MRI-Guided radiation boost shows promise for tough head and neck cancers

NCT ID NCT02031250

First seen Jun 27, 2026 ยท Last updated Jun 27, 2026

Summary

This phase 2 trial tested whether giving an extra dose of radiation to the most resistant parts of a tumor, identified by a special MRI scan (DCE-MRI), could improve outcomes for people with advanced head and neck cancer. 106 participants received standard chemoradiation (cisplatin or carboplatin plus IMRT) with or without the targeted boost. The goal was to see if the boost improved disease-free survival and local tumor control without increasing side effects.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
Cisplatin or Carboplatin (chemotherapy) plus intensity-modulated radiation therapy (IMRT) with a boost to hypoperfused tumor volumes
What this could lead to
If successful, this approach could improve local tumor control and survival for patients with poor-prognosis head and neck cancer without increasing side effects.
What could go wrong
This is a phase 2 trial with only 106 participants, so results may not be definitive. The added radiation boost could increase toxicity, and the benefit may not be large enough to change standard care.

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Conditions

The condition(s) this trial relates to.

head and neck squamous cell carcinoma Squamous Cell Carcinoma of Head and Neck

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • University of Michigan Hospital

    Ann Arbor, Michigan, 48109, United States

  • Veterans Affairs (VA) Ann Arbor Healthcare System

    Ann Arbor, Michigan, 48105, United States

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