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CompletedNCT03735745Updated Jan 30, 2025

Transdisciplinary Oral/Oropharyngeal Cancer Research & Care in Head and Neck Cancer (TORCH)

An interventional study of Blood collection and Saliva collection in Head and Neck Cancer, sponsored by Medical University of South Carolina. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-30.

Sponsored by Medical University of South Carolina · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this research study is to see if it is possible to collect tissue, saliva and blood samples from patients who are having surgery and send those samples to different labs across MUSC. The researchers in these labs will collect tissue, blood and saliva samples before surgery and during surgery to see if there are any changes in the samples. They will compare the changes in the samples to the clinical outcomes. Patients will also be given surveys to evaluate patient preferences, anxiety/distress, symptom severity, support by HPV status.

Read the detailed description

The primary objective of this exploratory, proof of concept study is to facilitate translational science spanning clinicians and basic scientists to obtain tissue samples, PDX models, and clinical data in order to successfully analyze tissue linked to clinical outcomes in head and neck cancer, resulting in the methodological and statistical framework for a larger scale clinical trial in the future. While the incidence of HNSCC has been steadily decreasing over the last thirty years, the incidence and prevalence of oropharyngeal cancer squamous cell carcinoma (OPSCC) and young patients with oral tongue cancer has increased in the face of an overall decline in smoking prevalence. Over the past few years, evidence has emerged that oropharyngeal cancer is rising in incidence so rapidly that it has been described as an "epidemic" and that it has or soon will surpass cervical cancer in both incidence and mortality. In fact, over 30,000 patients will be diagnosed with oropharyngeal cancer in the US per year, making it the most rapidly rising head and neck cancer in incidence. Despite this unique etiopathogenesis, treatment and toxicities related to treatment have not changed. This collaboration and interdisciplinary study will be the first of its kind to address these important issues of cancer site, HPV status, tobacco history, gender, age, and race using both patient tissue and PDX models to identify novel and unique biomarkers. Also, innate to this project is the link between five separate laboratories each conducting unique biomarker analysis.

02

Conditions studied

  • Head and Neck Cancer
03

In context

Head and Neck Neoplasms

2,403 studies on the registry are indexed under Head and Neck Neoplasms; 559 are open to participants now.

This study's enrollment of 24 is below the median of 47 across 1,791 interventional studies indexed under Head and Neck Neoplasms.

Browse Head and Neck Neoplasms studies →

Lead sponsor

Medical University of South Carolina is the lead sponsor of 871 studies on the registry; 163 are open to participants now.

Of its 131 completed or terminated interventional studies of FDA-regulated products, 104 (79%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age > 18 years
  2. Ability to sign informed consent
  3. Newly diagnosed or recurrent oral cavity squamous cell carcinoma of the tongue (stage I-IVa) or oropharyngeal squamous cell carcinoma confirmed by pathology report. Patients with Unknown primary of the neck that is HPV+ are eligible.
  4. Planning to undergo surgery as a part of definitive treatment

Exclusion criteria

Exclusion criteria:

  1. Squamous cell carcinoma metastasis to node(s) of neck with unknown primary tumor site that is HPV negative.
  2. Already received some treatment, such as chemotherapy, radiation, or surgery for his/her disease at another institution when presenting to MUSC. An exception is neoadjuvant PD-1 blockade.
  3. History of radiation therapy, for any indication, to the head and neck region
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Caucasian, HPV positive, Non Smoking patients

    Blood, tissue and saliva specimen will be collected. Surveys will be administered.

    Other: Blood collection · Other: Saliva collection · Other: Tissue collection · Other: Surveys

  • Experimental
    Caucasian, HPV positive, Smoking patients

    Blood, tissue and saliva specimen will be collected. Surveys will be administered.

    Other: Blood collection · Other: Saliva collection · Other: Tissue collection · Other: Surveys

  • Experimental
    Newly diagnosed, African American/Black, HPV negative, Smoking

    Blood, tissue and saliva specimen will be collected. Surveys will be administered.

    Other: Blood collection · Other: Saliva collection · Other: Tissue collection · Other: Surveys

  • Experimental
    Young (<40 years old), Oral Cavity (Tongue) patients

    Blood, tissue and saliva specimen will be collected. Surveys will be administered.

    Other: Blood collection · Other: Saliva collection · Other: Tissue collection · Other: Surveys

  • Experimental
    Neoadjuvant PD-1 Blockade patients

    Blood, tissue and saliva specimen will be collected. Surveys will be administered.

    Other: Blood collection · Other: Saliva collection · Other: Tissue collection · Other: Surveys

Interventions

  • OtherBlood collection

    30cc of blood will be collected.

  • OtherSaliva collection

    5cc of saliva will be collected.

  • OtherTissue collection

    Up to 10mg of tissue will be collected.

  • OtherSurveys

    The Behavioral Risk Factor Surveillance System (BRFSS), Functional Assessment of Cancer Therapy - Head and Neck module (FACT-HN) the Chicago Priority Scale, Cancer Survivor Unmet Needs surveys will be administered at baseline and 3 months post-surgery.

06

What researchers measure

Primary outcomes

  1. Count of patients who have research blood, saliva and tissue samples collected.

    The number of participants to have research blood, saliva and tissues samples collected.

    Time frame: 1 month (at the time of surgery)

07

Study locations

1 site
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2019 to primary completion in Jul 2021, 29 months.

Of 412 non-industry interventional studies with no phase under Head and Neck Neoplasms, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 67. This study's 29 months is below that.

Counting every sponsor, half of 427 studies reached it within 34 months; a quarter within 18 and three quarters within 64.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 7, 2018
First posted
Nov 8, 2018
StartActual
Jan 28, 2019
Primary completionActual
Jul 15, 2021
CompletionActual
Jul 15, 2022
Last update
Jan 30, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03735745
Responsible party
Sponsor
First posted
Nov 8, 2018
Start date
Jan 28, 2019
Primary completion
Jul 15, 2021
Completion
Jul 15, 2022
Last update
Jan 30, 2025

Study contacts

Besim Ogretmen, PhD
principal investigator · Medical University of South Carolina

Oversight

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

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This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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