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Be Part of Research - Trial Details - Study Assessing The "Best of" Radiotherapy vs the "Best of" Surgery in Patients With Oropharyngeal Carcinoma

Study Assessing The "Best of" Radiotherapy vs the "Best of" Surgery in Patients With Oropharyngeal Carcinoma

Not Recruiting

Open to: ALL

Age: 18.0 - N/A

Medical Conditions

Oropharyngeal Neoplasms
Squamous Cell Carcinoma of Head and Neck


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Oropharyngeal Squamous Cell Carcinoma (OPSCC) arises in the soft palate, tonsils, base of tongue, pharyngeal wall, and the vallecula. Most of the patients with early stage OPSCC are usually cured. Treatment of early stage OPSCC can be successfully achieved with primary surgery including neck dissection, as indicated, or with definitive radiotherapy. The current standard treatment for OPSCC is therefore based on either surgery and/or radiotherapy, both associated with comparable, high tumor control rates but with different side effects profiles and technical constraints.

In order to decrease the potential morbidity of surgery, transoral approaches have been developed within the last decades, including transoral robotic surgery (TORS), transoral laser microsurgery (TLM) or conventional transoral techniques. On the other hand, patients with head and neck cancer treated with IMRT experienced significant improvements in cause specific survival (CSS) compared with patients treated with non-IMRT techniques thus suggesting that IMRT may be beneficial in terms of patient's outcomes and toxicity profile. It is as yet unclear however, which one of the new techniques is superior to the other in terms of function preservation. Given that the functional outcome of most importance is swallowing function, the preservation of swallowing is thus of major importance.

The main objective of the study is to assess and compare the patient-reported swallowing function over the first year after randomization to either IMRT or TOS among patients with early stage OPSCC, SGSCC, and HPSCC.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

Nov 2017 Jun 2025

INTERVENTIONAL

Intervention Type : RADIATION
Intervention Description : IMRT (Simultaneous Integrated Boost (SIB) and accelerated regimen) with selective neck node dissection

Intervention Arm Group : Intensity-Modulated Radiation Therapy (IMRT);

Intervention Type : PROCEDURE
Intervention Description : TOS (Trans Oral Laser Microsurgery (TLM), Trans Oral Robotic Surgery (TORS), conventional) with selective neck node dissection

Intervention Arm Group : Trans Oral Surgery (TOS);



You can take part if:



You may not be able to take part if:


This is in the inclusion criteria above


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Cambridge University Hospital NHS - Addenbrookes Hospital
    Cambridge
  • Cardiff and Vale University Health Board - University Hospital of Wales
    Cardiff
  • University Hospitals Bristol NHS Foundation Trust - Bristol Haematology And Oncology Centre
    Bristol
  • Imperial College Healthcare NHS Trust - Charing Cross Hospital
    London
  • Hull and East Yorkshire Hospitals NHS Trust - Castle Hill Hospital
    Cottingham
  • Aintree University Hospital NHS Trust
    Liverpool
  • Guy's and St Thomas' NHS Foundation trust - Guy s and St Thomas' NHS - Guy's Hospital
    London
  • South Tees Hospitals NHS Foundation Trust - The James Cook University Hospital
    Middlesbrough


The study is sponsored by European Organisation for Research and Treatment of Cancer - EORTC




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Read full details for Trial ID: NCT02984410
Last updated 13 August 2025

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