Description:
This four-year, prospective, longitudinal study will evaluate and validate a patient-reported
outcome measure, clinician-reported outcome measures, and imaging techniques in assessing
characteristics, trajectory, and progression of lymphedema and fibrosis (LEF) in oral cavity
and oropharyngeal cancer patients.
This clinical trial studies patient-and-clinician-reported measures as well as standard
imaging methods to see how accurate they are in identifying and evaluating lymphedema
(swelling) or fibrosis (tough or tight tissue) in the head and neck region of patients
receiving treatment for newly diagnosed stage II-IV oral cavity or oropharyngeal cancer.
Lymphedema and fibrosis (LEF) can lead to physical symptoms, such as trouble swallowing and
chewing, as well as psychological and emotional symptoms, such as negative body image and
avoiding social interactions. Finding an accurate test to identify and evaluate LEF may allow
doctors to treat LEF more quickly and control symptoms more effectively, and thus provide
patients with a better quality of life.
Title
- Brief Title: Establishing Lymphedema and Fibrosis Measures in Oral Cancer Patients
- Official Title: Establishing Lymphedema and Fibrosis Measures in Oral Cancer Patients
Clinical Trial IDs
- ORG STUDY ID:
VICC SUPP 1529
- SECONDARY ID:
1R01DE024982-01
- NCT ID:
NCT02412241
Conditions
- Oral Cavity Cancer
- Oropharyngeal Cancer
- Lymphedema
- Fibrosis
Purpose
This four-year, prospective, longitudinal study will evaluate and validate a patient-reported
outcome measure, clinician-reported outcome measures, and imaging techniques in assessing
characteristics, trajectory, and progression of lymphedema and fibrosis (LEF) in oral cavity
and oropharyngeal cancer patients.
This clinical trial studies patient-and-clinician-reported measures as well as standard
imaging methods to see how accurate they are in identifying and evaluating lymphedema
(swelling) or fibrosis (tough or tight tissue) in the head and neck region of patients
receiving treatment for newly diagnosed stage II-IV oral cavity or oropharyngeal cancer.
Lymphedema and fibrosis (LEF) can lead to physical symptoms, such as trouble swallowing and
chewing, as well as psychological and emotional symptoms, such as negative body image and
avoiding social interactions. Finding an accurate test to identify and evaluate LEF may allow
doctors to treat LEF more quickly and control symptoms more effectively, and thus provide
patients with a better quality of life.
Detailed Description
The goal of this proposed study is to establish a valid, clinically useful measurement
battery for head and neck LEF by achieving these specific aims:
Aim 1: To determine the reliability and validity of the patient-reported outcome measure
(LSIDS-H&N) for assessing LEF-related symptoms in oral cavity and oropharyngeal cancer
patients across the trajectory of treatment, recovery, and survival.
Aim 2: To determine the reliability and validity of the clinician-reported outcome measures
(HN-LEF Grading Criteria and Modified Patterson Scale) for assessing external and internal
LEF in oral cavity and oropharyngeal cancer patients across the trajectory of treatment,
recovery, and survival.
Aim 3: To determine the reliability and validity of imaging techniques (CT scan and
ultrasonography) in identifying site-specific LEF in oral cavity and oropharyngeal cancer
patients across the trajectory of treatment, recovery, and survival.
Trial Arms
Name | Type | Description | Interventions |
---|
LEF Measures | Other | PATIENT-REPORTED OUTCOME MEASURE: Validity of LSIDS-H&N will be assessed using 6 forms (e.g., Vanderbilt Head and Neck Symptom Survey (v2.0); Neck Disability Index; and Hospital Anxiety and Depression Scale).
CLINICIAN-REPORTED OUTCOME MEASURES: External LEF will be assessed using HN-LEF Grading Criteria, CTCAE (v4.03), and digital photos of the head and neck. Internal LEF will be scored using Modified Patterson Scale through an endoscopic exam. Both external/internal measures are re-assessed for intrarater and interrater reliability.
OBJECTIVE/TECHNICAL MEASURES: Patients undergo CT scans and ultrasound exams with results re-scored for intrarater and interrater reliability. | |
Eligibility Criteria
Inclusion Criteria:
- a newly diagnosed, histologically proven cancer arising from the oral cavity and
oropharynx
- tumor stage II or greater
- age ≥ 21 years old
- willing and able to undergo study assessment
- able to speak and read English and understand Informed Consent.
Exclusion Criteria:
- have medical record documentation of cognitive impairment that would preclude the
ability to provide informed consent
- are unwilling to undergo routine follow-up
- have recurrent cancer
- have any other active cancer.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 21 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Reliability of the patient-reported outcome measure (LSIDS-H&N) in terms of internal consistency of each symptom cluster |
Time Frame: | Up to 12 months after treatment |
Safety Issue: | |
Description: | The assessment will be conducted at pre-treatment, end of treatment (EOT), and every three months up to 12 months after treatment |
Secondary Outcome Measures
Measure: | Validity of the patient-reported outcome measure (LSIDS-H&N) in terms of content, construct, sensitivity to change, and clinical feasibility |
Time Frame: | Up to 12 months after treatment |
Safety Issue: | |
Description: | The assessment will be conducted at pre-treatment, EOT, and every three months up to 12 months after treatment |
Measure: | Reliability of the clinician-reported outcome measures (HN-LEF Grading criteria and the Modified Patterson Scale) |
Time Frame: | 12 months after treatment |
Safety Issue: | |
Description: | The assessment will be conducted at pre-treatment, EOT, and every three months up to 12 months after treatment |
Measure: | Validity of the clinician-reported outcome measures (HN-LEF Grading criteria and the Modified Patterson Scale) in terms of criteria correlations, sensitivity to change, and clinical feasibility |
Time Frame: | 12 months after treatment |
Safety Issue: | |
Description: | The assessment will be conducted at pre-treatment, EOT, and every three months up to 12 months after treatment |
Measure: | Reliability of imaging techniques in identifying site-specific LEF across the trajectory of treatment, recovery, and survival |
Time Frame: | 12 months after treatment |
Safety Issue: | |
Description: | The assessment will be conducted at pre-treatment, and every three months up to 12 months after treatment |
Measure: | Validity of imaging techniques in identifying site-specific LEF across the trajectory of treatment, recovery, and survival, in terms of concordance correlation, sensitivity to change, and clinical feasibility |
Time Frame: | 12 months after treatment |
Safety Issue: | |
Description: | The assessment will be conducted at pre-treatment, and every three months up to 12 months after treatment |
Details
Phase: | N/A |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Vanderbilt-Ingram Cancer Center |
Last Updated
March 3, 2021