New biomaterials approach to rebuild jaw and upper jaw after cancer surgery
Official title: Standard of Care Pathways Evaluation of Patients Treated for Facial Reconstruction After Surgery for Head and Neck Cancer, Using the Conventional Technique (Free Bone Flap): a Medico-economic Study
Run by University Hospital, Toulouse · NCT06771336 · Data updated 2026-11-12
This study will see how adults who have part of their jaw or maxilla removed for head and neck cancer recover, what their quality of life is, and what medical and non-medical costs they have after reconstruction with a free bone flap.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | University Hospital, Toulouse Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 9 sites (Amiens and 8 other locations) |
| Status | Recruiting |
| Started | September 3, 2025 |
| Main results expected | December 2029 |
| Study ends | December 2029 |
| Registry record updated | September 22, 2025 |
| Trial ID | NCT06771336 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) in France with oral cavity, maxillary, or oropharyngeal cancer staged cT4a N0–N3 M0 who are planned for curative surgery including mandibulectomy or segmental maxillectomy with reconstruction by a free bone flap and who can give informed consent are ideal candidates.
✕Probably not a fit
Patients who have had prior radiotherapy, severe coagulation disorders, comorbidities or anatomic issues that prevent free bone flap reconstruction, or who are not eligible for curative treatment are unlikely 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 observational study records the care pathway, costs, and quality of life for patients treated with free vascularized bone flaps (fibula or scapula) after mandibulectomy or maxillectomy for head and neck cancer. Patients complete questionnaires at inclusion, 3 months, and 12 months to capture direct medical and non-medical costs, daily allowances, and quality-of-life measures. Hospital production costs are collected using a micro-costing approach to estimate resource use and economic burden from the provider perspective. The data will describe current standard care and inform development and medico-economic modelling for a new biomaterials-based reconstruction device.
Why it matters
Potential benefit: If successful, the project could guide development of biomaterial reconstruction options that improve speech, swallowing, appearance, and reduce overall costs compared with current free bone flaps.
How similar studies have gone: Free vascularized fibula or scapula flaps are the current gold standard for mandibular and maxillary reconstruction, and while medico-economic pathway descriptions exist, the proposed biomaterials replacement is novel and not yet proven in clinical practice.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient with oral cavity cancer or maxillary and/or oropharynx cancer * Eligible for treatment by surgery requiring a mandibulectomy or segmental maxillectomy and having a free bone flap for facial reconstruction. * Patient whose disease is classified Stage cT4a, N0 to N3, M0 * Treatment with a feasible curative aim (no contraindication to optimal treatment such as surgery or chemotherapy at a curative dose) * Age greater than or equal to 18 years * Patient affiliated to a Social Security scheme in France * Patient having given written informed consent Non-inclusion Criteria: * Patient having any situation considered by the doctor as a reason for non-inclusion such as stenosis of the leg tripod not allowing reconstruction by fibula, one or more comorbidity(s) not allowing reconstruction by free bone flap or making this reconstruction too much risk * Patient having had previous radiotherapy * Patient with severe coagulation disorders * Patients deprived of liberty or under legal protection regime (curatorship and guardianship, safeguard of justice)
Where it's running
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University hospital of Toulouse
Toulouse, France Recruiting -
University hospital of Amiens- Picardie
Amiens, France Not yet recruiting -
University hospital of Lille
Lille, France Not yet recruiting -
Hospices Civils de Lyon
Lyon, France Not yet recruiting -
University hospital of Montpellier
Montpellier, France Not yet recruiting -
University hospital of Nantes
Nantes, France Not yet recruiting
Show 3 more locations
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Centre Antoine Lacassagne
Nice, France Not yet recruiting -
University hospital of Rouen
Rouen, France Not yet recruiting -
Institut Gustave Roussy
Villejuif, France Not yet recruiting
Study contacts
- Principal investigator: Agnès DUPRET-BORIES — University Hospital, Toulouse
- Study coordinator: Agnès DUPRET-BORIES
- Email: dupretbories.a@chu-toulouse.fr
- Phone: 531156014
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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.