Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

Comparing dose painting with standard radiotherapy for head and neck cancer

Official title: RAdiotherapy With FDG-PET Guided Dose-PAINTing Compared With Standard Radiotherapy for Primary Head and Neck Cancer-3 Randomized, Multicentre, Phase II Trial

Run by Oslo University Hospital · NCT06297902 · Data updated 2026-11-12

This study is testing a new way of giving radiation treatment for head and neck cancer to see if it causes fewer severe mouth sores than the standard method.

More Head and Neck Cancer trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorOslo University Hospital
Academic / other
Drugs / interventionscetuximab, chemotherapy
Locations3 sites (Bergen and 2 other locations)
StatusRecruiting
StartedAugust 19, 2024
Main results expectedJune 2027
Study endsJune 2030
Registry record updatedJanuary 21, 2026
Trial IDNCT06297902 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults over 18 with histologically confirmed invasive squamous cell carcinoma of the head and neck region who are planned for curative radiotherapy.

Probably not a fit

Patients with early-stage cancers, certain HPV-positive oropharyngeal carcinomas, or those with conditions like diabetes or active smoking may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The RADPAINT-3 trial aims to evaluate the safety of dose painting in comparison to standard radiotherapy for patients with primary head and neck cancer. This randomized, non-inferiority study will enroll 100 patients across multiple centers, including Oslo University Hospital and its collaborating sites. Participants will undergo FDG-PET imaging prior to treatment and will be randomly assigned to receive either standard radiotherapy or the experimental dose painting approach. The primary outcome measure is the incidence of severe mucosal ulcers one year post-treatment.

Why it matters

Potential benefit: If successful, this approach could lead to reduced side effects and improved treatment outcomes for patients with head and neck cancer.

How similar studies have gone: While this approach is innovative, similar studies have shown promise in using advanced imaging techniques to tailor radiotherapy doses, suggesting potential for success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Histologically or cytologically verified invasive squamous cell carcinoma of the head and neck region; Sinonasal cancer, oral cavity cancer, hypopharynx cancer, larynx cancer, HPV negative oropharyngeal cancer and T4 (any N) HPV positive oropharyngeal cancer.
2. Patients planned for standard curative RT (with or without concomitant chemotherapy \[cisplatin, or cetuximab\], with or without nimorazole hypoxic cell radiosensitizer)
3. Age \> 18 years
4. WHO performance status 0-2
5. Signed informed consent
6. Ability to understand information about the study and to complete questionnaires

Exclusion Criteria:

1. All diagnoses, cT1 cN0-N1 cM0
2. Glottic cancer cT1-T2 cN0 cM0
3. HPV positive oropharyngeal carcinoma T1-T3 (any N)
4. Diabetes mellitus
5. Use of anticoagulant medication
6. Active smoking and/or alcohol abuse

Where it's running

  • Haukeland University Hospital
    Bergen, Norway
    Recruiting
  • Oslo University Hospital
    Oslo, Norway
    Recruiting
  • St. Olavs Hospital
    Trondheim, Norway
    Not yet recruiting

Study contacts

  • Principal investigator: Einar Dale — Oslo University Hospital
  • Study coordinator: Einar Dale, PhD
  • Email: eindal@ous-hf.no
  • Phone: +4722934000

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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  • Radiotherapy for Head and Neck Cancer with Simultaneous Integrated Boost

    This study is testing a new type of radiation therapy for people with head and neck cancer to see if it helps them live longer and feel better while causing fewer side effects.

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  • Phenotype-based Pain Guidance for Head and Neck Cancer-Related Pain (pilot)

    This pilot test sees if tailoring pain treatment to a patient’s pain type can reduce head and neck cancer pain in adults who haven’t started cancer treatment yet.

    Recruiting Phase 2 Shaukat Khanum Memorial Cancer Hospital & Research Centre · Lahore, Punjab Province · NCT07919444

  • Airway ultrasound in head and neck cancer patients

    This observational study tests whether neck ultrasound measurements of the airway match CT measurements in adults with maxillofacial cancer undergoing surgery with anesthesia.

    Recruiting at 2 sites University Hospital Dubrava · Zagreb, City of Zagreb and 1 other locations · NCT07910149

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.