Postoperative Radiotherapy for Early-stage Oral Tongue Squamous Cell Carcinoma Patients With Risk Factors: a Prospective, Multicenter, Randomized Controlled, Open-labelled Trial
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Postoperative radiotherapy.
- Кому может быть актуально
- Состояния в реестре: Oral Tongue Squamous Cell Carcinoma. Базовые параметры: 18 лет — 70 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
The goal of this clinical trial is to learn whether postoperative radiotherapy can delay disease recurrence in patients with early-stage oral squamous cell carcinoma who have high-risk factors. The main question it aims to answer is: Is the clinical outcome of early-stage tongue squamous cell carcinoma patients with risk factors after tumor enlargement resection receiving postoperative radiotherapy better than that of patients with simple follow-up observation? How is the safety? Researchers will compare the postoperative radiotherapy group and the simple follow-up observation group to see if there are differences between the two groups in terms of 3-year disease-free survival rate, 5-year disease-free survival rate, overall survival rate, toxicity events, and quality of life. Participants of postoperative radiotherapy group will receive postoperative radiotherapy 6-8 weeks after surgery.
Вмешательства
- Лучевая терапия Postoperative radiotherapy
Radiation therapy should commence immediately after the surgical wound has fully healed, typically 4 to 6 weeks post-operation, but no later than 8 weeks post-operation
Первичные конечные точки
- 3-year DFS [Срок оценки: 3 years]
Вторичные конечные точки (5)
- 5-year OS [Срок оценки: 5 years]
- 5-year DFS [Срок оценки: 5 years]
- acute toxicity events [Срок оценки: 6 months]
- Long-term toxicity events [Срок оценки: from 6 months after treatment to 5 years after treatment]
- scores of Quality of life [Срок оценки: From enrollment to 5 years]
Критерии участия
Критерии включения
- Age ≥ 18 years old and ≤ 70 years old, gender not limited;
- Newly treated patients (who have not undergone radiotherapy, chemotherapy, or targeted therapy before);
- Complete resection of the tumor with naked eye and no residual tumor observed in postoperative pathology;
- The lesion is limited to the anterior 2/3 of the tongue (active part of the tongue);
- Postoperative pathological diagnosis was squamous cell carcinoma of the tongue;
- According to AJCC 8th edition, the pathological TNM staging is T1-2N0M0;
- Having at least one risk factor: vascular cancer thrombus, nerve invasion, moderate or low differentiation;
- The general status score of the Eastern Cancer Collaboration Group (ECOG) is 0-2 points;
- Not participating in other clinical trials within the previous 4 weeks prior to screening; If other trials fail to screen cases, but meet the requirements of this trial, they can be enrolled.
Критерии исключения
- Patients who invade the oropharynx, mouth floor, cheeks, neck, and other organs;
- Have received chemotherapy or other anti-tumor drugs;
- Previously received radiation therapy for the head and neck area;
- Patients with active autoimmune diseases that require systemic treatment in the past;
- Pregnant or lactating women;
- Individuals with acute infections that are difficult to control;
- Patients with drug abuse, drug abuse, long-term alcoholism and AIDS;
- The subjects also have other known invasive malignant tumors (excluding those with no evidence of tumor recurrence through treatment and a duration of more than 2 years);
- Researchers believe that there are other conditions that hinder patients from participating in this trial.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
Китай · 28 центров
- The First Affiliated Hospital of Bengbu Medical University — Bengbu
- Cancer Hospital Chinese Academy of Medical Sciences — Chaoyang
- Fujian Cancer Hospital — Фучжоу
- Cancer prevention and treatment center, sun yat-sen university — Guandong
- Harbin Medical University Cancer Hospital — Харбин
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology — Ухань
- Renmin Hospital of Wuhan University — Ухань
- Hunan Provincial People's Hospital — Чанша
- … и ещё 20 центров
Идентификаторы
NCT: NCT07402525 · 2025-0846