ClinicalTrials.gg
RecruitingNCT06623266Updated Sep 21, 2026

Neck Observation or Elective Neck Dissection in cT1N0M0 OSCC

An interventional study of Neck management in Oral Cancer and Lymph Node Metastasis, sponsored by Huashan Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by Huashan Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2024; still recruiting 2 years 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 32 studies in Mouth Neoplasms with a site in China — 17 open to participants now, 19 under way, 2 of them phase 3. Mouth Neoplasms · China.

Planned enrollment
Largest of 27
300 · median 72
Started
2024
the only one that year
No phase
8 of 32
5 open now
Primary completion
2028-09
later than 16 of 18 live
Registered
21st of 32
by date
Lead sponsor
1 of 32
Huashan Hospital

Among the 32 studies in Mouth Neoplasms with a site in China, this one has the largest planned enrollment of the 27 interventional ones, is the only one that started in 2024, is one of 8 with no phase, reaches primary completion later than 16 of the 18 other live ones, and was the 21st registered.

By phase

32 studies; the count open now beside each. This study's row is marked.

Phase 211 · 7 open
No phasethis study8 · 5 open
Observational5 · 2 open
Phase 13 · 0 open
Phase 32 · 2 open
Phase 42 · 1 open
Phase 2/31 · 0 open

By the year they started

First in 2011; this study’s year is marked. 1 started in 2024.

Size and results

Median enrollment 72 across the 27 interventional studies, 206 across the 5 observational. Of the 11 that completed or were terminated, 0 (0%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 32 studies in Mouth Neoplasms with a site in China, or all of them as a file.
02

Study summary

To evaluate the clinical outcomes of 2-year lymph node metastasis rate, disease-free survival, overall survival, and health-related quality of life in the patients with cT1N0M0 oral squamous cell carcinoma, who receive primary lesion resection combined with elective neck dissection or primary lesion resection only.

Read the detailed description

For the patients with cT1N0M0 oral squamous cell carcinoma (OSCC), surgical resection of primary lesion is the preferred treatment. However, there are still debates on the neck management, some surgeons suggest elective neck dissection (END), and some surgeons suggest neck observation (NOB). The advantage of elective neck dissection is to clear the potential occult neck lymph node metastasis (about 15%), which could not be detected by clinical examination and imaging examination, and the disadvantage of END is to cause neck deformity, large scars, stiff neck and shoulders, difficulty in raising shoulders, and increase medical costs. The disadvantage of NOB is the risk of lymph node metastasis and disease progression. However, recent retrospective studies show that END has no potential benefit in improving survival in cT1N0M0 patients. The aim of the present trial is to compare the clinical outcomes between the cT1N0M0 OSCC patients, who receive primary lesion resection combined with elective neck dissection or primary lesion resection only, on the aspects of 2-year lymph node metastasis rate, disease-free survival, overall survival, and health-related quality of life. A total number of 300 patients will be recruited, including 150 patients in the experimental arm and 150 patients in the control arm. Experimental arm: radical resection of the primary lesion only, with neck observation, the safety margins of the primary lesion are 1.0-1.5cm far away from the palpable margins of the lesion. Control arm: radical resection of the primary lesion with 1.0-1.5cm safety margins, and elective neck dissection. A complete medical history will be obtained and tumor assessment will be performed at baseline. Patients will be followed-up by every three months in the first 2 years, every six months in the next 3-5 years, and once a year thereafter until death or data censoring. Two-year lymph node metastasis rate, disease-free survival, overall survival, and health-related quality of life will be collected and analyzed.

03

Conditions studied

  • Oral Cancer
  • Lymph Node Metastasis

Keywords

  • Oral squamous cell carcinoma
  • Early stage
  • Neck dissection
  • Neck observation
  • Lymph node metastasis rate
04

Who can participate

Ages eligible
18 Years to 75 Years
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

  • Tumor site: tongue, gingiva, buccal mucosa, floor of mouth, hard palate, retromolar eara
  • Clinical stage is cT1N0M0 (AJCC 8th edition)
  • Pathological diagnosis of squamous cell carcinoma
  • Sign the form

Exclusion criteria

Exclusion Criteria:

  • More than 2 lesions found in the oral cavity
  • Known history of malignant tumor within five years (unless the patient has undergone curative treatment and there is no disease recurrence within 5 years since the start of treatment)
  • History of unilateral or bilateral neck dissection in the past
  • History of previous head and neck radiotherapy
  • Pregnant or lactating women
  • Severe, uncontrolled infection or known infection; or previous organ transplantation, stem cell or bone marrow transplantation
  • Participated in other clinical studies within 30 days before enrollment
  • Other circumstances that the researcher considers unsuitable for participation in the study
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Placebo comparator
    Experimental arm

    The patients in the experimental arm will receive radical resection of the primary lesion only, with neck observation, the safety margins of the primary lesion are 1.0-1.5cm far away from the palpable margins of the lesion. Ultrasonography, CT scan, and/or MRI examination will be used to detect lesions.

    Procedure: Neck management

  • Active comparator
    Control arm

    The patients in the control arm will receive radical resection of the primary lesion with the safety margins of the primary lesion are 1.0-1.5cm far away from the palpable margins of the lesion, they will also receive simultaneous elective neck dissection. Ultrasonography, CT scan, and/or MRI examination will be used to detect lesions.

    Procedure: Neck management

Interventions

  • ProcedureNeck management

    In the experimental arm: the neck management is neck observation, simultaneous elective neck dissection is not performed during the surgical resection of primary lesion. The patients will be followed up every two months for at least two years, focusing on the lymph node metastasis and local recurrence. Ultrasonography, CT scan, and/or MRI will be used to detect lesions. In the control arm: the neck management is elective neck dissection. Simultaneous elective neck dissection is performed during the surgical resection of primary lesion. The patients will be followed up every two months for at least two years, focusing on the lymph node metastasis and local recurrence. Ultrasonography, CT scan, and/or MRI will be used to detect lesions.

06

What researchers measure

Primary outcomes

  1. Rate of 2-year lymph node metastasis

    Lymph node metastasis is confirmed by pathological examinations, using fine needle aspiration cytology or biopsy. The rate of 2-year lymph node metastasis rate is reported as the percentage of patients who are free from lymph node metastasis for 2 years from the date of randomization.

    Time frame: 2 years

Secondary outcomes

  1. Rate of 2-year disease free survival

    Disease free survival is calculated from the date of randomization to local recurrence, regional recurrence, distant metastasis or death. The rate of 2-year disease free survival is reported as the percentage of patients who are disease free survival for 2 years from the date of randomization.

    Time frame: 2 years

  2. Rate of 2-year overall survival

    Overall survival is calculated from the date of randomization to death. The rate of 2-year overall survival is reported as the percentage of patients who are overall survival for 2 years from the date of randomization.

    Time frame: 2 years

  3. Health-related quality of life

    Health-related quality of life will be measured and scored using the Chinese version of the University of Washington Quality of Life (UW-QOL) scale. Each score ranges from 0 to 100 points. The lower the score, the worse the functional perception.

    Time frame: 2 years

07

Study locations

1 of 1 sites recruiting
  • Huashan Hospital, Fudan University
    Shanghai, 200040, China
    Recruiting
    • Lai-ping Zhong, MD, PhD · Contactzhonglp@hotmail.com · +862152888915
    • Liang Gu, MD · Contactkqyxyhyy@163.com · +862152889999
    • Jing-song Li, MD, PhD · Principal investigator
    • Xue-kui Liu, MD, PhD · Principal investigator
    • Lei Tao, MD, PhD · Principal investigator
    • Yu Wang, MD, PhD · Principal investigator
    • Can-hua Jiang, MD, PhD · Principal investigator
    • Li-song Lin, MD, PhD · Principal investigator
    • Jian Meng, MD, PhD · Principal investigator
    • Wen-bo Yang, MD · Principal investigator
    • Liang Gu, MD · Sub investigator
    • Hui-yong Zhu, MD, PhD · Principal investigator
    • Yan-ming Liu, MD, PhD · Principal investigator
    • Chao Chen, MD, PhD · Principal investigator
    • Lei Xie, MD, PhD · Principal investigator
    • Fa-yu Liu, MD, PhD · Principal investigator
    • Chuan-yu Hu, MD, PhD · Principal investigator
    • Jian-bo Xu, MD · Principal investigator
    • Can Xiao, MD, PhD · Principal investigator
    • Tian-shu Xu, MD · Principal investigator
    • Kai Yin, MD · Principal investigator
    • Yong-hong Zhang, MD · Principal investigator
    • Yu-lin Jia, MD, PhD · Principal investigator
    • Wei-jie Dong, MD · Principal investigator
    • Zhi-en Feng, MD, PhD · Principal investigator
    • Cheng-zhe Yang, MD, PhD · Principal investigator
08

References and documents

Individual participant data

Plan to share: Yes — After the completion of the trial.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: 2 years after completion of the trial, for 6 months.

Access criteria: Data can be obtained upon scientifically sound request from the study PI, who will contact the Clinical Research Unit, Huashan Hospital, Fudan University. Access will be released after the approval from the Clinical Research Unit.

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

Started Sep 2024 (actual). Primary completion is estimated for Sep 2028, 48 months after the start.

Of 98 non-industry interventional studies with no phase under Mouth Neoplasms, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 97. This study's planned 48 months is above that.

Counting every sponsor, half of 99 studies reached it within 30 months; a quarter within 17 and three quarters within 107.

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

Registered
Sep 29, 2024
First posted
Oct 2, 2024
StartActual
Sep 26, 2024
Primary completionEst.
Sep 30, 2028
CompletionEst.
Sep 30, 2030
Last update
Sep 21, 2026
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 Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06623266
Lead sponsor
Huashan Hospital
Responsible party
Lai-ping Zhong (Professor, Huashan Hospital) — Principal investigator
First posted
Oct 2, 2024
Start date
Sep 26, 2024
Primary completion
Sep 30, 2028 (estimated)
Completion
Sep 30, 2030 (estimated)
Last update
Sep 21, 2026

Study contacts

Lai-ping Zhong, MD, PhD
Contact
zhonglp@hotmail.com
+862152888915
Liang Gu, MD
Contact
guliang@hotmail.com
+862152889999 ext. 7182
Lai-ping Zhong, MD, PhD
principal investigator · Huashan Hospital

Oversight

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

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