Radiation after surgery may keep early oral cancer at bay
NCT ID NCT03853655
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether giving radiation therapy after surgery can prevent early-stage oral cancer from coming back. It included 392 patients with tumors at least 5mm thick. Half received radiation, half were just watched. The main goal was to see if radiation reduced local or regional cancer recurrence.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- radiation therapy
- What this could lead to
- If successful, this could show that adding radiotherapy after surgery lowers the chance of cancer coming back in patients with early oral cancer and thick tumors.
- What could go wrong
- This trial is completed but results are not yet widely known. The benefit may be small, and radiotherapy has side effects like mouth sores and dry mouth. The study only included certain tumor types and thicknesses, so findings may not apply to all patients.
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
-
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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392 people
The number who actually took part.
- Started
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Aug 2018
- Finished
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Dec 2025
- 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.
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: 1. Post-operative early stage squamous cell carcinoma of the oral cavity (Oral Tongue, Buccal Mucosa, Floor of mouth). (pT1, pT2, N0 as defined in the AJCC Classification 8th edition. 2. Adequate surgery (Defined as wide local excision of the primary tumor with tumor-free margin ≥ 5mm and ipsilateral selective neck dissection addressing levels I-III at minimum.) 3. Written informed consent. 4. Age ≥18 years 5. Eastern Co-operative Oncology Group (ECOG) Performance Status 0-2 6. The depth of invasion (DOI) ≥ 5 mm. 7. Compliance to therapy and follow-up 8. The interval from surgery to adjuvant radiotherapy ≤ 6 weeks Exclusion Criteria: 1. pT3/pT4 (as specified in the AJCC 8th edition). 2. Depth of invasion \< 5mm. 3. Any neck nodal metastasis with or without extra nodal extension 4. Tumor-free margin \< 5 mm 5. Non-squamous histology 6. Pregnant woman 7. Prior h/o any other malignancy in the last five years 8. Prior therapeutic irradiation of the head and neck.
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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.
Contacts and locations
Locations
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Amrita Institute of Medical Sciences
Kochi, Kerala, 682041, India
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Dr. B Barooah Cancer Institute
Guwahati, Assam, 781016, India
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HCG Hospital
Ahmedabad, Gujarat, 380006, India
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Kailash Cancer Hospital and Research Centre
Goraj, Gujarat, 391760, India
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Malabar Cancer Centre
Kannur, Kerala, 670103, India
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Mazumdar Shaw Medical Centre
Bangalore, Karnataka, 560100, India
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Sree Sankara Cancer Hospital
Bangalore, Karnataka, 560004, India
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Tata Memorial Centre
Mumbai, Maharashtra, 400012, India
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