Shorter radiation course tested for advanced head and neck cancer
NCT ID NCT07823309
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Researchers compare two palliative radiation schedules for people with incurable head and neck cancer. The standard Split Course takes several weeks and often causes hard-to-tolerate side effects. The study tests whether a shorter Quad Shot regimen can shrink tumors and ease symptoms just as well, while improving quality of life. Participants are assigned by chance to one of the two schedules, and researchers track tumor response, side effects, and quality of life for up to six months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Two different schedules of palliative radiation therapy: Quad Shot and Split Course
- What this could lead to
- If the shorter Quad Shot schedule works as well as the longer one, patients with incurable head and neck cancer could spend less time in treatment and have fewer side effects.
- What could go wrong
- This is a small study of 40 people, so the results may not apply to everyone. The shorter schedule might not control tumors as well, and radiation to the head and neck can cause mouth sores, trouble swallowing, and skin irritation.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2027
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patients (\>= 18 years) with a histopathological diagnosis of incurable squamous cell carcinoma of the head and neck, not candidates for curative-intent treatment. * Metastatic or locally advanced unresectable disease, in a strictly palliative setting. * Medical indication for palliative radiotherapy. * Performance status: Karnofsky \>= 50 or ECOG \<= 3. * Clinical capacity to receive radiotherapy in an outpatient setting. * Estimated life expectancy greater than 3 months. * Presence of at least one measurable lesion according to RECIST 1.1 criteria. * Logistical capacity and willingness to adhere to follow-up clinical and radiological controls up to 6 months post-treatment. * Signed informed consent. Exclusion Criteria: * History of previous radiotherapy to the same anatomical region to be treated. * Diagnosis of a second active malignancy that could interfere with the evaluation of oncological outcomes. * Presence of clinical instability or severe comorbidities that contraindicate radiotherapy treatment. * Severe cognitive or psychiatric alterations that prevent the understanding of the nature of the study, signing the consent form, or adherence to the protocol. * Women who are pregnant or breastfeeding
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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 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
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