MRI 'Fingerprint' may reveal which head and neck tumors vanish with Pre-Surgery therapy
NCT ID NCT06755567
First seen Aug 31, 2026 · Last updated Sep 01, 2026 · Updated 1 time
Summary
This study tests whether a computer model that analyzes MRI images can predict which patients with head and neck cancer will have a complete response to neoadjuvant therapy, which combines chemotherapy and immunotherapy before surgery. Researchers will build the model using MRI scans and clinical data from 750 patients who receive two or three cycles of this therapy followed by surgery. The goal is to accurately identify patients who achieve a pathological complete response, meaning no cancer remains in the removed tissue, to help guide individualized treatment decisions.
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 radiomics-clinical model
- What this could lead to
- If the model works, doctors could tailor neoadjuvant therapy for head and neck cancer, sparing non-responders from ineffective treatment and guiding them to surgery sooner.
- What could go wrong
- The model is experimental and may not predict accurately across all patients. MRI features can vary by scanner and technique, so results may not generalize widely.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 750 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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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.
Who is studied
Patients with head and neck squamous cell carcinoma, who were treated in Sun Yat-sen Memorial Hospital between January 2020 and October 2023, were included and randomly allocated into a training set (n = 300) and an internal validation set (n = 150). Patients treated in Sun Yat-Sen University Cancer Centre, Shenshan Medical Centre, Memorial Hospital of Sun Yat-sen University and Huizhou First Hospital between January 2020 and April 2024, were assigned as an external validation set (n = 150) . Patients treated in Sun Yat-sen Memorial Hospital, Sun Yat-Sen University Cancer Centre, Shenshan Medical Centre, Memorial Hospital of Sun Yat-sen University and Huizhou First Hospital between October 2024 and June 2025, were assigned as an prospective validation set (n = 150) .
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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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: * (a) patients pathologically diagnosed as head and neck squamous cell carcinoma; * (b) patients receiving two or three courses of neoadjuvant therapy (traditional chemotherapy plus PD-1 inhibitor); * (c) MR scan within 30 days before the first course of neoadjuvant therapy; * (d) patients undergoing radical surgical dissection following neoadjuvant therapy; * (e) complete clinical data available. Exclusion Criteria: * (a) previous head and neck treatment history; * (b) obvious motion or metal artifacts on the MRI image; * (c) distant metastasis; * (d) concurrent malignancies.
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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.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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Sun Yat-sen Memorial Hospital
RECRUITINGGuangzhou, Guangdong, 510000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Neoadjuvant low-dose radiotherapy, tislelizumab, combined with albumin-bound paclitaxel and cisplatin in resectable locally advanced head and neck squamous cell carcinoma (NeoRTPC02): an open label, single-arm, phase II clinical trial
- Phase ib clinical study of toripalimab combined with gemcitabine and cisplatin neoadjuvant chemotherapy in patients with resectable locally advanced head and neck squamous cell carcinoma
- A prospective imaging study of target definition and radiation planning workflows on the integrated TrueBeam-HyperSight system for patients receiving radiation therapy
- Can a Triple-Drug combo before surgery eliminate EGFR-Mutant lung cancer?
- Can a new drug shrink advanced solid tumors?
- Can a Three-Dose immunotherapy cure early lung cancer without surgery?