Analysis of Patterns of Recurrence in Head and Neck Cancer Using Clinicopathomic Markers

Sunnybrook Health Sciences Centre

Status: Completed

Conditions: Squamous Cell Carcinoma of Head and Neck; Head and Neck Neoplasm

Treatments: Diagnostic Test: Radiomic, pathomic, and clinical markers

Study type: Observational

Funder types: Other

Identifiers

NCT04086849

087-2019

Details and patient eligibility

About

Here, the investigators will develop a clinicopathomic assay from biomarkers obtained from digital pathologies of resected whole-mount oral cavity and oropharyngeal squamous cell carcinoma (OCSCC and OPSCC) specimens with the goal of administering personalized novel image-guided therapies immediately after primary surgical management in OCSCC and OPSCC patients. The primary aim is to determine the association between clinicopathomic biomarkers and LRR. The secondary aim is to develop a clinicopathomic risk score (assay) such that a decision-support tool can be used by physicians for measuring the benefit of additional therapies (i.e. conventional chemotherapy +/- radiation or administering dose-escalated chemoradiation) in the adjuvant setting to reduce LRR rates.

Full description

The proposed study is significant for developing personalized treatments. The proposed research will yield high rewards to patients by providing additional information to clinicians for better prognostication and potentially adapting adjuvant treatments to improve the survival of patients with OCSCC or OPSCC.

Enrollment: 450 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participants must be men and women age 18+
• Confirmed diagnosis of oral cavity or oropharyngeal squamous cell carcinoma
• Participants must have received or will undergo surgery to excise the primary oropharyngeal tumor.

Exclusion criteria

• Participants who had other primary cancers prior to oral cavity or oropharyngeal cancer