RTOG 1016.
Trial name or title | 'Phase III trial of radiotherapy plus cetuximab versus chemoradiotherapy in HPV‐associated oropharynx cancer (RTOG‐1016)' |
Methods | Interventional, multicentre, phase III trial, randomised, open‐label |
Participants | 706 adult patients with early or late‐stage oropharyngeal carcinoma. HPV status ascertained at baseline by both p16 immunohistochemistry and HPV16 in situ hybridisation. Patients are stratified according to T stage (T1‐2 versus T 3‐4), N stage (N0‐2a versus N2b‐3), Zubrod performance status (0 versus 1) and smoking history (≤ 10 pack‐years versus > 10 pack‐years). Patients are randomised to 1 of 2 treatment arms |
Interventions | Experimental group: 1 week prior to radiotherapy, patients receive cetuximab IV over 2 hours (400 mg/m2). Patients then receive cetuximab IV over 1 hour once weekly (250 mg/m2) for 7 weeks. Patients undergo IMRT once daily on days 1 to 4 and twice daily on day 5 weekly for 6 weeks (70Gy 35 fractions). Control group: patients undergo IMRT as above and also receive cisplatin (100 mg/m2) IV over 1 to 2 hours on days 1 and 22 |
Outcomes | Primary: 5‐year overall survival Secondary: progression‐free survival, local‐regional failure, distant metastasis, acute toxicities (CTCAE 2009) and overall toxicity burden at end of treatment and at 1, 3 and 6 months after completion of treatment; late toxicities at 1, 2 and 5 years |
Starting date | June 2011 |
Contact information | andy.trotti@moffitt.org |
Notes | Primary data collection due for completion in June 2020 |