Major trial tests gentler radiation combo for HPV throat cancer
NCT ID NCT01302834
First seen Jun 27, 2026 · Last updated Jul 21, 2026 · Updated 2 times
Summary
This large phase 3 trial studied nearly 1,000 people with HPV-related oropharyngeal cancer to see if replacing chemotherapy with a targeted drug (cetuximab) during radiation could work as well or better. The goal was to find a treatment that controls the disease while possibly reducing side effects. Results help doctors choose the best approach for this specific type of throat cancer.
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
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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987 people
The number who actually took part.
- Started
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Jun 2011
- Finished
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Sep 2025
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
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 to 120 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: 1. Pathologically (histologically or cytologically) proven diagnosis of squamous cell carcinoma (including the histological variants papillary squamous cell carcinoma and basaloid squamous cell carcinoma) of the oropharynx (tonsil, base of tongue, soft palate, or oropharyngeal walls). 2. Patients must be positive for p16, determined by central review prior to randomization. 3. Patients must have clinically or radiographically evident measurable disease at the primary site or at nodal stations. Tonsillectomy or local excision of the primary without removal of nodal disease is permitted, as is excision removing gross nodal disease but with intact primary site. Limited neck dissections retrieving ≤ 4 nodes are permitted and considered as non-therapeutic nodal excisions. Fine needle aspirations of the neck are insufficient due to limited tissue for retrospective central review. Biopsy specimens from the primary or nodes measuring at least 3-5 mm are required. 4. Clinical stage T1-2, N2a-N3 or T3-4, any N (AJCC, 7th ed.; see Appendix III), including no distant metastases, based upon the following minimum diagnostic workup: * General history and physical examination by a radiation oncologist and medical oncologist within 8 weeks prior to registration; * Examination by an ear, nose, and throat (ENT) or head and neck surgeon, including laryngopharyngoscopy (mirror and/or fiberoptic and/or direct procedure) within 8 weeks prior to registration; * One of the following combinations of imaging is required within 8 weeks prior to registration: 1. A computerized tomography (CT) scan of the neck (with contrast) and a chest CT scan (with or without contrast); 2. or a magnetic resonance imaging (MRI) scan of the neck (with contrast) and a chest CT scan (with or without contrast); 3. or a CT scan of neck (with contrast) and a positron emission tomography (PET)/CT of neck and chest (with or without contrast); 4. or an MRI of the neck (with contrast) and a PET/CT of neck and chest (with or without contrast). Note: A CT scan of neck and/or a PET/CT performed for radiation planning and read by a radiologist may serve as both staging and planning tools. 5. Zubrod Performance Status 0-1 within 2 weeks prior to registration 6. Age ≥ 18; 7. Complete blood count (CBC)/differential obtained within 2 weeks prior to registration on study, with adequate bone marrow function, defined as follows: * Absolute neutrophil count (ANC) \> 1,500 cells/mm3; * Platelets \> 100,000 cells/mm3; * Hemoglobin (Hgb) \> 8.0 g/dl; Note: The use of transfusion or other intervention to achieve Hgb \> 8.0 g/dl is acceptable. 8. Adequate hepatic function, defined as follows: * Bilirubin \< 2 mg/dl within 2 weeks prior to registration; * Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \< 3 x the upper limit of normal within 2 weeks prior to registration; 9. Adequate renal function, defined as follows: • Serum creatinine \< 1.5 mg/dl within 2 weeks prior to registration or creatinine clearance (CCr) ≥ 50 ml/min within 2 weeks prior to registration determined by 24-hour collection or estimated by Cockcroft-Gault formula: CCr male = \[(140 - age) x (wt in kg)\] \[(Serum Cr mg/dl) x (72)\] CCr female = 0.85 x (CCr male) 10. Patients must provide their smoking history (for stratification) via the computer-assisted self interview (CASI) head and neck risk factor survey tool. 11. Negative serum pregnancy test within 2 weeks prior to registration for women of childbearing potential; 12. Women of childbearing potential and male participants must agree to use a medically effective means of birth control throughout their participation in the treatment phase of the study and until at least 60 days following the last study treatment. 13. Patients who are human immunodeficiency virus (HIV) positive but have no prior acquired immune deficiency syndrome (AIDS) -defining illness and have CD4 cells of at least 350/mm3 are eligible. Patient HIV status must be known prior to registration. Patients must not be sero-positive for Hepatitis B (Hepatitis B surface antigen positive or anti-hepatitis B core antigen positive) or sero-positive for Hepatitis C (anti-Hepatitis C antibody positive). However, patients who are immune to hepatitis B (anti-Hepatitis B surface antibody positive) are eligible (e.g. patients immunized against hepatitis B). HIV-positive patients must not have multi-drug resistant HIV infection or other concurrent AIDS-defining conditions. 14. Patient must provide study specific informed consent prior to study entry, including consent for mandatory submission of tissue for required, central p16 review and consent to participate in the computer-assisted self interview (CASI) survey questions regarding smoking history. Exclusion Criteria: 1. Cancers considered to be from an oral cavity site (oral tongue, floor mouth, alveolar ridge, buccal or lip), nasopharynx, hypopharynx, or larynx, even if p16 positive, are excluded. Carcinoma of the neck of unknown primary site origin (even if p16 positive) are excluded from participation. 2. Stage T1-2, N0-1; 3. Distant metastasis or adenopathy below the clavicles; 4. Gross total excision of both primary and nodal disease; this includes tonsillectomy, local excision of primary site, and nodal excision that removes all clinically and radiographically evident disease. 5. Simultaneous primaries or bilateral tumors; 6. Prior invasive malignancy (except non-melanomatous skin cancer) unless disease free for a minimum of 3 years (For example, carcinoma in situ of the breast, oral cavity, or cervix are all permissible); 7. Prior systemic chemotherapy for the study cancer; note that prior chemotherapy for a different cancer is allowable; 8. Prior radiotherapy to the region of the study cancer that would result in overlap of radiation therapy fields; 9. Severe, active co-morbidity, defined as follows: * 9.1 Unstable angina and/or congestive heart failure requiring hospitalization within the last 6 months; * 9.2 Transmural myocardial infarction within the last 6 months; * 9.3 Acute bacterial or fungal infection requiring intravenous antibiotics at the time of registration; * 9.4 Chronic Obstructive Pulmonary Disease exacerbation or other respiratory illness requiring hospitalization or precluding study therapy within 30 days of registration; * 9.5 Hepatic insufficiency resulting in clinical jaundice and/or coagulation defects; note, however, that laboratory tests for liver function and coagulation parameters are not required for entry into this protocol. * 9.6 Acquired Immune Deficiency Syndrome (AIDS) based upon current Centers for Disease Control and Prevention (CDC) definition with immune compromise greater than that noted in Section 3.1.13; note, however, that HIV testing is not required for entry into this protocol. The need to exclude patients with AIDS from this protocol is necessary because the treatments involved in this protocol may be significantly immunosuppressive. Protocol-specific requirements may also exclude immuno-compromised patients. 10. Pregnancy or women of childbearing potential and men who are sexually active and not willing/able to use medically acceptable forms of contraception; this exclusion is necessary because the treatment involved in this study may be significantly teratogenic. 11. Prior allergic reaction to cisplatin or cetuximab; 12. Prior cetuximab or other anti-EGFR therapy.
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Get notified about this study
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Genom att skicka in godkänner du våra Användarvillkor
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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Study site
Santa Clara, California, 95051, United States
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Adams Cancer Center
Gettysburg, Pennsylvania, 17325, United States
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Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210-1240, United States
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Auburn Radiation Oncology
Auburn, California, 95603, United States
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Baptist Cancer Institute - Jacksonville
Jacksonville, Florida, 32207, United States
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Baptist Medical Center South
Jascksonville, Florida, 32258, United States
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Barberton Citizens Hospital
Barberton, Ohio, 44203, United States
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Barnes-Jewish West County Hospital
St Louis, Missouri, 63141, United States
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Battle Creek Health System Cancer Care Center
Battle Creek, Michigan, 49017, United States
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Bay Area Cancer Care Center at Bay Area Medical Center
Marinette, Wisconsin, 54143, United States
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Billings Clinic - Downtown
Billings, Montana, 59107-7000, United States
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Blumenthal Cancer Center at Carolinas Medical Center
Charlotte, North Carolina, 28232-2861, United States
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Boulder Community Hospital
Boulder, Colorado, 80301-9019, United States
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Butterworth Hospital at Spectrum Health
Grand Rapids, Michigan, 49503, United States
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CCOP - Christiana Care Health Services
Newark, Delaware, 19713, United States
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CCOP - Greenville
Greenville, South Carolina, 29615, United States
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CCOP - Kansas City
Prairie Village, Kansas, 66208, United States
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CCOP - Ochsner
New Orleans, Louisiana, 70121, United States
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CCOP - St. Louis-Cape Girardeau
St Louis, Missouri, 63141, United States
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CCOP - Virginia Mason Research Center
Seattle, Washington, 98101, United States
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Cancer Center at Ball Memorial Hospital
Muncie, Indiana, 47303-3499, United States
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Cancer Centers of the Carolinas - Faris Road
Greenville, South Carolina, 29605, United States
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Cancer Centers of the Carolinas - Spartanburg
Spartanburg, South Carolina, 29307, United States
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Cancer Institute at St. John's Hospital
Springfield, Illinois, 62702, United States
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Cancer Institute of Cape Girardeau, LLC
Cape Girardeau, Missouri, 63703, United States
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Cancer Institute of New Jersey at Cooper - Voorhees
Voorhees Township, New Jersey, 08043, United States
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Cancer Treatment Center
Wooster, Ohio, 44691, United States
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CancerCare Manitoba
Winnipeg, Manitoba, R3E 0V9, Canada
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Cardinal Bernardin Cancer Center at Loyola University Medical Center
Maywood, Illinois, 60153, United States
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Case Comprehensive Cancer Center
Cleveland, Ohio, 44106-5065, United States
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Center for Cancer Care at Goshen General Hospital
Goshen, Indiana, 46526, United States
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Charles M. Barrett Cancer Center at University Hospital
Cincinnati, Ohio, 45267, United States
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Cherry Tree Cancer Center
Hanover, Pennsylvania, 17331, United States
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City of Hope Comprehensive Cancer Center
Duarte, California, 91010-3000, United States
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Clackamas Radiation Oncology Center
Clackamas, Oregon, 97015, United States
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Cleveland Clinic Cancer Center at Fairview Hospital
Cleveland, Ohio, 44111, United States
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Cleveland Clinic Taussig Cancer Center
Cleveland, Ohio, 44195, United States
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Coastal Cancer Center at Sentara Virginia Beach General Hospital
Virginia Beach, Virginia, 23454, United States
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Community Regional Cancer Care at Community Hospital East
Indianapolis, Indiana, 46219, United States
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Community Regional Cancer Care at Community Hospital North
Indianapolis, Indiana, 46256, United States
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Creticos Cancer Center at Advocate Illinois Masonic Medical Center
Chicago, Illinois, 60657, United States
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Curtis and Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
Savannah, Georgia, 31403-3089, United States
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Dale and Frances Hughes Cancer Center at Pocono Medical Center
East Stroudsburg, Pennsylvania, 18301, United States
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David C. Pratt Cancer Center at St. John's Mercy
St Louis, Missouri, 63141, United States
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Decatur Memorial Hospital Cancer Care Institute
Decatur, Illinois, 62526, United States
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Dubs Cancer Center at Rogue Valley Medical Center
Medford, Oregon, 97504, United States
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Edwards Comprehensive Cancer Center at Cabell Huntington Hospital
Huntington, West Virginia, 25701, United States
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Elkhart General Hospital
Elkhart, Indiana, 46515, United States
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Enloe Cancer Center at Enloe Medical Center
Chico, California, 95926, United States
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Evanston Hospital
Evanston, Illinois, 60201-1781, United States
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Fairview Southdale Hospital
Edina, Minnesota, 55435, United States
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FirstHealth Moore Regional Community Hospital Comprehensive Cancer Center
Pinehurst, North Carolina, 28374, United States
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Flagler Cancer Center
Saint Augustine, Florida, 32086, United States
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Florida Cancer Center - Palatka
Palatka, Florida, 32177, United States
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Florida Hospital Cancer Institute at Florida Hospital Orlando
Orlando, Florida, 32803-1273, United States
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Flower Hospital Cancer Center
Sylvania, Ohio, 43560, United States
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Fox Chase Cancer Center - Philadelphia
Philadelphia, Pennsylvania, 19111-2497, United States
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Frederick R. and Betty M. Smith Cancer Treatment Center
Sparta, New Jersey, 07871, United States
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Genesys Hurley Cancer Institute
Flint, Michigan, 48503, United States
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George Bray Cancer Center at the Hospital of Central Connecticut - New Britain Campus
New Britain, Connecticut, 06050, United States
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Georgia Cancer Center for Excellence at Grady Memorial Hospital
Atlanta, Georgia, 30303, United States
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Gibbs Regional Cancer Center at Spartanburg Regional Medical Center
Spartanburg, South Carolina, 29303, United States
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Greenebaum Cancer Center at University of Maryland Medical Center
Baltimore, Maryland, 21201, United States
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Gundersen Lutheran Center for Cancer and Blood
La Crosse, Wisconsin, 54601, United States
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H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
Tampa, Florida, 33612-9497, United States
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Highland Hospital of Rochester
Rochester, New York, 14620, United States
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Hillcrest Cancer Center at Hillcrest Hospital
Mayfield Heights, Ohio, 44124, United States
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Hollings Cancer Center at Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Hudner Oncology Center at Saint Anne's Hospital - Fall River
Fall River, Massachusetts, 02721, United States
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Hulston Cancer Center at Cox Medical Center South
Springfield, Missouri, 65807, United States
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Huntsman Cancer Institute at University of Utah
Salt Lake City, Utah, 84112, United States
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Integrated Community Oncology Network
Jacksonville Beach, Florida, 32250, United States
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Integrated Community Oncology Network - Orange Park
Orange Park, Florida, 32073, United States
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Integrated Community Oncology Network at Southside Cancer Center
Jacksonville, Florida, 32207, United States
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James Graham Brown Cancer Center at University of Louisville
Louisville, Kentucky, 40202, United States
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James P. Wilmot Cancer Center at University of Rochester Medical Center
Rochester, New York, 14642, United States
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John H. Stroger, Jr. Hospital of Cook County
Chicago, Illinois, 60612-3785, United States
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John Stoddard Cancer Center at Iowa Methodist Medical Center
Des Moines, Iowa, 50309, United States
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Jon and Karen Huntsman Cancer Center at Intermountain Medical Center
Murray, Utah, 84157, United States
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Josephine Ford Cancer Center at Henry Ford Hospital
Detroit, Michigan, 48202, United States
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Kaiser Permanente - Division of Research - Oakland
Oakland, California, 94611, United States
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Kaiser Permanente Medical Center - South San Francisco
South San Francisco, California, 94080, United States
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Kansas City Cancer Centers - North
Kansas City, Missouri, 64154, United States
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Kansas City Cancer Centers - South
Kansas City, Missouri, 64131, United States
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Kansas City Cancer Centers - Southwest
Overland Park, Kansas, 66210, United States
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Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center
Kansas City, Kansas, 66160-7357, United States
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Kingsbury Center for Cancer Care at Cheshire Medical Center
Keene, New Hampshire, 03431, United States
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Kinston Medical Specialists
Kinston, North Carolina, 28501, United States
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Knight Cancer Institute at Oregon Health and Science University
Portland, Oregon, 97239-3098, United States
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Lacks Cancer Center at Saint Mary's Health Care
Grand Rapids, Michigan, 49503, United States
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Lahey Clinic Medical Center - Burlington
Burlington, Massachusetts, 01805, United States
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Lake/University Ireland Cancer Center
Mentor, Ohio, 44060, United States
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Lourdes Regional Cancer Center
Binghamton, New York, 13905, United States
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Lucille P. Markey Cancer Center at University of Kentucky
Lexington, Kentucky, 40536-0093, United States
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M. D. Anderson Cancer Center at University of Texas
Houston, Texas, 77030-4009, United States
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M.D. Anderson Cancer Center at Orlando
Orlando, Florida, 32806, United States
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Maine Center for Cancer Medicine and Blood Disorders - Scarborough
Scarborough, Maine, 04074, United States
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Mary Bird Perkins Cancer Center - Baton Rouge
Baton Rouge, Louisiana, 70809, United States
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McFarland Clinic, PC
Ames, Iowa, 50010, United States
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McGill Cancer Centre at McGill University
Montreal, Quebec, H2W 1S6, Canada
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McGlinn Family Regional Cancer Center at Reading Hospital and Medical Center
Reading, Pennsylvania, 19612-6052, United States
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McKee Medical Center
Loveland, Colorado, 80539, United States
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Medical College of Wisconsin Cancer Center
Milwaukee, Wisconsin, 53226, United States
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Memorial Hospital of South Bend
South Bend, Indiana, 46601, United States
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Mercy Cancer Center at Mercy San Juan Medical Center
Carmichael, California, 95608, United States
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Mercy General Hospital
Sacramento, California, 95819, United States
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Mercy and Unity Cancer Center at Mercy Hospital
Coon Rapids, Minnesota, 55433, United States
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Mercy and Unity Cancer Center at Unity Hospital
Fridley, Minnesota, 55432, United States
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Methodist Estabrook Cancer Center
Omaha, Nebraska, 68114, United States
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Michiana Hematology-Oncology, PC - South Bend
Mishawaka, Indiana, 46545-1470, United States
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Mission Hospitals - Memorial Campus
Asheville, North Carolina, 28801, United States
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Monmouth Medical Center
Long Branch, New Jersey, 07740-6395, United States
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Moses Cone Regional Cancer Center at Wesley Long Community Hospital
Greensboro, North Carolina, 27403-1198, United States
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NSMC Cancer Center - Peabody
Danvers, Massachusetts, 01923, United States
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Nancy N. and J. C. Lewis Cancer and Research Pavilion at St. Joseph's/Candler
Savannah, Georgia, 31405, United States
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Natalie Warren Bryant Cancer Center at St. Francis Hospital
Tulsa, Oklahoma, 74136, United States
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Nebraska Medical Center
Omaha, Nebraska, 68198, United States
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Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756-0002, United States
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North Broward Medical Center
Dearfield Beach, Florida, 33064-3596, United States
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North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
Yakima, Washington, 98902, United States
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North Suburban Medical Center
Thornton, Colorado, 80229, United States
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Northeast Georgia Medical Center
Gainesville, Georgia, 30501, United States
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Northwest Cancer Specialists at Vancouver Cancer Center
Vancouver, Washington, 98684, United States
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Northwest Community Hospital
Arlington Heights, Illinois, 60005, United States
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Northwest Ohio Oncology Center
Maumee, Ohio, 43537-1839, United States
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Oklahoma University Cancer Institute
Oklahoma City, Oklahoma, 73104, United States
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Park Nicollet Cancer Center
Saint Louis Park, Minnesota, 55416, United States
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Parkview Regional Cancer Center at Parkview Health
Fort Wayne, Indiana, 46805, United States
-
Payson Center for Cancer Care at Concord Hospital
Concord, New Hampshire, 03301, United States
-
Penrose Cancer Center at Penrose Hospital
Colorado Springs, Colorado, 80933, United States
-
Porter Adventist Hospital
Denver, Colorado, 80210, United States
-
Precision Radiotherapy at University Pointe
West Chester, Ohio, 45069, United States
-
Providence Cancer Center
Anchorage, Alaska, 99508, United States
-
Providence Cancer Center at PMCC
Medford, Oregon, 97504, United States
-
Providence Cancer Center at Providence Portland Medical Center
Portland, Oregon, 97213-2967, United States
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Providence St. Vincent Medical Center
Portland, Oregon, 97225, United States
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Radiation Oncology Center - Roseville
Roseville, California, 95661, United States
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Radiation Oncology Centers - Cameron Park
Cameron Park, California, 95682, United States
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Radiological Associates of Sacramento Medical Group, Incorporated
Sacramento, California, 95815, United States
-
Rapid City Regional Hospital
Rapid City, South Dakota, 57701, United States
-
Rebecca and John Moores UCSD Cancer Center
La Jolla, California, 92093-0658, United States
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Regional Cancer Center at Memorial Medical Center
Springfield, Illinois, 62781-0001, United States
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Regional Cancer Center at Singing River Hospital
Pascagoula, Mississippi, 39581, United States
-
Regions Hospital Cancer Care Center
Saint Paul, Minnesota, 55101, United States
-
Renown Institute for Cancer at Renown Regional Medical Center
Reno, Nevada, 89502, United States
-
Robert H. Lurie Comprehensive Cancer Center at Northwestern University
Chicago, Illinois, 60611-3013, United States
-
Rocky Mountain Cancer Centers - Aurora
Aurora, Colorado, 80012, United States
-
Rohnert Park Cancer Center
Rohnert Park, California, 94928, United States
-
Rosenfeld Cancer Center at Abington Memorial Hospital
Abington, Pennsylvania, 19001, United States
-
Roy and Patricia Disney Family Cancer Center at Providence Saint Joseph Medical Center
Burbank, California, 91505, United States
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Sacred Heart Cancer Center at Sacred Heart Hospital
Pensacola, Florida, 32504, United States
-
Saint Joseph Mercy Cancer Center
Ann Arbor, Michigan, 48106-0995, United States
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Schiffler Cancer Center at Wheeling Hospital
Wheeling, West Virginia, 26003, United States
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Seacoast Cancer Center at Wentworth - Douglass Hospital
Dover, New Hampshire, 03820, United States
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Sentara Cancer Institute at Sentara Norfolk General Hospital
Norfolk, Virginia, 23507, United States
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Siouxland Hematology-Oncology Associates, LLP
Sioux City, Iowa, 51101, United States
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Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
St Louis, Missouri, 63110, United States
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Solano Radiation Oncology Center
Vacaville, California, 95687, United States
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Southwest General Health Center
Middleburg Heights, Ohio, 44130, United States
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St. Agnes Hospital Cancer Center
Baltimore, Maryland, 21229, United States
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St. Anne Mercy Hospital
Toledo, Ohio, 43623, United States
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St. Charles Mercy Hospital
Oregon, Ohio, 43616, United States
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St. Francis Hospital and Health Centers - Beech Grove Campus
Beech Grove, Indiana, 46107, United States
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St. Joseph Cancer Center
Bellingham, Washington, 98225, United States
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St. Mary Regional Cancer Center
Langhorne, Pennsylvania, 19047, United States
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St. Mary's Hospital Medical Center - Green Bay
Green Bay, Wisconsin, 54303, United States
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St. Vincent Hospital Regional Cancer Center
Green Bay, Wisconsin, 54307-3508, United States
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Summa Center for Cancer Care at Akron City Hospital
Akron, Ohio, 44309-2090, United States
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Swedish Medical Center
Englewood, Colorado, 80110, United States
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Theda Care Cancer Institute
Appleton, Wisconsin, 54911, United States
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UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94115, United States
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UHHS Westlake Medical Center
Westlake, Ohio, 44145, United States
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University of Chicago Cancer Research Center
Chicago, Illinois, 60637-1470, United States
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University of Miami Sylvester Comprehensive Cancer Center - Miami
Miami, Florida, 33136, United States
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University of New Mexico Cancer Center
Albuquerque, New Mexico, 87131-5636, United States
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University of Texas Medical Branch
Galveston, Texas, 77555-0361, United States
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University of Wisconcin Cancer Center at Aspirus Wausau Hospital
Wausau, Wisconsin, 54401, United States
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University of Wisconsin Paul P. Carbone Comprehensive Cancer Center
Madison, Wisconsin, 53792-6164, United States
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Utah Cancer Specialists at UCS Cancer Center
Salt Lake City, Utah, 84106, United States
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Utah Valley Regional Medical Center - Provo
Provo, Utah, 84604, United States
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Val and Ann Browning Cancer Center at McKay-Dee Hospital Center
Ogden, Utah, 84403, United States
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Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, 37232-6838, United States
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Veterans Affairs Medical Center - Milwaukee
Milwaukee, Wisconsin, 53295, United States
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Winship Cancer Institute of Emory University
Atlanta, Georgia, 30322, United States
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York Cancer Center at Apple Hill Medical Center
York, Pennsylvania, 17405, United States
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