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RecruitingNCT07922967PRORADNOR-ReIRUpdated Nov 6, 2026

Proton Re-irradiation in Patients With Recurrent or Second Primary Head and Neck Cancer , a Multicentre Phase II Single Arm Trial

An observational study in Head & Neck Cancer, sponsored by Oslo University Hospital. Recruiting at 4 sites in Norway. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Oslo University Hospital · Observational

Updated Nov 6, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
60
Ages
18 Years and older
Sex
All
01

Study summary

Re-irradiation of head and neck cancer due to relaps or new cancer in the same area may be beneficial, but also poses a risk since the area has been given radiation previously. Proton radiation is a new type of radiotherapy which might result in less damage of healthy tissue around the tumour, but it is still uncertain whether this leads to fewer side effects and improved quality of life. The aim of this study is to collect more knowledge of side-effects, swallowing function, quality of life and disease control after re-irradiation with protons in patients with relaps or second primary head and neck cancer

Read the detailed description

The overall aim of the current study is to evaluate the clinical outcome (survival, tolerability, health-related quality of life) of head and neck cancer re-irradiation with mainly hyperfractionated proton therapy. The results will be compared with aggregated data from historical controls; patients treated with hyperfractionated photon therapy. The results will be used to improve patient selection and treatment for future patients. An important secondary effect will be a national standardization of treatment guidelines and follow up.

02

Conditions studied

  • Head & Neck Cancer

Keywords

  • Proton
  • Photon
  • Radiotherapy
  • HNC
  • Re-irradiation
03

In context

Head and Neck Neoplasms

2,710 studies on the registry are indexed under Head and Neck Neoplasms; 594 are open to participants now.

This study's planned enrollment of 60 is below the median of 100 across 502 observational studies indexed under Head and Neck Neoplasms.

Browse Head and Neck Neoplasms studies →

Lead sponsor

Oslo University Hospital is the lead sponsor of 834 studies on the registry; 149 are open to participants now.

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
Sampling method
Non-probability sample

Study population

Recurrent or second primary head and neck cancer

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

  • received
  • Age ≥ 18 years
  • Histological verified squamous cell carcinoma
  • Candidate for treatment with curative intent
  • Loco-regional recurrence or new second primary ≥ six months after primary radiotherapy
  • Medical or surgical inoperable or without free margins ((R1: \< 1mm margin /R2: macroscopic residual tumour) or rpN2-3 or extranodal extension (ENE)) after surgical resection
  • WHO PS ≤ 2
  • Ability to understand and complete the study documents
  • Complete Response (CR) after previous therapy, except in the case where the recurrence is considered a geometric miss (recurrence center of mass (COM) outside the 95% of prescription dose.

Exclusion criteria

Exclusion Criteria:

  • Distant
  • Previous re-irradiation for overlapping second primary or relapse
  • Severe late effects after primary radiotherapy (osteoradionecrosis, trismus grade 3 or dysphagia grade 3 before recurrence or second primary disease)
  • Patients with pacemaker/ and/or implanted defibrillators.
  • Comparative treatment planning showing an overall benefit of photon therapy compared to proton therapy
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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
60 participants (estimated)
Patient registry
No

Groups and cohorts

  • Recurrance/second primay disease of HNC

    Radiation: Proton radiotherapy

Interventions

  • RadiationProton radiotherapy

    Re-irradiation with relapsed/secondary primary HNC disease

06

What researchers measure

Primary outcomes

  1. Tolerability -patient-reported dysphagia measured with EORTC QLQ-HN43 dysphagia scale

    Change in patient-reported dysphagia measured with the EORTC QLQ-HN43 dysphagia scale group level mean score

    Time frame: From enrollment untill 6 Months post-treatment

Secondary outcomes

  1. Loco-regional control

    Proportion of patients with loco-regional control 6 months, 12 months and 3 years post-treatment.

    Time frame: From enrollment untill 3 years post-treatment

  2. Disease free survival

    Time from date of diagnosis of relapse or second primary disease to date of loco-regional failure, distant metastasis or death from all causes, whichever comes first.

    Time frame: 5 years

  3. Overall survival

    Median survival from diagnosis of relapse or second primary; proportion alive at 6 and 12 months, 3 and 5 years.

    Time frame: 5 years

  4. Health-related quality of life measured with EORTC QLQ-C30

    Change in mean health-related quality of life from baseline to 3, 6 and 12 months, 3 and 5 years post-treatment. measured with EORTC QLQ-C30

    Time frame: 5 years

  5. Adverse events

    Number of patients with grade ≥ 3 toxicities measured with CTCAE v 5 at baseline to 3, 6 and 12 months and 3- and 5 years post-treatment.

    Time frame: 5 years

07

Study locations

1 of 4 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Jun 2030, 43 months later.

Of 215 non-industry observational studies under Head and Neck Neoplasms, half reached primary completion within 71 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 144. This study's planned 43 months is below that.

Counting every sponsor, half of 237 studies reached it within 71 months; a quarter within 29 and three quarters within 142.

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

Registered
Jun 1, 2026
First posted
Nov 6, 2026
StartEst.
Nov 20, 2026
Primary completionEst.
Jun 20, 2030
CompletionEst.
Jun 20, 2045
Last update
Nov 6, 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.
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07922967
Responsible party
Cecilie Delphin Amdal (MD. PhD Senior consultant, Oslo University Hospital) — Principal investigator
First posted
Nov 6, 2026
Start date
Nov 20, 2026 (estimated)
Primary completion
Jun 20, 2030 (estimated)
Completion
Jun 20, 2045 (estimated)
Last update
Nov 6, 2026

Study contacts

Cecilie Delphin Amdal, Principal Investigator
Contact
cecia@ous-hf.no
004722934000

Oversight

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

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