Prognostic Markers for a Better Follow-up in Head and Neck Cancer.
Study Details
Study Description
Brief Summary
To identify tumor specific DNA mutations and aberrations and to follow these in blood over time to predict treatment response/survival and secondly to correlate presence of these markers in blood to pathological parameters (LVI, Pn, WPOI and margins), radiological findings and to tumor stage.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Patient with head and neck cancer Patient diagnosed with head and neck cancer |
Genetic: DNA exome sequencing of tumor and blood
A piece from tumor and a blood sample will be collected during surgery. DNA will be extracted and presence of tumor specific mutations/aberrations will be analysed with a DNA exome seq panel. Presence of identified markers will be followed in blood samples with the same panel and these blood samples will be collected in routine follow-up during the first two years. Presence of markers over time in blood will be correlated to outcomes 1-5.
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Outcome Measures
Primary Outcome Measures
- Recurrence [2 years]
Recurrent disease within 2 years after surgery. Is presence of these DNA changes in blood correlated to recurrence?
- Survival [2 years]
Alive/dead. Is presence of these DNA changes in blood correlated to survival?
- Treatment response [6 months]
Is presence of these DNA changes in blood correlated to treatment response?
Secondary Outcome Measures
- Pathological parameters [6 months]
Is presence of these DNA changes correlated to pathological parameters (LVI, Pn, WPOI and margins).
- Radiological parameters [9 months]
Is presence of these DNA markers in blood correlated to PET-findings?
- Stage [2 years]
If patients are stratified by stage, are there any differences in Outcome 1-5 (please see above)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patient diagnosed with head and neck cancer
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Treatment includes surgery
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Consent to participate
Exclusion Criteria:
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No consent
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Age below 18 years
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No surgery
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No tumor material to sample
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Karolinska universitetssjukhuset | Stockholm | Sweden | 17176 |
Sponsors and Collaborators
- Karolinska Institutet
Investigators
- Principal Investigator: Anders Näsman, MD PhD, Karolinska institutet and Karolinska Universitetssjukhuset
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2023-04222-01