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OncoMatch/Clinical Trials/NCT06445114

Using CircuLating Tumor DNA to Risk Adapt Post-Operative Therapy for HPV-associated Oropharyngeal Cancer

Is NCT06445114 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Cisplatin for oropharyngeal cancer.

Phase 2RecruitingZachary ZumstegNCT06445114Data as of May 2026

Treatment: CisplatinThis is a single institution phase II study that will enroll patients with T0-3N0-2 p16-positive oropharyngeal squamous cell carcinoma (OSCC) undergoing resection of all gross visible disease at the primary site and in the lymph nodes.

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Biomarker criteria

Required: CDKN2A strongly positive by immunohistochemistry (strongly positive)

p16 is strongly positive by immunohistochemistry

Required: HPV high-risk HPV detected by in-situ hybridization

high-risk HPV is detected by in-situ hybridization

Required: HPV detectable cTTMV-HPV DNA (detectable)

detectable cTTMV-HPV DNA based on pre-operative NavDx testing...NavDx testing should be performed on the tumor tissue to ensure detectable HPV DNA and for HPV subtyping

Disease stage

Excluded: Stage PT4, CN3

AJCC 8th edition T0-3N0-2 p16-positive oropharyngeal... Exclusion: AJCC 8th edition pT4 or cN3 disease.

Performance status

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

Prior therapy

Must have received: surgery — gross total resection of all known disease in the head and neck via transoral robotic surgery or non-robotic surgery

Have undergone or will undergo gross total resection of all known disease in the head and neck via transoral robotic surgery...If the primary tumor is resected with negative margins with a non-robotic surgery, such as a diagnostic tonsillectomy, this is considered acceptable and further robotic surgery is not necessary.

Must have received: neck dissection

Have undergone or will undergo neck dissection.

Cannot have received: radiation therapy

Exception: prior radiation to the head and neck ≤ 30 Gy allowed

Prior radiation to the head and neck > 30 Gy

Cannot have received: cisplatin (cisplatin)

Prior allergic reaction to cisplatin

Lab requirements

Blood counts

Hemoglobin ≥ 9.0 g/dL; Platelets ≥ 100,000 cells/mm3; ANC ≥ 1.5 x 10^9/L

Kidney function

Serum creatinine ≤1.5 x ULN OR creatinine clearance ≥50 mL/min (Cockcroft-Gault equation)

Liver function

Total bilirubin ≤ 1.5 x ULN; AST/ALT ≤ 3.0 x ULN

Adequate hematologic and renal function within 56 days of start of chemoradiation, defined as: Hemoglobin ≥ 9.0 g/dL; Platelets ≥ 100,000 cells/mm3; ANC ≥ 1.5 X 10^9/L; Total bilirubin ≤ 1.5 x ULN; AST/ALT ≤ 3.0 x ULN; Serum creatinine ≤1.5 x ULN OR a calculated creatinine clearance ≥50 mL/min estimated using the Cockcroft-Gault equation

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

US trial sites

  • Cedars-Sinai Cancer at Beverly Hills (THO) · Beverly Hills, California
  • Cedars Sinai Medical Center · Los Angeles, California
  • CS Cancer at Valley Oncology Medical Group · Tarzana, California
  • CS Cancer at the Hunt Cancer Center · Torrance, California

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

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