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OncoMatch/Clinical Trials/NCT06984861

A Study of Reduced Radiation Therapy With Chemotherapy in People With HPV-Positive Throat Cancer

Is NCT06984861 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Chemoradiation for oropharyngeal carcinoma.

Phase 2RecruitingMemorial Sloan Kettering Cancer CenterNCT06984861Data as of May 2026

Treatment: ChemoradiationThe researchers are doing this study is to find out if lower doses (given in fewer treatments over a shorter period of time) of radiation therapy in combination with standard-of-care chemotherapy is an effective treatment for people with Human Papilloma Virus (HPV)-positive throat cancer and works as well as the standard doses of radiation therapy in combination with standard-of-care chemotherapy. The chemotherapy drugs used in combination with radiation therapy in this study include cisplatin, carboplatin, and 5-fluorouracil (5-FU).

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Biomarker criteria

Required: CDKN2A p16 overexpression (≥70% nuclear and cytoplasm expression; Ventana Medical Systems) (≥70% nuclear and cytoplasm expression)

A patient is HPV positive when he or she tests positive for both p16 expression (70% nuclear and cytoplasm expression; Ventana Medical Systems) and mRNA HPV in situ hybridization.

Required: HPV mRNA in situ hybridization positive

A patient is HPV positive when he or she tests positive for both p16 expression (70% nuclear and cytoplasm expression; Ventana Medical Systems) and mRNA HPV in situ hybridization.

Disease stage

Required: Stage T3-4/N0-2C, ANY N3 REGARDLESS OF TSTAGE (AJCC 7th Edition)

T3-4/N0-2c or any N3 regardless of Tstage (AJCC 7th Edition) HPV+ OPC* or HPV associated squamous cell carcinoma with nodal metastasis (es) but unknown primary sites without evidence of distant metastasis based on FDG PET/CT.

Performance status

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

Prior therapy

Cannot have received: head and neck radiation therapy

Subjects with prior head and neck radiation therapy

Cannot have received: systemic chemotherapy for the study cancer

Exception: one cycle of induction chemotherapy is allowed prior to registration based on clinical needs

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

Lab requirements

Blood counts

WBC ≥ 2 K/mcL; ANC ≥ 1,000 cells/mm^3; Platelets ≥ 100,000 cells/mm^3; Hemoglobin ≥ 8.0 g/dl (transfusion/intervention allowed to achieve Hgb ≥ 8.0)

Kidney function

Serum creatinine ≤ 1.5 mg/dl or creatinine clearance (CC) ≥ 50 ml/min determined by 24-hour collection or estimated by Cockcroft-Gault formula

Liver function

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

Adequate hematologic function within 30 days prior to registration, defined as follows: WBC ≥ 2 K/mcL; ANC ≥ 1,000 cells/mm^3; Platelets ≥ 100,000 cells/mm^3; Hemoglobin ≥ 8.0 g/dl. Adequate renal function within 30 days prior to registration, defined as follows: Serum creatinine ≤ 1.5 mg/dl or creatinine clearance (CC) ≥ 50 ml/min determined by 24-hour collection or estimated by Cockcroft-Gault formula. Adequate hepatic function within 30 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

  • Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities) · Basking Ridge, New Jersey
  • Memorial Sloan Kettering Monmouth (Limited Protocol Activities) · Middletown, New Jersey
  • Memorial Sloan Kettering Bergen (Limited Protocol Activities) · Montvale, New Jersey
  • Memorial Sloan Kettering Suffolk- Commack (Limited Protocol Activities) · Commack, New York
  • Memorial Sloan Kettering Westchester (Limited Protocol Activities) · Harrison, New York

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

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