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NCT01687413: ADEPT

Post Operative Adjuvant Therapy De-intensification Trial for Human Papillomavirus-related, p16+ Oropharynx Cancer

Terminated Phase 3 Results posted Last updated 25 November 2020
What this trial tests

Phase 3 trial testing Intensity-modulated radiation therapy (IMRT) in Oropharyngeal Neoplasms in 42 participants. Terminated before completion.

Timeline
10 January 2013
Primary endpoint
18 October 2019
18 October 2019

Quick facts

Lead sponsorWashington University School of Medicine
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment42
Start date10 January 2013
Primary completion18 October 2019
Estimated completion18 October 2019
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Washington University School of Medicine

Who can join

21 and older, any sex, with Oropharyngeal Neoplasms. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Disease-free Survival (DFS) Primary · 1 year
GroupValue95% CI
Radiotherapy24
Radiotherapy, Cisplatin10
Locoregional Control Primary · Up to 2 years

Rate of patients with no recurrence at original oropharyngeal site or in the neck nodal basins.

GroupValue95% CI
Radiotherapy26
Radiotherapy, Cisplatin9
Rate of Distant Metastasis Secondary · Up to 2 years

Assessed by biopsy or imaging-detected recurrent disease at sites away from the original primary and cervical zone.

GroupValue95% CI
Radiotherapy2
Radiotherapy, Cisplatin0
Disease Specific Survival Secondary · 1 year
GroupValue95% CI
Radiotherapy24
Radiotherapy, Cisplatin10
Number of Complications/Acute Toxicity by Organ Class Secondary · Approximately 18 weeks

-Assessed by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0.

Blood and lymphatic system disorders
GroupValue95% CI
Radiotherapy5
Radiotherapy, Cisplatin12
Cardiac disorders
GroupValue95% CI
Radiotherapy0
Radiotherapy, Cisplatin1
Ear and labyrinth disorders
GroupValue95% CI
Radiotherapy11
Radiotherapy, Cisplatin4
Eye disorders
GroupValue95% CI
Radiotherapy2
Radiotherapy, Cisplatin0
Gastrointestinal disorders
GroupValue95% CI
Radiotherapy104
Radiotherapy, Cisplatin61
General disorders
GroupValue95% CI
Radiotherapy38
Radiotherapy, Cisplatin17
Immune system disorders
GroupValue95% CI
Radiotherapy1
Radiotherapy, Cisplatin0
Infections and infestations
GroupValue95% CI
Radiotherapy7
Radiotherapy, Cisplatin2
Change in Quality of Life as Measured by the MD Anderson Dysphagia Inventory Secondary · Baseline, 1 month, 6 months, 12 months, and 24 months

* Each item is scored on a 5 point Likert scale (strongly disagree, disagree, no opinion, agree, strongly agree). Strongly agree = 1, Disagree = 2, No opinion = 3, Agree = 4, and Strongly Agree = 5 * The lower the score the lower the quality of life

My swallowing ability limits my day to day activities.
GroupValue95% CI
Baseline - Radiotherapy3.2608696± 1.3888318
Baseline - Radiotherapy + Cisplatin4.0000000± 1.0954451
1 Month - Radiotherapy4.1818182± 1.2203186
1 Month - Radiotherapy + Cisplatin4.1818182± 1.1677484
6 Months - Radiotherapy4.3076923± 0.9473309
6 Months - Radiotherapy + Cisplatin3.5714286± 1.5118579
12 Months - Radiotherapy4.5000000± 0.6504436
12 Months - Radiotherapy + Cisplatin3.2857143± 1.6035675
24 Months - Radiotherapy3.9375000± 1.3889444
24 Months - Radiotherapy + Cisplatin4.6250000± 0.5175492
I am embarrassed by my eating habits.
GroupValue95% CI
Baseline - Radiotherapy3.5454545± 1.2993505
Baseline - Radiotherapy + Cisplatin4.4545455± 0.8201995
1 Month - Radiotherapy4.1818182± 1.2587357
1 Month - Radiotherapy + Cisplatin4.4545455± 0.5222330
6 Months - Radiotherapy4.3846154± 1.1208971
6 Months - Radiotherapy + Cisplatin3.8571429± 0.6900656
12 Months - Radiotherapy4.4285714± 0.7559289
12 Months - Radiotherapy + Cisplatin3.1428571± 1.2149858
24 Months - Radiotherapy4.1250000± 1.2041595
24 Months - Radiotherapy + Cisplatin4.1250000± 0.6408699
Swallowing is more difficult at the end of the day.
GroupValue95% CI
Baseline - Radiotherapy3.3636364± 1.4974726
Baseline - Radiotherapy + Cisplatin4.5454545± 0.6875517
1 Month - Radiotherapy3.8095238± 1.3273676
1 Month - Radiotherapy + Cisplatin4.0909091± 0.9438798
6 Months - Radiotherapy4.6153846± 0.8697185
6 Months - Radiotherapy + Cisplatin3.8571429± 1.0690450
12 Months - Radiotherapy4.2857143± 1.1387288
12 Months - Radiotherapy + Cisplatin4.1428571± 1.0690450
24 Months - Radiotherapy4.4000000± 0.9102590
24 Months - Radiotherapy + Cisplatin4.7500000± 0.4629100
I do not feel self-conscious when I eat.
GroupValue95% CI
Baseline - Radiotherapy3.3913043± 1.3395769
Baseline - Radiotherapy + Cisplatin4.0909091± 1.2210279
1 Month - Radiotherapy3.9090909± 1.1087999
1 Month - Radiotherapy + Cisplatin4.1818182± 0.9816498
6 Months - Radiotherapy4.3846154± 0.9607689
6 Months - Radiotherapy + Cisplatin3.7142857± 1.1126973
12 Months - Radiotherapy4.0769231± 1.3204506
12 Months - Radiotherapy + Cisplatin3.7142857± 1.2535663
24 Months - Radiotherapy3.6875000± 1.3022417
24 Months - Radiotherapy + Cisplatin4.5000000± 0.7559289
I am upset by my swallowing problem.
GroupValue95% CI
Baseline - Radiotherapy3.2272727± 1.6599431
Baseline - Radiotherapy + Cisplatin2.0909091± 1.5135749
1 Month - Radiotherapy2.8636364± 1.6123173
1 Month - Radiotherapy + Cisplatin2.6363636± 1.3618170
6 Months - Radiotherapy3.1538462± 1.6756170
6 Months - Radiotherapy + Cisplatin2.2857143± 1.2535663
12 Months - Radiotherapy2.7857143± 1.6723347
12 Months - Radiotherapy + Cisplatin3.1428571± 1.3451854
24 Months - Radiotherapy3.0625000± 1.7308476
24 Months - Radiotherapy + Cisplatin3.2500000± 1.4880476
People have difficulty cooking for me.
GroupValue95% CI
Baseline - Radiotherapy3.2173913± 1.5062452
Baseline - Radiotherapy + Cisplatin3.9090909± 1.2210279
1 Month - Radiotherapy3.7727273± 1.3777766
1 Month - Radiotherapy + Cisplatin4.2727273± 1.0090500
6 Months - Radiotherapy3.7692308± 1.4806444
6 Months - Radiotherapy + Cisplatin3.1428571± 1.2149858
12 Months - Radiotherapy4.2142857± 1.1883131
12 Months - Radiotherapy + Cisplatin3.7142857± 1.3801311
24 Months - Radiotherapy3.9375000± 1.3400871
24 Months - Radiotherapy + Cisplatin4.1250000± 0.6408699
Swallowing takes great effort.
GroupValue95% CI
Baseline - Radiotherapy3.0869565± 1.5049326
Baseline - Radiotherapy + Cisplatin3.4545455± 1.2135598
1 Month - Radiotherapy3.9545455± 1.0455016
1 Month - Radiotherapy + Cisplatin3.9090909± 1.2210279
6 Months - Radiotherapy3.6923077± 1.3155870
6 Months - Radiotherapy + Cisplatin3.0000000± 1.1547005
12 Months - Radiotherapy3.9285714± 1.3847680
12 Months - Radiotherapy + Cisplatin3.1428571± 1.5735916
24 Months - Radiotherapy3.5625000± 1.2632630
24 Months - Radiotherapy + Cisplatin3.3750000± 1.4078860
I do not go out because of my swallowing problem.
GroupValue95% CI
Baseline - Radiotherapy3.9130435± 0.9960396
Baseline - Radiotherapy + Cisplatin4.6363636± 0.5045250
1 Month - Radiotherapy4.3181818± 0.9454837
1 Month - Radiotherapy + Cisplatin4.1818182± 0.9816498
6 Months - Radiotherapy4.5384615± 0.8770580
6 Months - Radiotherapy + Cisplatin3.8571429± 1.0690450
12 Months - Radiotherapy4.6428571± 0.6333237
12 Months - Radiotherapy + Cisplatin4.1428571± 1.0690450
24 Months - Radiotherapy4.1875000± 1.0468206
24 Months - Radiotherapy + Cisplatin4.2500000± 0.8864053
Change in Cognitive Function as Measured by Cognitive Failures Questionnaire Secondary · Baseline, 1 month, 12 months, and 24 months

* 25 questions to assess the frequency in which participants experience cognitive failures including forgetfulness, distractibility, and false triggering * Answers range from 0 = never to 4 = very often * The higher the score the worse the cognitive failures the participant has experienced

Do you read something and find you haven't been thinking about it and must read it again?
GroupValue95% CI
Baseline - Radiotherapy1.4166667± 0.9743076
Baseline - Radiotherapy + Cisplatin1.3636364± 1.2060454
1 Month - Radiotherapy1.5454545± 1.0107646
1 Month - Radiotherapy + Cisplatin1.2727273± 0.7862454
12 Months - Radiotherapy1.4666667± 0.9154754
12 Months - Radiotherapy + Cisplatin2.1666667± 1.1690452
24 Months - Radiotherapy1.5625000± 0.7274384
24 Months - Radiotherapy + Cisplatin1.5714286± 1.1338934
Do you find you forget why you went from one part of the house to the other?
GroupValue95% CI
Baseline - Radiotherapy1.2083333± 0.9770927
Baseline - Radiotherapy + Cisplatin1.0909091± 0.9438798
1 Month - Radiotherapy1.2727273± 1.1621744
1 Month - Radiotherapy + Cisplatin1.0000000± 1.0000000
12 Months - Radiotherapy1.333333± 1.3451854
12 Months - Radiotherapy + Cisplatin1.5000000± 0.8366600
24 Months - Radiotherapy1.4375000± 0.8920949
24 Months - Radiotherapy + Cisplatin1.4285714± 1.2724180
Do you fail to notice signposts on the road?
GroupValue95% CI
Baseline - Radiotherapy0.6666667± 0.9168313
Baseline - Radiotherapy + Cisplatin0.3636364± 0.6741999
1 Month - Radiotherapy0.7272727± 0.9847319
1 Month - Radiotherapy + Cisplatin0.5454545± 0.6875517
12 Months - Radiotherapy0.6666667± 0.6172134
12 Months - Radiotherapy + Cisplatin0.8333333± 0.7527727
24 Months - Radiotherapy0.6250000± 0.6191392
24 Months - Radiotherapy + Cisplatin0.8571429± 1.0690450
Do you find you confuse right and left when giving directions?
GroupValue95% CI
Baseline - Radiotherapy0.3333333± 0.8681147
Baseline - Radiotherapy + Cisplatin0.2727273± 0.4670994
1 Month - Radiotherapy0.4545455± 0.9116846
1 Month - Radiotherapy + Cisplatin0.2727273± 0.6466698
12 Months - Radiotherapy0.2666667± 0.5936168
12 Months - Radiotherapy + Cisplatin0.3333333± 0.5163978
24 Months - Radiotherapy0.3750000± 0.6191392
24 Months - Radiotherapy + Cisplatin0.5714286± 0.7867958
Do you bump into people?
GroupValue95% CI
Baseline - Radiotherapy0.2500000± 0.5316095
Baseline - Radiotherapy + Cisplatin0.1818182± 0.4045199
1 Month - Radiotherapy0.3636364± 0.6579517
1 Month - Radiotherapy + Cisplatin0.1818182± 0.6030227
12 Months - Radiotherapy0.4666667± 0.7432234
12 Months - Radiotherapy + Cisplatin0.8333333± 1.3291601
24 Months - Radiotherapy0.3125000± 0.4787136
24 Months - Radiotherapy + Cisplatin0.5714286± 0.9759001
Do you find you forget whether you've turned off a light or a fire or locked the door?
GroupValue95% CI
Baseline - Radiotherapy0.9583333± 0.9990938
Baseline - Radiotherapy + Cisplatin0.6363636± 0.6741999
1 Month - Radiotherapy0.8636364± 1.1252705
1 Month - Radiotherapy + Cisplatin0.6363636± 0.6741999
12 Months - Radiotherapy1.1333333± 1.0600988
12 Months - Radiotherapy + Cisplatin1.3333333± 0.5163978
24 Months - Radiotherapy0.7333333± 0.7037316
24 Months - Radiotherapy + Cisplatin1.2857143± 0.9511897
Do you fail to listen to people's names when you are meeting them?
GroupValue95% CI
Baseline - Radiotherapy1.7083333± 1.3014763
Baseline - Radiotherapy + Cisplatin1.0909091± 1.3003496
1 Month - Radiotherapy1.8181818± 1.0970247
1 Month - Radiotherapy + Cisplatin1.0909091± 1.0444659
12 Months - Radiotherapy2.0000000± 1.1952286
12 Months - Radiotherapy + Cisplatin1.3333333± 1.0327959
24 Months - Radiotherapy1.6250000± 1.0246951
24 Months - Radiotherapy + Cisplatin1.4285714± 1.2724180
Do you say something and realize afterwards that it might be taken as insulting?
GroupValue95% CI
Baseline - Radiotherapy1.0000000± 1.0632191
Baseline - Radiotherapy + Cisplatin0.9090909± 0.8312094
1 Month - Radiotherapy1.0000000± 1.1126973
1 Month - Radiotherapy + Cisplatin0.8181818± 0.6030227
12 Months - Radiotherapy1.0666667± 0.7988086
12 Months - Radiotherapy + Cisplatin1.0000000± 0.6324555
24 Months - Radiotherapy1.2500000± 1.0000000
24 Months - Radiotherapy + Cisplatin0.8571429± 1.4638501
Change in Quality of Life as Measured by Neck Dissection Impairment Index (NDII) Secondary · Baseline, 12 months, and 24 months

-The NDII consists of 10 questions; each with a 5 level ordinally scaled response option ranging from "not at all" to "a lot". The response for each item is then scored from 1 to 5, with 5 denoting higher quality of life (Not at all) and 1 being the least (A lot).

Neck or shoulder pain or discomfort
GroupValue95% CI
Baseline - Radiotherapy1.6086957± 1.1175920
Baseline - Radiotherapy + Cisplatin2.0909091± 1.2210279
12 Months - Radiotherapy1.4666667± 0.9904304
12 Months - Radiotherapy + Cisplatin2.4285714± 1.5118579
24 Months - Radiotherapy1.3125000± 0.8732125
24 Months - Radiotherapy + Cisplatin1.7500000± 1.2817399
Neck or shoulder stiffness
GroupValue95% CI
Baseline - Radiotherapy1.4545455± 1.1433981
Baseline - Radiotherapy + Cisplatin2.0000000± 1.2649111
12 Months - Radiotherapy1.0000000± 0.8451543
12 Months - Radiotherapy + Cisplatin2.4285714± 1.5118579
24 Months - Radiotherapy1.1875000± 1.0468206
24 Months - Radiotherapy + Cisplatin1.7500000± 1.3887301
Difficulty with self-care activities because of neck or shoulder
GroupValue95% CI
Baseline - Radiotherapy0.8695652± 0.9197009
Baseline - Radiotherapy + Cisplatin1.2727273± 1.1037127
12 Months - Radiotherapy0.3333333± 0.8164966
12 Months - Radiotherapy + Cisplatin1.0000000± 1.0000000
24 Months - Radiotherapy0.2500000± 0.5773503
24 Months - Radiotherapy + Cisplatin0.5000000± 1.4142136
Limited ability to life light objects because of your shoulder or neck
GroupValue95% CI
Baseline - Radiotherapy0.6521739± 0.8846517
Baseline - Radiotherapy + Cisplatin1.6363636± 1.4333686
12 Months - Radiotherapy0.4000000± 0.7367884
12 Months - Radiotherapy + Cisplatin0.8571429± 1.0690450
24 Months - Radiotherapy0.2500000± 0.5773503
24 Months - Radiotherapy + Cisplatin0.5000000± 0.7559289
Limited ability to lift heavy objects because of your shoulder or neck
GroupValue95% CI
Baseline - Radiotherapy1.6086957± 1.3395769
Baseline - Radiotherapy + Cisplatin2.2727273± 1.4206273
12 Months - Radiotherapy0.5333333± 0.9904304
12 Months - Radiotherapy + Cisplatin1.5714286± 1.7182494
24 Months - Radiotherapy0.4666667± 0.8338094
24 Months - Radiotherapy + Cisplatin0.8750000± 0.9910312
Limited ability to reach for objects because of your shoulder or neck
GroupValue95% CI
Baseline - Radiotherapy1.2173913± 1.3802675
Baseline - Radiotherapy + Cisplatin2.0909091± 1.5135749
12 Months - Radiotherapy0.5333333± 0.8338094
12 Months - Radiotherapy + Cisplatin1.7142857± 1.6035675
24 Months - Radiotherapy0.5625000± 0.9639329
24 Months - Radiotherapy + Cisplatin0.7500000± 1.0350983
Overall activity level because of your shoulder or neck
GroupValue95% CI
Baseline - Radiotherapy1.0000000± 1.2431631
Baseline - Radiotherapy + Cisplatin1.9090909± 1.5782614
12 Months - Radiotherapy0.5333333± 0.8338094
12 Months - Radiotherapy + Cisplatin1.5714286± 1.5118579
24 Months - Radiotherapy0.3750000± 0.6191392
24 Months - Radiotherapy + Cisplatin0.6250000± 0.7440238
Has the treatment of your neck affected your participation in social activities?
GroupValue95% CI
Baseline - Radiotherapy0.7391304± 1.1368774
Baseline - Radiotherapy + Cisplatin0.9090909± 1.2210279
12 Months - Radiotherapy0.0666667± 0.2581989
12 Months - Radiotherapy + Cisplatin0.8571429± 0.8997354
24 Months - Radiotherapy0.1875000± 0.4031129
24 Months - Radiotherapy + Cisplatin0.5000000± 1.0690450
Change in Quality of Life as Measured by University of Michigan Xerostomia Questionnaire Secondary · Baseline, 1 month, 6 months, 12 months, and 24 months

* It contains 8 questions regarding dryness either during feeding or in the unstimulated state. Participants rate each item from 0 to 10, where 10 indicates the maximum dryness or discomfort due to dryness. * The higher the score the worse the participant's xerostomia

Rate your difficulty in talking due to dryness
GroupValue95% CI
Baseline - Radiotherapy2.3333333± 2.4788964
Baseline - Radiotherapy + Cisplatin1.3636364± 2.2033033
1 Month - Radiotherapy2.8095238± 2.9089353
1 Month - Radiotherapy + Cisplatin3.9090909± 2.3855626
6 Months - Radiotherapy3.0000000± 2.9612887
6 Months - Radiotherapy + Cisplatin4.8571429± 3.2366944
12 Months - Radiotherapy2.5625000± 2.8276905
12 Months - Radiotherapy + Cisplatin3.5714286± 3.2071349
24 Months - Radiotherapy3.6875000± 2.9825884
24 Months - Radiotherapy + Cisplatin3.1250000± 2.7998724
Rate your difficulty chewing due to dryness
GroupValue95% CI
Baseline - Radiotherapy2.3913043± 2.2711457
Baseline - Radiotherapy + Cisplatin1.4545455± 2.5831623
1 Month - Radiotherapy3.5238095± 2.6947922
1 Month - Radiotherapy + Cisplatin3.1818182± 2.8219916
6 Months - Radiotherapy3.0714286± 2.4326082
6 Months - Radiotherapy + Cisplatin4.5714286± 3.5523299
12 Months - Radiotherapy2.6250000± 2.2766935
12 Months - Radiotherapy + Cisplatin3.7142857± 3.8606686
24 Months - Radiotherapy3.6250000± 2.9183329
24 Months - Radiotherapy + Cisplatin2.7500000± 2.6592158
Rate your difficulty in swallowing solid food due to dryness
GroupValue95% CI
Baseline - Radiotherapy2.6956522± 2.6532104
Baseline - Radiotherapy + Cisplatin1.6363636± 2.8380531
1 Month - Radiotherapy3.4285714± 2.5994505
1 Month - Radiotherapy + Cisplatin3.9000000± 2.9608557
6 Months - Radiotherapy3.5000000± 2.9807072
6 Months - Radiotherapy + Cisplatin5.2857143± 3.5456210
12 Months - Radiotherapy3.3750000± 3.0304015
12 Months - Radiotherapy + Cisplatin4.1428571± 3.5321651
24 Months - Radiotherapy4.1250000± 2.8722813
24 Months - Radiotherapy + Cisplatin3.2500000± 3.0118812
Rate the frequency of your sleeping problems due to dryness
GroupValue95% CI
Baseline - Radiotherapy1.7916667± 1.8876985
Baseline - Radiotherapy + Cisplatin1.5454545± 2.8412545
1 Month - Radiotherapy3.2857143± 2.9179249
1 Month - Radiotherapy + Cisplatin3.0000000± 2.8982753
6 Months - Radiotherapy1.7142857± 2.0542104
6 Months - Radiotherapy + Cisplatin4.4285714± 2.8199966
12 Months - Radiotherapy2.2500000± 2.2656861
12 Months - Radiotherapy + Cisplatin3.5714286± 3.1014590
24 Months - Radiotherapy2.6000000± 2.8485585
24 Months - Radiotherapy + Cisplatin2.7500000± 2.4348658
Rate your mouth or throat dryness when eating food
GroupValue95% CI
Baseline - Radiotherapy2.2173913± 2.1523037
Baseline - Radiotherapy + Cisplatin1.8181818± 3.0271499
1 Month - Radiotherapy3.8571429± 2.9203718
1 Month - Radiotherapy + Cisplatin3.7272727± 3.2277208
6 Months - Radiotherapy3.5000000± 2.8216198
6 Months - Radiotherapy + Cisplatin5.7142857± 3.0394235
12 Months - Radiotherapy3.5000000± 3.0767949
12 Months - Radiotherapy + Cisplatin4.0000000± 3.6968455
24 Months - Radiotherapy3.8750000± 3.0523215
24 Months - Radiotherapy + Cisplatin3.3750000± 3.0207615
Rate your mouth or throat dryness while not eating
GroupValue95% CI
Baseline - Radiotherapy2.1250000± 2.1931217
Baseline - Radiotherapy + Cisplatin1.5454545± 2.3393861
1 Month - Radiotherapy3.8571429± 2.7979584
1 Month - Radiotherapy + Cisplatin3.0909091± 2.1191765
6 Months - Radiotherapy2.6428571± 2.8177226
6 Months - Radiotherapy + Cisplatin4.7142857± 2.4976179
12 Months - Radiotherapy3.2500000± 2.7446918
12 Months - Radiotherapy + Cisplatin3.4285714± 3.4572216
24 Months - Radiotherapy3.7500000± 3.1517191
24 Months - Radiotherapy + Cisplatin2.6250000± 2.7222627
Rate the frequency of sipping liquids to aid swallowing food
GroupValue95% CI
Baseline - Radiotherapy3.1739130± 2.7741039
Baseline - Radiotherapy + Cisplatin2.2727273± 3.1013194
1 Month - Radiotherapy5.1428571± 3.2293299
1 Month - Radiotherapy + Cisplatin4.0000000± 3.4351128
6 Months - Radiotherapy5.0000000± 2.6602487
6 Months - Radiotherapy + Cisplatin6.7142857± 2.6903708
12 Months - Radiotherapy5.0625000± 3.5864328
12 Months - Radiotherapy + Cisplatin5.0000000± 3.6968455
24 Months - Radiotherapy5.3125000± 3.2397274
24 Months - Radiotherapy + Cisplatin4.1250000± 3.6815175
Rate the frequency of sipping liquids for oral comfort when not eating
GroupValue95% CI
Baseline - Radiotherapy2.9565217± 2.7216015
Baseline - Radiotherapy + Cisplatin2.0909091± 2.8090762
1 Month - Radiotherapy4.6190476± 3.3388050
1 Month - Radiotherapy + Cisplatin3.3636364± 2.9076701
6 Months - Radiotherapy3.4285714± 3.1553199
6 Months - Radiotherapy + Cisplatin5.2857143± 2.7516229
12 Months - Radiotherapy3.8750000± 3.4229617
12 Months - Radiotherapy + Cisplatin3.7142857± 3.7733401
24 Months - Radiotherapy4.0000000± 3.4448028
24 Months - Radiotherapy + Cisplatin2.7500000± 3.3273756
Change in Hearing as Measured by Hearing Handicap Inventory - Adult Secondary · Baseline, 1 month, and 12 months

* 11 item questionnaire to identify issues with hearing * Answers are yes = 4, sometimes = 2, and no = 0 * The higher the score the more issues the participant has with hearing

Does a hearing problem cause you to feel embarrassed when you meet new people?
GroupValue95% CI
Baseline - Radiotherapy0.2500000± 0.6079188
Baseline - Radiotherapy + Cisplatin0.5454545± 0.9341987
1 Month - Radiotherapy0.2380952± 0.6248809
1 Month - Radiotherapy + Cisplatin0.1818182± 0.6030227
12 Months - Radiotherapy0.1333333± 0.3518658
12 Months - Radiotherapy + Cisplatin1.0000000± 1.0000000
Does a hearing problem cause you to feel frustrated when talking to members of your family?
GroupValue95% CI
Baseline - Radiotherapy0.1250000± 0.4484272
Baseline - Radiotherapy + Cisplatin0.1818182± 0.6030227
1 Month - Radiotherapy0.5238095± 0.8728716
1 Month - Radiotherapy + Cisplatin0.3636364± 0.8090398
12 Months - Radiotherapy0.1333333± 0.3518658
12 Months - Radiotherapy + Cisplatin0.7142857± 0.9511897
Do you have difficulty hearing or understanding co-workers or clients or customers?
GroupValue95% CI
Baseline - Radiotherapy0.5000000± 0.8340577
Baseline - Radiotherapy + Cisplatin1.0909091± 1.0444659
1 Month - Radiotherapy0.6666667± 0.9128709
1 Month - Radiotherapy + Cisplatin1.0909091± 1.0444659
12 Months - Radiotherapy0.1333333± 0.3518658
12 Months - Radiotherapy + Cisplatin1.7142857± 0.4879500
Do you feel that any difficulty with your hearing limits or hampers your personal or social life?
GroupValue95% CI
Baseline - Radiotherapy0.1666667± 0.4815434
Baseline - Radiotherapy + Cisplatin0.6363636± 0.9244163
1 Month - Radiotherapy0.3809524± 0.7400129
1 Month - Radiotherapy + Cisplatin0.7272727± 1.0090500
12 Months - Radiotherapy0.2000000± 0.5606119
12 Months - Radiotherapy + Cisplatin0.7142857± 0.9511897
Do you feel handicapped by a hearing problem?
GroupValue95% CI
Baseline - Radiotherapy0.1250000± 0.4484272
Baseline - Radiotherapy + Cisplatin0.5454545± 0.9341987
1 Month - Radiotherapy0.1428571± 0.4780914
1 Month - Radiotherapy + Cisplatin0.3636364± 0.8090398
12 Months - Radiotherapy0.0666667± 0.2581989
12 Months - Radiotherapy + Cisplatin0.7142857± 0.9511897
Does a hearing problem cause you difficulty in the movies or in the theater?
GroupValue95% CI
Baseline - Radiotherapy0.1666667± 0.4815434
Baseline - Radiotherapy + Cisplatin0.4545455± 0.8201995
1 Month - Radiotherapy0.5238095± 0.8728716
1 Month - Radiotherapy + Cisplatin0.2727273± 0.6466698
12 Months - Radiotherapy0.1333333± 0.5163978
12 Months - Radiotherapy + Cisplatin0.4285714± 0.7867958
Does a hearing problem cause you difficulty when in a restaurant with relatives or friends?
GroupValue95% CI
Baseline - Radiotherapy0.2173913± 0.5997364
Baseline - Radiotherapy + Cisplatin0.7272727± 0.9045340
1 Month - Radiotherapy0.6190476± 0.8646497
1 Month - Radiotherapy + Cisplatin0.8181818± 0.9816498
12 Months - Radiotherapy0.2666667± 0.5936168
12 Months - Radiotherapy + Cisplatin1.5714286± 0.7867958
Does a hearing problem cause you to attend religious services less often than you would like?
GroupValue95% CI
Baseline - Radiotherapy0.0416667± 0.2041241
Baseline - Radiotherapy + Cisplatin0.1818182± 0.6030227
1 Month - Radiotherapy0.0000000± 0.0000000
1 Month - Radiotherapy + Cisplatin0.0000000± 0.0000000
12 Months - Radiotherapy0.0000000± 0.0000000
12 Months - Radiotherapy + Cisplatin0.0000000± 0.0000000
Change in Quality of Life as Measured by Scale of Subjective Total Taste Acuity Secondary · Baseline, 1 month, 6 months, and 12 months

* 1 question that asks about taste acuity * Answers are 0 = same taste acuity as before treatment; 1 = mild loss of taste acuity, but not inconvenient in daily life; moderate loss of taste acuity, and sometimes inconvenient in daily life; severe loss of taste acuity, and frequently inconvenient in daily life; and 4 = almost complete or complete loss of taste acuity * The higher the score the worse the participant's taste acuity

GroupValue95% CI
Baseline - Radiotherapy1.0833333± 1.1000659
Baseline - Radiotherapy + Cisplatin0.9090909± 0.8312094
1 Month - Radiotherapy2.1363636± 1.0821255
1 Month - Radiotherapy + Cisplatin2.9090909± 1.0444659
6 Months - Radiotherapy0.9285714± 0.7300459
6 Months - Radiotherapy + Cisplatin2.4285714± 0.9759001
12 Months - Radiotherapy1.0000000± 0.7559289
12 Months - Radiotherapy + Cisplatin1.5714286± 0.7867958
Change in Quality of Life as Measured by Speech Handicap Index Secondary · Baseline and 12 months

* 31 questions regarding participant's speech and the effects of speech on his/her life * The answers for the first 30 questions range from 0 = never to 4 = always and the answers for the 31st question ranges from 0 = excellent to bad = 4 * The higher the score the worse the participant's speech is affecting his/her life

My speech makes it difficult for people to understand me
GroupValue95% CI
Baseline - Radiotherapy1.9565217± 1.0215078
Baseline - Radiotherapy + Cisplatin1.7272727± 0.9045340
12 Months - Radiotherapy1.3333333± 0.6172134
12 Months - Radiotherapy + Cisplatin1.8333333± 1.3291601
I run out of air when I speak
GroupValue95% CI
Baseline - Radiotherapy1.5000000± 0.7223151
Baseline - Radiotherapy + Cisplatin1.4545455± 0.6875517
12 Months - Radiotherapy1.2666667± 0.7037316
12 Months - Radiotherapy + Cisplatin1.8333333± 1.3291601
The intelligibility of my speech varies throughout the day
GroupValue95% CI
Baseline - Radiotherapy2.0000000± 1.0632191
Baseline - Radiotherapy + Cisplatin1.5454545± 0.8201995
12 Months - Radiotherapy1.4000000± 0.7367884
12 Months - Radiotherapy + Cisplatin1.8333333± 1.3291601
My speech makes me feel incompetent
GroupValue95% CI
Baseline - Radiotherapy1.3750000± 0.6468990
Baseline - Radiotherapy + Cisplatin1.2727273± 0.6466698
12 Months - Radiotherapy1.1333333± 0.3518658
12 Months - Radiotherapy + Cisplatin1.5000000± 0.8366600
People ask me why I'm hard to understand
GroupValue95% CI
Baseline - Radiotherapy1.2916667± 0.6240935
Baseline - Radiotherapy + Cisplatin1.1818182± 0.4045199
12 Months - Radiotherapy1.1333333± 0.3518658
12 Months - Radiotherapy + Cisplatin1.3333333± 0.5163978
I feel annoyed when people ask me to repeat
GroupValue95% CI
Baseline - Radiotherapy1.3750000± 0.8242256
Baseline - Radiotherapy + Cisplatin1.2727273± 0.6466698
12 Months - Radiotherapy1.3333333± 0.4879500
12 Months - Radiotherapy + Cisplatin1.6666667± 1.0327956
I avoid using the phone
GroupValue95% CI
Baseline - Radiotherapy1.6250000± 1.2091139
Baseline - Radiotherapy + Cisplatin1.5454545± 0.9341987
12 Months - Radiotherapy1.1333333± 0.3518658
12 Months - Radiotherapy + Cisplatin1.6666667± 1.0327956
I'm tense when talking to others because of my speech
GroupValue95% CI
Baseline - Radiotherapy1.4166667± 0.7172815
Baseline - Radiotherapy + Cisplatin1.5454545± 0.8201995
12 Months - Radiotherapy1.0666667± 0.2581989
12 Months - Radiotherapy + Cisplatin1.6666667± 1.0327956

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were followed through 3 months following last date of study treatment (approximately 18 weeks). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Radiotherapy
Serious: 0/27 (0%)
Deaths: 1/27
Radiotherapy, Cisplatin
Serious: 1/11 (9%)
Deaths: 0/11

Serious adverse events (3 terms)

ReactionSystemRadiotherapyRadiotherapy, Cisplatin
XerostomiaGastrointestinal disorders
AnorexiaMetabolism and nutrition disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Other adverse events (85 terms — click to expand)

ReactionSystemRadiotherapyRadiotherapy, Cisplatin
Dermatitis radiationInjury, poisoning and procedural complications
DysgeusiaNervous system disorders
Dry mouthGastrointestinal disorders
Mucositis oralGastrointestinal disorders
Lymphocyte count decreasedInvestigations
White blood cell decreasedInvestigations
AnemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Platelet count decreasedInvestigations
AlopeciaSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
Sore throatRespiratory, thoracic and mediastinal disorders
DysphagiaGastrointestinal disorders
FatigueGeneral disorders
Neutrophil count decreasedInvestigations
AnorexiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
HeadacheNervous system disorders
DyspepsiaGastrointestinal disorders
OdynophagiaGastrointestinal disorders
Salivary duct inflammationGastrointestinal disorders
Oral thrushInfections and infestations
Weight lossInvestigations
HypoalbuminemiaMetabolism and nutrition disorders
HypomagnesemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
DiarrheaGastrointestinal disorders
Pain - oropharynxGeneral disorders
HypocalcemiaMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
TrismusMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
Ear painEar and labyrinth disorders
Middle ear inflammationEar and labyrinth disorders
VomitingGastrointestinal disorders
Localized edemaGeneral disorders
HyperglycemiaMetabolism and nutrition disorders
Neck painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
DysarthriaNervous system disorders

Most-reported serious reactions: Xerostomia, Anorexia, Pulmonary embolism.

Data from ClinicalTrials.gov NCT01687413 adverse events section.

Sponsor's own description

This clinical trial studies the intensity of adjuvant ("helper") therapy required in p16 positive oropharynx cancer patients, who have had all known disease removed surgically by a minimally invasive approach, and who have extracapsular spread in their lymph nodes. Patients can consent to participate in either the randomized (physician chooses radiotherapy arm or radiotherapy \& cisplatin arm) or non-randomized (patient chooses radiotherapy arm or radiotherapy \& cisplatin arm) pathways. After the surgery, receive either radiation alone, or radiation and weekly cis-platinum during therapy. Patients are then followed for cancer, functional and quality of life outcomes.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Treatment de-escalation for HPV-driven oropharyngeal cancer: Where do we stand?
    Mirghani H, Blanchard P. · · 2018 · cited 120× · PMID 29594236 · DOI 10.1016/j.ctro.2017.10.005
  2. Transoral Endoscopic Head and Neck Surgery and Its Role Within the Multidisciplinary Treatment Paradigm of Oropharynx Cancer: Robotics, Lasers, and Clinical Trials.
    Holsinger FC, Ferris RL. · · 2015 · cited 114× · PMID 26351337 · DOI 10.1200/jco.2015.62.3157
  3. Human Papillomavirus-Associated Oropharyngeal Cancer: Defining Risk Groups and Clinical Trials.
    Bhatia A, Burtness B. · · 2015 · cited 94× · PMID 26351343 · DOI 10.1200/jco.2015.61.2358
  4. Treatment de-intensification strategies for head and neck cancer.
    Kelly JR, Husain ZA, Burtness B. · · 2016 · cited 84× · PMID 27755996 · DOI 10.1016/j.ejca.2016.09.006
  5. Optimizing Treatment De-Escalation in Head and Neck Cancer: Current and Future Perspectives.
    Rosenberg AJ, Vokes EE. · · 2021 · cited 80× · PMID 32864799 · DOI 10.1634/theoncologist.2020-0303
  6. Review of the clinical and biologic aspects of human papillomavirus-positive squamous cell carcinomas of the head and neck.
    Blitzer GC, Smith MA, Harris SL, Kimple RJ. · · 2014 · cited 78× · PMID 24606845 · DOI 10.1016/j.ijrobp.2013.08.029
  7. The current and future impact of human papillomavirus on treatment of squamous cell carcinoma of the head and neck.
    Psyrri A, Rampias T, Vermorken JB. · · 2014 · cited 59× · PMID 25057165 · DOI 10.1093/annonc/mdu265
  8. Deintensification of treatment for human papillomavirus-related oropharyngeal cancer: Current state and future directions.
    Bigelow EO, Seiwert TY, Fakhry C. · · 2020 · cited 55× · PMID 32247987 · DOI 10.1016/j.oraloncology.2020.104652

Verify or expand the search:

Other trials of Intensity-modulated radiation therapy (IMRT)

Trials testing the same drug.

Other recruiting trials for Oropharyngeal Neoplasms

Currently open trials in the same condition.

Other Washington University School of Medicine trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01687413.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing