Clinical trial Recruiting at 2 sites Observational Ages 18 and up

Matching tumor and blood gene tests for HPV-negative head and neck cancer

Official title: Matching Primary Tumor and Blood Gene Expression Analysis of HPV-negative Squamous Head and Neck Cancers (BIOMATCH - Head and Neck)

Run by Fondazione IRCCS Istituto Nazionale dei Tumori, Milano · NCT07512921 · Data updated 2026-11-12

This project will try to see if a simple blood test can show the same tumor gene patterns as tissue samples in people with HPV-negative head and neck cancer.

More Head and Neck Squamous Cell Carcinoma (HNSCC) trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment300 (estimated)
SponsorFondazione IRCCS Istituto Nazionale dei Tumori, Milano
Academic / other
Locations2 sites (Milan and 1 other locations)
StatusRecruiting
StartedFebruary 18, 2025
Main results expectedJuly 31, 2027
Study endsDecember 31, 2027
Registry record updatedApril 6, 2026
Trial IDNCT07512921 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with a pathologic diagnosis of primary, HPV-negative (p16-negative) squamous cell carcinoma of the oral cavity, p16-negative oropharynx, hypopharynx, or larynx, stage III–IVa/b, planned for curative-intent treatment and without metastatic disease.

Probably not a fit

Patients with p16-positive oropharyngeal cancer, recurrent or metastatic disease, non-squamous head and neck cancers (for example salivary gland tumors, lymphoma, sarcoma, melanoma), nasopharyngeal or sinonasal cancers, or skin-origin head and neck squamous cell carcinoma are not likely to benefit from this protocol.

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

What this trial studies

This is an observational study that collects blood samples and compares gene expression patterns in blood with those found in matched primary tumor tissue from people with HPV-negative squamous head and neck cancers. Participants give a blood sample before starting curative-intent treatment and another about three months after finishing treatment while they receive standard care from their own clinical team. Researchers will analyze whether blood-based gene signatures correspond to tumor subtypes and whether those signatures relate to clinical outcomes. The study is conducted at specialized cancer centers in Italy and enrolls patients with stage III–IVa/b, non-metastatic, p16/HPV-negative primary tumors of selected head and neck sites.

Why it matters

Potential benefit: If successful, a blood test could provide the same tumor subtype information without invasive biopsy, helping predict outcomes and potentially guiding follow-up or treatment decisions.

How similar studies have gone: Other liquid biopsy research has shown promise detecting tumor DNA/RNA and some blood-based signatures have correlated with tumor biology, but directly matching whole tumor gene expression from blood in HPV-negative head and neck cancer remains preliminary.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Pathologic diagnosis of HNSCC
* Primary HNSCC arising from the following sites of head and neck: oral cavity, p16-negative oropharynx, hypopharynx, larynx
* Stage III-IVa/b according to the eighth edition of AJCC/UICC classification
* Treatment with curative intent
* Unequivocal clinical and/or radiological absence of metastatic disease
* Patient ability and availability to comply with study protocol procedures.-

Exclusion Criteria:

* Recurrent/metastatic HNSCC
* p16+ oropharyngeal squamous cell carcinoma
* Evidence of high-risk HPV infection at tumor level
* Cancer of unknown primary site
* Non-squamous head and neck cancers (e.g., lymphoma, sarcoma, melanoma, salivary gland cancers)
* Skin squamous cell carcinoma from the skin of the head and neck
* Nasopharyngeal carcinoma
* Sinonasal/paranasal cancers
* Insufficient data about previous medical history.

Where it's running

  • Fondazione IRCCS Istituto Nazionale dei Tumori
    Milan, Italy
    Recruiting
  • Azienda Ospedaliera Universitaria di Sassari
    Sassari, Italy
    Recruiting

Study contacts

Similar studies

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

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.