QUantitative Assessment of Swallowing After Radiation (QUASAR)

Description

To use novel methods for quantitative analysis of VFSS (videofluoroscopic swallow study, also known as modified barium swallow) to study and compare dysphagia in patients treated for head and neck carcinoma with concurrent radiation therapy and chemotherapy (cisplatin) or targeted therapy (cetuximab) vs. immunotherapy (pembrolizumab, nivolumab, or durvalumab). Our hypothesis is that pharyngeal constriction will be greater (lower ratio) with concurrent immunotherapy compared to chemotherapy, as measured by the pharyngeal constriction ratio (PCR).

Conditions

Head and Neck Cancer, Dysphagia, Oropharyngeal Dysphagia, Oropharynx Cancer, Oropharynx Squamous Cell Carcinoma

Study Overview

Study Details

Study overview

To use novel methods for quantitative analysis of VFSS (videofluoroscopic swallow study, also known as modified barium swallow) to study and compare dysphagia in patients treated for head and neck carcinoma with concurrent radiation therapy and chemotherapy (cisplatin) or targeted therapy (cetuximab) vs. immunotherapy (pembrolizumab, nivolumab, or durvalumab). Our hypothesis is that pharyngeal constriction will be greater (lower ratio) with concurrent immunotherapy compared to chemotherapy, as measured by the pharyngeal constriction ratio (PCR).

QUantitative Assessment of Swallowing After Radiation (QUASAR): A Longitudinal Comparison of Swallowing Function by Systemic Therapy in Head and Neck Cancer Patients

QUantitative Assessment of Swallowing After Radiation (QUASAR)

Condition
Head and Neck Cancer
Intervention / Treatment

-

Contacts and Locations

La Jolla

UC San Diego Moores Cancer Center, La Jolla, California, United States, 92093

La Jolla

UCSD Moores Cancer Center, La Jolla, California, United States, 92093

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Biopsy-proven, un-resected invasive carcinoma of the head and neck.
  • * Treated with definitive RT and concurrent systemic therapy or treated within the past 4-24 months
  • * Concurrent systemic therapy with Cisplatin, Cetuximab or immunotherapy.
  • * Age ≥ 18
  • * Able to understand and willing to sign a written informed consent.
  • * Prior radiotherapy that would result in overlap of planned radiation therapy fields.
  • * Prior systemic chemotherapy, unless as part of the coordinated plan of care for the treatment of the carcinoma (e.g., induction/neoadjuvant chemotherapy is allowed)
  • * Planned adjuvant (i.e., following definitive chemoradiotherapy) chemotherapy or surgery

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Loren Mell, MD,

Loren K Mell, MD, PRINCIPAL_INVESTIGATOR, University of California, San Diego

Study Record Dates

2024-12-31