recently (last verified Mar 2023), so the status shown — last known as Active, not recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
44
Ages
18 Years and older
Sex
All
01

Study summary

To investigate the treatment related effects of transoral robotic surgery (TORS) or oncological treatment of oropharyngeal squamous cell carcinoma with a 1-year follow up.

Read the detailed description

Patients are enrolled prospectively at the department of Otorhinolaryngology, Head and Neck Surgery \& Audiology at Copenhagen University Hospital, Rigshospitalet.

All eligible patients with histologically verified squamous cell carcinoma of the oropharynx regardless of treatment option (as long as the intent is curative) can be included.

Outcome measures are assessed at baseline and repeated 3 and 12 months after treatment.

02

Conditions studied

  • Oropharynx Cancer
  • Pain
  • Swallowing Disorder
  • Quality of Life
  • Saliva Altered
  • Human Papilloma Virus
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Eligible patients with histologically verified oropharyngeal squamous cell carcinoma treated either with TORS or primary radiotherapy (with or without chemotherapy) with curative intent.

Inclusion criteria

TORS group:

  1. WHO performance status 0-2
  2. Squamous cell carcinoma of the oropharynx
  3. TNM: T1-2, N0-1 (without of evidence of extra capsular extent), M0.
  4. No previous head and neck cancer
  5. Absence of factors that inhibit the patient from participate in all or parts of the study e.g. geographical, mental, cognitive or other.
  6. Signed written consent.
  7. Cancer eligible for surgery in the absence of significant trismus.

Oncological group:

  1. WHO performance status 0-2
  2. Squamous cell carcinoma of the oropharynx
  3. Qualified for curative intended oncological treatment
  4. Signed written consent

Exclusion criteria

Exclusion Criteria:

TORS group:

  1. Serious co-morbidity
  2. Distant metastasis
  3. Previous radiotherapy to the head and neck region.
  4. Concurrent treatment eller investigations for another cancer, except carcinoma in situ.

Oncological group:

  1. Previous radiotherapy to the head and neck region.
  2. Concurrent treatment eller investigations for another cancer, except carcinoma in situ.
  3. Presence of factors that inhibit the patient from participate in all or parts of the study e.g. geographical, mental, cognitive or other.
  4. Presence of facors that inhibit the patient from completing the treatment.
  5. Previous head and neck cancer
  6. Distant metastasis
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
44 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Oropharyngeal carcinoma (excluding M+ stage)

    Eligible patients with histologically verified early stage squamous cell carcinoma of the oropharynx. Patients will be treated in accordance with current hospital protocols with transoral robotic surgery (T1-2, N1, M0) or radio(chemo)therapy (any T-stage, any N-stage, M0).

    Procedure: Primary Trans Oral Robotic Surgery (TORS) · Radiation: Radio(chemo)therapy

Interventions

  • ProcedurePrimary Trans Oral Robotic Surgery (TORS)

    In the absence of severe mobidity patients with early stage disease (T1-2, N1, M0) were offered TORS, as an alternative to the standard of care (radiotherapy).

  • RadiationRadio(chemo)therapy

    As the standard of care radiotherapy was offered to all of the patients. Patients that qualified for both TORS and radiotherapy were free to choose between the two.

05

What researchers measure

Primary outcomes

  1. Altered salivatory function

    Measured as change in flow rate or composition compared to baseline measurements performed prior to treatment.

    Time frame: 3 and 12 months follow up

Secondary outcomes

  1. Changes in swallowing function (MBSS)

    Assessed using modified barium swallowing studies (MBSS). Evaluated as change from baseline.

    Time frame: 3 and 12 months as well as 3 years after treatment

  2. Changes in swallowing function (FEES)

    Assessed using fiber endoscopic evaluation of swallowing function (FEES). Evaluated as change from baseline.

    Time frame: 3 and 12 months as well as 3 years after treatment

  3. Change to quality of life scores (MDADI)

    Assessed using the MD Anderson Dysphagia Inventory (MDADI) questionnaire. Evaluated as change from baseline.

    Time frame: 3 and 12 months as well as 3 years after treatment

  4. Change to quality of life scores (EORTC QLQ-C30)

    Assessed using the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 questionnaire. Evaluated as change from baseline.

    Time frame: 3 and 12 months as well as 3 years after treatment

  5. Change to quality of life scores (EORTC QLQ-H&N35)

    Assessed using the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-H\&N35 questionnaire. Evaluated as change from baseline.

    Time frame: 3 and 12 months as well as 3 years after treatment

  6. Treatment related pain

    Assessed using a pain diary based on a 10 point visual analog scale (VAS). 0 being no pain and 10 the most severe pain. Registrered in increments of 1 (i.e. 3,5 is not an accepted score whereas 3 or 4 are).

    Time frame: For as long as the patient needs analgesics or up to three months

06

Study locations

1 site
  • Rigshospitalet
    Copenhagen, 2100, Denmark
07

Registry details

Key details

Study ID
NCT03418909
Lead sponsor
Rigshospitalet, Denmark
Responsible party
Susanne Scott (MD, PhD student, Rigshospitalet, Denmark) — Principal investigator
First posted
Feb 1, 2018
Start date
Apr 1, 2017
Primary completion
Dec 31, 2021
Completion
Jun 30, 2024 (estimated)
Last update
Mar 30, 2023

Study contacts

Christian von Buchwald, MD, dr. med.
study director · Rigshospitalet, Denmark

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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