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OncoMatch/Clinical Trials/NCT04989725

Stereotactic Ablative Radiotherapy for Oligo-Progressive Disease REfractory to Systemic Therapy in Metastatic Cancer

Is NCT04989725 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies non-drug interventions for head and neck cancer.

Phase 2RecruitingCentre hospitalier de l'Université de Montréal (CHUM)NCT04989725Data as of May 2026

A registry-based randomized phase II trial. A total of 46 patients with metastatic head and neck cancer on systemic therapy with oligoprogression to 1-5 extracranial lesions will be randomized using a 1:1 ratio to standard of care (begin next-line systemic therapy, best supportive care, continue current systemic line, based on treating physician decision) vs. receive stereotactic ablative radiotherapy to all oligoprogressive lesions while continuing their current systemic therapy.

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Tumor Agnostic

Disease stage

Metastatic disease required

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Min 1 prior line

Must have received: systemic therapy

Progressive disease while on systemic treatment (any line)

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

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