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OncoMatch/Clinical Trials/NCT05894083

A Phase II Study for p16+ Oropharyngeal Cancer PerSonalized De-escalation Treatment at University of MIchigan (CuSToMIze)

Is NCT05894083 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Chemoradiation for oropharyngeal cancer.

Phase 2RecruitingUniversity of Michigan Rogel Cancer CenterNCT05894083Data as of May 2026

Treatment: ChemoradiationSingle center, non-randomized Phase II study enrolling Stage I-II p16+ oropharyngeal cancer patients to one of two de-escalation treatment paradigms: (1) receive surgery followed by observation or risk-adjusted adjuvant radiation (+/-chemo), or (2) individualized adaptive definitive chemoradiation (CRT).

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Biomarker criteria

Required: CDKN2A overexpression (p16 positive by immunohistochemistry)

p16 positive by immunohistochemistry

Required: HPV positive by in situ hybridization (HPV positive by in situ hybridization)

HPV positive by in situ hybridization

Disease stage

Required: Stage I, II

Excluded: Stage CN3, CM1

Performance status

ZUBROD 0–1

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: any therapy for the study cancer

Any prior therapy for the study cancer

Cannot have received: radiotherapy to the region of the study cancer that 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

Cannot have received: paclitaxel, carboplatin or other platinum containing products; products containing Cremophor EL (paclitaxel, carboplatin)

Prior allergic reaction or hypersensitivity reactions to paclitaxel, carboplatin or other platinum containing products. This also includes patients with a history of severe hypersensitivity reaction to products containing Cremophor EL.

Lab requirements

Blood counts

Adequate bone marrow function: ANC ≥ 1,500 cells/mm3; Platelets ≥ 100,000 cells/mm3; Hemoglobin ≥ 8.0 g/dL

Kidney function

Serum creatinine within normal institutional limits or a creatinine clearance ≥ 45 ml/min within 4 weeks prior to registration

Liver function

Hepatic insufficiency resulting in clinical jaundice and/or coagulation defects excluded; laboratory tests for liver function and coagulation parameters are not required for entry

CBC required within 4 weeks prior to registration; for Cohort B, CBC/differential obtained within 4 weeks prior to registration on study, with adequate bone marrow function defined as follows: Absolute neutrophil count (ANC) ≥ 1,500 cells/mm3; Platelets ≥ 100,000 cells/mm3; Hemoglobin ≥ 8.0 g/dL. Serum creatinine within normal institutional limits or a creatinine clearance ≥ 45 ml/min within 4 weeks prior to registration. Hepatic insufficiency resulting in clinical jaundice and/or coagulation defects excluded; laboratory tests for liver function and coagulation parameters are not required for entry.

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

US trial sites

  • University of Michigan Rogel Cancer Center · Ann Arbor, Michigan

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