LCCC 2044: Prospective Observational Study to Validate Circulating HPVDNA and Prognostic Genomic Biomarkers in HPV-associated OPSCC
Summary
The primary goal of this study is to examine whether recurrence of HPV-associated OPSCC can be predicted by two factors: 1) mutations in genes called TRAF3 and CYLD, and 2) measurements of circulating HPV DNA in blood plasma. The study will also investigate whether HPV integration is associated with TRAF3 and CYLD mutations, and whether recurrence prediction improves when looking at HPV integration along with TRAF3 and CYLD mutations.
Arms & interventions
Outcome measures
Primary
Recurrence of OPSCC
Patients will undergo post-treatment CT scans per institutional standard of care to detect cancer recurrence. Status of recurrence of OPSCC will be confirmed based on biopsy.
Time frame: From date of therapy completion until biopsy-proven recurrence, assessed up to 5 years
Progression-free survival
Time-to-recurrence will be defined as time lapsed from end (or start) of treatment to first date recurrence (biopsy proven occur later) is detected by CT scans, or death. Otherwise, time-to-recurrence is censored at end of study date.
Time frame: From beginning or end of treatment until date of CT-detected recurrence or date of death, assessed up to 5 years
Positive Predictive Value
Positive Predictive Value (PPV) is defined as probability that patients with two consecutive positive cHPVDNA (i.e., detectable cHPVDNA) really develop OPSCC recurrence during the study period.
Time frame: Baseline to up to 5 years
Negative Predictive Value
Negative Predictive Value (NPV) is defined as probability that patients without two consecutive positive cHPVDNA do not develop OPSCC recurrence during the study period.
Time frame: Baseline to up to 5 years
Quality of Life questionnaire
At specified timepoints before, during, and after treatment, patients will complete a questionnaire comprised of questions from the European Organization for Research and Treatment of Cancer (EORTC) QLQ H\&N35, which is for head and neck cancer patients, and EORTC QLQ C30, which is a general cancer assessment.
Time frame: Baseline until recurrence or up to 5 years
Eligibility criteria
Study locations (3)
Mayo Clinic
Rochester, Minnesota, 55905
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599
Trident Medical Center (HCA Healthcare )
North Charleston, South Carolina, 29406