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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Oslo University Hospital Academic / other |
| Drugs / interventions | cetuximab, chemotherapy |
| Locations | 3 sites (Bergen and 2 other locations) |
| Status | Recruiting |
| Started | August 19, 2024 |
| Main results expected | June 2027 |
| Study ends | June 2030 |
| Registry record updated | January 21, 2026 |
| Trial ID | NCT06297902 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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.