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OncoMatch/Clinical Trials/NCT04444869

Testing Less Intensive Radiation With Chemotherapy to Treat Low-risk Patients With HPV-positive Oropharyngeal Cancer

Is NCT04444869 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Cisplatin for cancer of the head and neck.

Phase 2RecruitingUniversity of Missouri-ColumbiaNCT04444869Data as of May 2026

Treatment: CisplatinThis trial will explore giving standard dose chemotherapy and radiation therapy to sites of disease including all lymph nodes involved with HPV-positive oropharyngeal cancer, but administer lower doses of radiation therapy to the lymph nodes that are not known to be involved with cancer. By doing so, it is hypothesized that there will be equally good long term loco-regional and distant disease control but will reduced long term treatment side effects and improved quality of life in persons living well beyond their cancer treatment.

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Biomarker criteria

Required: CDKN2A p16 positive (positive)

Immunohistochemical staining for p16 must be performed on tissue and documented in the pathology report(s) with reported result positive for p16.

Disease stage

Required: Stage T1-T3, N0-N2C (AJCC, 7TH ED.), N0-2 (AJCC, 8TH ED.) (AJCC 7th and 8th edition)

Excluded: Stage T1-T2 N0-1 LATERALIZED SQUAMOUS CELL CARCINOMA OF THE TONSIL

Clinical stage T1-T3, N0-N2c (AJCC, 7th ed.), which is equal to T1-T3, N0-2 (AJCC, 8th ed.) including no distant metastases

Performance status

ZUBROD 0–1

Prior therapy

Cannot have received: systemic chemotherapy

Exception: prior chemotherapy for a different cancer is allowable

Prior systemic chemotherapy for the study cancer; note that prior chemotherapy for a different cancer is allowable

Cannot have received: radiation therapy

Exception: if would result in overlap of radiation therapy fields

Prior radiotherapy to the region of the study cancer that would result in overlap of radiation therapy fields

Lab requirements

Blood counts

Absolute neutrophil count (ANC) ≥ 1,500 cells/mm3; Platelets ≥ 100,000 cells/mm3; Hemoglobin ≥ 8.0 g/dl (transfusion or other intervention to achieve Hgb ≥ 8.0 g/dl is acceptable)

Kidney function

Serum creatinine < 1.5 mg/dl or creatinine clearance (CC) ≥ 50 ml/min

Liver function

Bilirubin < 2 mg/dl; AST or ALT < 3 x the upper limit of normal

Adequate hematologic function within 14 days prior to registration, defined as follows: Absolute neutrophil count (ANC) ≥ 1,500 cells/mm3; Platelets ≥ 100,000 cells/mm3; Hemoglobin ≥ 8.0 g/dl; Adequate renal function within 14 days prior to registration, defined as follows: Serum creatinine < 1.5 mg/dl or creatinine clearance (CC) ≥ 50 ml/min; Adequate hepatic function within 14 days prior to registration defined as follows: Bilirubin < 2 mg/dl; AST or ALT < 3 x the upper limit of normal.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • University of Missouri · Columbia, Missouri

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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