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Radiation Therapy

Stereotactic Body Radiation Therapy for Head and Neck Cancer

N/A
Waitlist Available
Led By Robert Chin, MD
Research Sponsored by Jonsson Comprehensive Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Histologically confirmed recurrent head and neck cancer; either unresectable or status post salvage surgery.
Maximum tumor, or tumor bed, diameter < 5 cm.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 2 years
Awards & highlights

Study Summary

This trial is testing a new radiation therapy method to treat head and neck cancer that has returned. The new method uses special equipment to position the patient and deliver radiation to tumors with high precision.

Who is the study for?
This trial is for adults with recurrent head and neck cancer that's less than 5 cm wide. Participants must be relatively fit (Karnofsky score >=70), not pregnant, agree to use birth control, have a life expectancy over 12 weeks, and have had prior radiation therapy with significant overlap to the current treatment area.Check my eligibility
What is being tested?
The study tests how well HyperArc technology delivers stereotactic body radiation therapy to target tumors in the head and neck more precisely. The goal is fewer doses, shorter treatment time, and minimal damage to healthy tissue.See study design
What are the potential side effects?
Potential side effects include skin reactions at the treatment site, fatigue, dry mouth or throat due to radiation exposure, difficulty swallowing, changes in taste sensation, and possible late-term effects like fibrosis or secondary cancers.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My head or neck cancer has come back and cannot be removed or has been operated on.
Select...
My tumor or the area where my tumor was is smaller than 5 cm.
Select...
I am mostly able to care for myself and carry out daily activities.
Select...
I've had radiation for head/neck cancer with significant overlap in treatment areas.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 2 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 2 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Local control rate of the treated tumor target per Response Evaluation Criteria in Solid Tumors version 1.1, magnetic resonance imaging (MRI) response or positron emission tomography (PET) response
Percent of patients with acute or chronic grade >= 3 treatment-related toxicity per Common Terminology Criteria for Adverse Events version 4.0
Secondary outcome measures
LPFS
Locoregional progression-free survival (LPFS)
Median LPFS
+6 more
Other outcome measures
Dosimetric data including achievable dose to target and organs at risk (OAR)
Serum markers predictive of response and/or toxicity

Side effects data

From 2022 Phase 2 trial • 29 Patients • NCT02045446
79%
Cough
64%
Nausea
64%
Dyspnea
57%
Fatigue
43%
Constipation
36%
Pain
36%
Dizziness
29%
Back pain
29%
Anemia
29%
Vomiting
21%
Anorexia
21%
Lymphocyte count decreased
21%
Chest pain
21%
Death NOS
21%
Anxiety
21%
Fall
14%
Wheezing
14%
Dysphagia
14%
Depression
14%
Hypotension
14%
Diarrhea
14%
Platelet count decreased
14%
Abdominal Pain
14%
Edema
14%
Fever
14%
Headache
14%
Insomnia
14%
Palpitations
7%
Creatinine increased
7%
Alopecia
7%
Confusion
7%
Sinusitis
7%
Dysgeusia
7%
Hemorrhoids
7%
Dementia
7%
Productive cough
7%
Dysuria
7%
Throat pain
7%
Hearing impaired
7%
Rash
7%
Bone marrow biopsy
7%
Hypernatremia
7%
Eye pain
7%
Tachycardia
7%
Lung infection
7%
Amnesia
7%
Neuropathy
7%
Dehydration
7%
Pneumonitis
7%
Pleuritic pain
7%
Otitis externa
7%
White blood cell count decreased
7%
Neutropenia
7%
Hypertension
7%
Blurred vision
7%
Hypoxia
7%
Aspiration pneumonia
7%
Blood bilirubin increased
7%
Muscle weakness
7%
Tremor
7%
Weight loss
7%
Thrombocytopenia
7%
Floaters
7%
Toothache
7%
Esophagitis
7%
Leukocytosis
7%
Edema limbs
7%
Gait disturbance
7%
Parathesia (tingling)
7%
Edema face
7%
COPD
100%
80%
60%
40%
20%
0%
Study treatment Arm
Stereotactic Body Radiation Therapy
Maintenance Chemotherapy

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (SBRT)Experimental Treatment3 Interventions
Patients undergo stereotactic body radiation therapy with either standard radiation treatment software or HyperArc software technology for 2-3 fractions per week over a 2-week period for 5 fractions.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Stereotactic Body Radiation Therapy
2012
Completed Phase 2
~780

Find a Location

Who is running the clinical trial?

Jonsson Comprehensive Cancer CenterLead Sponsor
361 Previous Clinical Trials
27,715 Total Patients Enrolled
Varian, a Siemens Healthineers CompanyIndustry Sponsor
30 Previous Clinical Trials
7,220 Total Patients Enrolled
Robert Chin, MDPrincipal InvestigatorUCLA / Jonsson Comprehensive Cancer Center

Media Library

HyperArc (Radiation Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT03892720 — N/A
Head and Neck Cancers Research Study Groups: Treatment (SBRT)
Head and Neck Cancers Clinical Trial 2023: HyperArc Highlights & Side Effects. Trial Name: NCT03892720 — N/A
HyperArc (Radiation Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03892720 — N/A
~4 spots leftby Apr 2025