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Contribution of Residual Tumour DNA Testing on the Surgical Bed

Not Applicable
Not yet recruiting
Conditions
Squamous Cell Carcinoma of the Oral Cavity
Interventions
Other: Circulating tumor DNA detection
Registration Number
NCT05934929
Lead Sponsor
Centre Henri Becquerel
Brief Summary

The aim of this study is to evaluate the interest of residual tumour DNA research in the operating bed after squamous cell carcinoma excision.

Detailed Description

Squamous cell carcinomas of the oral cavity have a poor prognosis. The 5-year loco-regional recurrence rate is 45%. Surgery remains the standard treatment. The presence of invasive or insufficient surgical margins is an important histopronostic factor.

Current tools for intraoperative detection of insufficient margins have a very low sensitivity of around 10%. The aim here is to develop a more sensitive tool by looking for the presence of residual tumour DNA in the entire operating bed after squamous cell carcinoma excision

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
26
Inclusion Criteria
  • Signed informed consent
  • Patient with T1 to T4 squamous cell carcinoma of the oral cavity, regardless of lymph node status (all N) M0, operable
  • 18 years of age or older
  • Member or beneficiary of a social security scheme.
Exclusion Criteria
  • Absence of signed informed consent
  • Patient of protected age
  • Psychosocial problems
  • Not affiliated to or benefiting from a social security scheme
  • Previous cervical irradiation
  • Pregnant or breast-feeding women
  • Patient unable to understand the study for any reason or to comply with the constraints of the trial (language, psychological, geographical problems, etc.).

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
circulating tumor DNA detection on operating bedCirculating tumor DNA detectionbiological assessment on operating bed to detect residual circulating tumor DNA
Primary Outcome Measures
NameTimeMethod
Residual tumro DNA on operating bedduring the surgery

Proportion of patients with residual tumour DNA on the operating bed according to the presence or absence of adverse histological factors

Secondary Outcome Measures
NameTimeMethod
Survival without locoregional recurrence rate24 months

Proportion of patients with circulating tumour DNA and in the cervical lymphatic drainage fluid or circulating blood according to the presence or absence of residual tumour DNA on the operating bed

Trial Locations

Locations (2)

CHU Rouen

🇫🇷

Rouen, France

Centre Henri Becquerel

🇫🇷

Rouen, France

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