The goal of this ancillary clinical trial is to evaluated circulating DNA as a biomarker of residual disease after chemoradiotherapy for locally advanced head and neck squamous cell carninoma. The main question it aims to answer is : \- Does circulating DNA (cDNA) be able to detect residual disease 3 months after the end of chemoradiotherapy ? Researchers will compare detection of cDNA at 3-months and objective response (clinical and radiological). Participants will : * be included in the main study (Neck-TAR) * have a blood sample 1 and 3-month after the end of treatment
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SCREENING
Masking
NONE
Enrollment
59
The intervention consist in blood samples (18mL) collected 1 and 3-months after the end of chemoradiotherapy
Centre Jean PERRIN
Clermont-Ferrand, Puy-de-Dôme, France
RECRUITINGHôpital de la Croix-Rousse
Lyon, France
RECRUITINGCHU de Saint-Étienne
Saint-Etienne, France
RECRUITINGcDNA detection and objective response 3 months after the end of chemoradiotherapy
The detection or non detection of cDNA after treatment will be compared with the objective response (complete response versus progression/stability/partial response)
Time frame: 3 months after chemoradiotherapy
cDNA detection and objective response one month after the end of chemoradiotherapy
The detection or non detection of cDNA after treatment will be compared with the objective response (complete response versus progression/stability/partial response)
Time frame: 1 month after the end of chemoradiotherapy
Overall survival
The overall survival is defined as the time between the date of inclusion and the date of death from any cause.
Time frame: At the end of the main study (27 months after the end of treatment)
Progression-free survival
The progression-free survival is defined as the time between the date of inclusion and the date of the first progression of the disease (clinical or radiological) or death from any cause.
Time frame: At the end of the main study (27 months after the end of treatment)
cDNA kinetic
cDNA detection at 1 and 3 months after the end of chemoradiotherapy
Time frame: 1- and 3-month after the end of chemoradiotherapy
Concordance of mutational profiles and HPV-HR genotypes between primary tumor, ctDNA at diagnosis and ctDNA
This will be evaluated according to the mutational profile determined by NGS at each timepoint
Time frame: 1- and 3-months after the end of chemoradiotherapy
Determining the most frequent mutations.
That will be evaluated by analysing the results of NGS (among the 194 genes in our panel)
Time frame: 3-months after the end of chemoradiotherapy
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