MRI-Guided tweaks during radiation could spare throat cancer patients from swallowing woes
NCT ID NCT04901234
First seen Aug 24, 2026 · Last updated Aug 25, 2026 · Updated 1 time
Summary
This phase II trial tests whether adapting radiation plans mid-treatment using MRI scans can reduce swallowing difficulties in patients with advanced oropharynx (throat) cancer. Participants receive standard chemoradiation, but half are randomly assigned to have their radiation plan adjusted based on a mid-treatment MRI, while the other half receive standard care. The main goal is to compare patient-reported swallowing function six months after treatment, with the hope that personalized adjustments can spare healthy tissue and improve quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- MRI-based radiotherapy adaptation
- What this could lead to
- If successful, this approach could reduce long-term swallowing difficulties and improve quality of life for people undergoing radiation for advanced throat cancer.
- What could go wrong
- This is a phase II trial with a moderate number of participants, so results may not be definitive. The adaptation may not significantly improve swallowing outcomes and could add complexity or delays to treatment.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Jul 2021
- Expected to finish
-
Dec 2028
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥18 years * Ability to provide written informed consent. * Stage T3-T4N0-3 as per AJCC 8th edition * Eastern Cooperative Oncology Group (ECOG) performance status 0-2. * Biopsy proven diagnosis of squamous cell carcinoma of the oropharynx. * Planned for curative radiotherapy +/- chemotherapy * For females of child-bearing age, a negative pregnancy test * Patients treated with induction chemotherapy can be included if they have residual tumor in place. Exclusion Criteria: * Previous irradiation of the head and neck (HNC) region, excluding superficial radiation therapy for non-melanomatous skin cancer * Previous surgery of the HNC region (except for incisional or excisional biopsies) * Pregnancy or breastfeeding * Connective tissue disease * Any medical condition that could, in the opinion of the investigator, prevent follow-up after radiotherapy. * Patients with contra-indications to MRI will be excluded.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Dysphagia are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
2 sites in 2 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
Austin Health
NOT_YET_RECRUITINGMelbourne, Australia
-
Centre Hospitalier de l'Université de Montréal
RECRUITINGMontreal, Quebec, H2x 3E4, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a gentle ear zap teach babies to swallow?
- Can repeated MRI scans reveal how tumors respond to radiation?
- Smart tongue trainer aims to restore swallowing after stroke
- Brain stimulation may boost swallowing recovery after stroke
- Can five radiation doses match longer treatment for breast cancer?
- A bedside ultrasound could reveal hidden swallowing risks in the ICU