3-Week radiation blast could spare seniors from 7 weeks of treatment
NCT ID NCT04284540
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a shorter radiation schedule (3 weeks instead of 6-7) for head and neck cancer in people aged 70 and older. The goal was to see if it could still control the cancer while reducing side effects and treatment gaps. 37 participants received either adjuvant or definitive hypofractionated radiation.
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 (hypofractionation)
- What this could lead to
- If successful, this shorter radiation schedule could make treatment easier for older patients and reduce side effects while still controlling the cancer.
- What could go wrong
- This is a small pilot study with only 37 participants, so results may not apply to everyone. The shorter schedule might not control the cancer as well as standard 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
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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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37 people
The number who actually took part.
- Started
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Jul 2019
- Finished
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Jun 2025
- 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.
- Ages
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70 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 * Age ≥ 70 years. * No previous RT or chemotherapy for HNSCC is allowed at time of study entry. * Life expectancy \> 12 weeks. * Participants must have histologically or cytologically confirmed diagnosis of HNSCC: oral cavity, oropharynx, nasopharynx, hypopharynx, larynx, cervical nodes (unknown primary) * All stages (according to National Comprehensive Cancer Network 8th edition for head and neck cancers), except stage IVC5 * Non-concurrent chemotherapy * First line treatment * Anyone eligible for definitive or adjuvant based RT therapy * Adjuvant therapy when histopathological factors (advanced T category, nodal disease, lymphovascular or perineural invasion, high-grade, or positive margins) * Anyone being treated with curative intent * Unfit as determined by the treating physician and ECOG performance 1, 2, or 3 (Appendix 2). * Ability to understand and the willingness to sign a written informed consent. Exclusion Criteria * Patients \< 70 * Metastatic disease outside of the head and neck * Pregnancy * Previous or current malignancies at other sites, with the exception of adequately treated in situ carcinoma of the cervix, basal or squamous cell carcinoma of the skin, thyroid cancer, or other cancer curatively treated by surgery and with no current evidence of disease for at least 5 years. * Prior RT of head and neck area * Concurrent chemotherapy or immunotherapy or hormonotherapy * Any comorbid connective tissue disorder which could aggravate RT associated toxicities (e.g. Scleroderma) * In cases where patients cannot consent on their own due to underlying dementia, we can consent the patient's healthcare proxy
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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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Mount Sinai Chelsea
New York, New York, 10011, United States
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Mount Sinai Downtown Union Square
New York, New York, 10003, United States
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Mount Sinai Hospital
New York, New York, 10029, United States
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Mount Sinai West
New York, New York, 10019, United States
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