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NCT05539638

The Role of Circulating Tumour DNA in Head and Neck Cancer

Recruiting now Last updated 17 March 2026
What this trial tests

trial in Oropharyngeal Squamous Cell Carcinoma in 250 participants. Currently enrolling.

Timeline
14 August 2022
Primary endpoint
31 August 2027
31 August 2027

Quick facts

Lead sponsorUniversity of Edinburgh
StatusRecruiting now
Study typeOBSERVATIONAL
Enrollment250
Start date14 August 2022
Primary completion31 August 2027
Estimated completion31 August 2027
Sites5 locations across United Kingdom

Conditions studied

Sponsor

University of Edinburgh

Who can join

18 and older, any sex, with Oropharyngeal Squamous Cell Carcinoma or Human Papillomavirus (HPV). Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Cancers of the throat, oropharyngeal squamous cell carcinoma (OPSCC), are highly prevalent across Scotland. Over the past 10 years, both global and Scottish cases of OPSCC have increased, particularly those associated with human papillomavirus (HPV). However there has been little change in techniques for diagnosis and monitoring. Although imaging technologies are improving, results of imaging are often indeterminate and clinicians require additional tools to make informed decisions. With this in mind our research team have established a range of blood- based tests which detect and monitor cancer DNA fragments shed by tumours into the blood stream in OPSCC patients. Our initial studies have shown that such tests, which are minimally invasive compared to surgical biopsy, hold the potential to provide an accurate, "real-time" method to monitor patient response to treatment, identify early relapse and assist in clinical decision making. The investigators aim to expand these results to assist clinical decisions for both virally associated and non-viral associated OPSCC. Following this, the investigators will focus on the poorest prognosis OPSCC group (non-HPV tumours) by applying state-of-the-art DNA detection and sequencing technologies to analyse tumour- derived DNA fragments in the bloodstream, to follow treatment response and to develop new methods for detecting relapse and resistance to treatment in OPSCC. Ultimately, the investigators envisage that the implementation of such genetic assays of tumours and the fragments that they release into the bloodstream will provide a transformative shift in the clinical assessment and quality of life of OPSCC patients in Scotland.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. The Value of Circulating Tumor HPV DNA in Head and Neck Squamous Cell Cancer: A Review.
    Dok R, Nuyts S, Lopez F, Bradford C, et al · · 2025 · PMID 41226001 · DOI 10.3390/diagnostics15212708

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Other recruiting trials for Oropharyngeal Squamous Cell Carcinoma

Currently open trials in the same condition.

Other University of Edinburgh trials

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Data sources for this page

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