Status:

COMPLETED

PRO-ACTIVE: Prophylactic Swallow Intervention for Patients Receiving Radiotherapy for Head and Neck Cancer

Lead Sponsor:

University Health Network, Toronto

Collaborating Sponsors:

M.D. Anderson Cancer Center

Applied Health Research Centre

Conditions:

Dysphagia

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Dysphagia (difficulty swallowing) is a common and potentially life-threatening toxicity of radiotherapy (RT) for patients with head and neck cancer (HNC). HNC survivors have a 20-24 percent lifetime r...

Detailed Description

Swallowing therapy is commonly provided as a behavioral treatment to lessen the risk or severity of dysphagia in head and neck cancer (HNC) patients; however, best practice is not established. This mu...

Eligibility Criteria

Inclusion

  • Adults ≥ 18 years of age diagnosed with head and neck malignancy;
  • RT treatment planned for curative intent;
  • Dispositioned to receive external beam radiotherapy dose ≥60 gray to bilateral fields at participating institution;
  • Sufficient fluency in written English, French, Spanish or Simplified Chinese to be able to complete the study patient reported outcome questionnaires

Exclusion

  • Distant metastasis at enrollment; or
  • Prior or planned total laryngectomy; or
  • Moderate/severe dysphagia at enrollment per baseline videofluoroscopy DIGEST grade ≥2 (as graded per central laboratory review)
  • Previously seen by speech language pathologist for swallowing therapy for the current head and neck cancer
  • Diagnosis of second primary non-head and neck cancers in the thorax or the central nervous system at enrollment
  • Head and neck radiotherapy for thyroid or cutaneous/skin primary tumors, regardless of neck fields

Key Trial Info

Start Date :

September 27 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 15 2024

Estimated Enrollment :

952 Patients enrolled

Trial Details

Trial ID

NCT03455608

Start Date

September 27 2018

End Date

November 15 2024

Last Update

December 10 2024

Active Locations (13)

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Page 1 of 4 (13 locations)

1

University of Miami

Miami, Florida, United States, 33146

2

Orlando Health

Orlando, Florida, United States, 32806

3

Greater Baltimore Medical Center

Baltimore, Maryland, United States, 21204

4

Boston University Medical Center

Boston, Massachusetts, United States, 02118