Head & Neck
A personalized multi-omics discovery and validation platform for recurrent head and neck squamous cell carcinoma (POLARES)
Group Giger Head and Neck Anticancer Center
POLARES Research Group
Diagnostic and therapeutic developments in recent years have improved the prognosis for patients with head and neck squamous cell carcinoma (HNSCC). Despite these developments, a significant proportion of patients relapse after an initial response to standard treatment. Salvage treatment options are limited, and personalized treatment approaches that consider the genomic/epigenetic landscape of the tumor are lacking. The goal of this research is to establish a center of excellence in HNSCC that bridges the gap between genomic analysis and translation of findings into clinical trials. By establishing a multi-omics discovery and validation platform under the umbrella of the University Cancer Center Inselspital (UCI), this consortium (ORL, Head and Neck Surgery; Medical Oncology; Radiation-Oncology) aims to determine how alterations at the genomic and epigenetic level regulate carcinogenesis, treatment response and resistance in HNSCC and thereby identify novel mechanisms to target tumor relapse.
On behalf of the Consortium:
Prof. Dr. Roland Giger (Lead), Otorhinolaryngology, Head and Neck Surgery; PD Dr. Olgun Elicin, Radio-Oncology; Dr. Simon Häfliger, Medical Oncology; PD Dr. Michaela Medová, Radio-Oncology, DBMR; Prof. Dr. Carsten Riether, Medical Oncology, DBMR; Dr. Daniel H. Schanne, Radio-Oncology
Oncogenic signaling via receptor tyrosine kinases in crosstalk with DNA damage repair
Group Medova Tyrosine kinase receptors activate a wide range of different cellular signaling pathways. Physiologically, intact signaling via the MET receptor is indispensable in embryonic development and tissue homeostasis. At the same time, MET dysregulation promotes features clearly associated with tumor growth and progression such as uncontrolled proliferation, angiogenesis, local invasion, and systemic dissemination. Accumulating data suggest that MET signaling may also protect tumor cells from DNA damage, hence relating its aberrant activity to resistance to DNA-damaging agents routinely used in cancer treatment. We have identified a previously unreported phosphorylation site on MET, which can be recognized by DNA damage master kinases and is involved not only in cellular responses towards DNA damage, but also in metastatic processes, cancer cell migration, and anchorage-independent growth. This project aims at dissecting the nature, function, and regulation of this phosphorylation site in oncogenic signaling of the receptor.
BEST OF-STUDIE (EORTC-1420) (Kopie 1)
PHASE III STUDY ASSESSING THE “BEST OF” RADIOTHERAPY COMPARED TO THE “BEST OF” SURGERY (TRANS-ORAL SURGERY (TOS)) IN PATIENTS WITH T1-T2, N0-N1 OROPHARYNGEAL, SUPRAGLOTTIC CARCINOMA AND WITH T1, N0 HYPOPHARYNGEAL CARCINOMA – A Multicentric Study
To investigate the effect of radiotherapy alone (IMRT technique) or transoral surgery on swallowing function during the first year after therapy.
Start of Clinical Trial: 2018
Study Coordinator:
Prof. Christian Simon, Department of Otolaryngology – Head and Neck Surgery, CHUV, University of Lausanne, Lausanne, Switzerland
Local person responsible for studies:
Prof. Dr. med. Roland Giger, University Clinic for Ear, Nose and Throat Diseases, Head and Neck Surgery
Dr. med. Olgun Elicin, University Clinic for Radiation Oncology
More information (in Englisch): https://clinicaltrials.gov/ct2/results?cond=&term=EORTC-1420&cntry=&state=&city=&dist=&Search=Search
DeIntensiF
Title in German |
Vergleich einer individualisierten Nachsorge mit verstärkter Patient*innen-Mitwirkung und verminderten Standard-Kontrollen mit der herkömmlichen Nachsorge nach einer auf vollständige Heilung ausgerichteten Behandlung von Kopf-Hals-Krebs |
Title in English |
DeintensiF: Multicenter randomized trial comparing an individualized de-intensified and conventional follow-up strategy after curative treatment in head and neck cancer |
Descpription |
This study is primarily intended to examine the difference between individualized follow-up care with increased patient involvement and reduced standard controls and conventional standard follow-up care in patients with moderately to severely advanced head and neck cancer from 6 months after complete treatment Cure-oriented treatment and complete clinical and imaging disappearance of the tumor. |
Phase/Biobank/etc. |
Pilot study |
Head Clinical Trial |
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Study-Nurse |
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Back-up |
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Status |
active since 12.10.2022 |
BASEC-Nummer |
2022-00966 |
KOFAM |
SNCTP000005198 |
WHO-Register-Nummer |
ClinicalTrials.gov ID: NCT05388136 |
Insel-Nummer |
DLF-Nr: 5240 |
LBB-FUP
Title in German |
Flüssige Biopsien für die Nachsorge der Patienten mit Kopf- und Halskrebs |
Title in English |
Circulating Biomarkers to Monitor Therapeutic Response of Head and Neck Cancer |
Description |
With this research project we would like to determine the diagnostic value of so-called liquid biopsies in the context of tumor follow-up for patients with head and neck cancer. A liquid biopsy is used to obtain information about cancer from a blood sample. Above all, we would like to know whether it is possible to examine and monitor the disease using liquid biopsy-based methods. In the future, liquid biopsy could potentially also be used for early detection of cancer and cancer relapses. |
So far, liquid biopsy-based tests have mostly been experimental and not standard procedures. They should therefore be used in clinical studies. To achieve this goal, we will compare the analyzes of the liquid biopsies with the results of the imaging and, if necessary, the tissue samples. This pilot study will only be carried out in the Inselspital and we would like to recruit around 30 patients in the first phase. |
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Phase/Biobank/etc. |
Biobank |
Studienleiter |
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Status |
active since 01.09.2019 |
BASEC-Nummer |
20189-00764 |
KOFAM |
keine |
WHO-Register-Nummer |
keine |
POLARES
Title in German |
Personalisierte Plattform zur molekularen Charakterisierung von Kopf-Hals-Tumoren und Tumorrezidiven |
Title in English |
Personalized discovery and validation multi-Omics pLAtform for Recurrent hEad and Neck Squamous Cell Carcinoma (POLARES) |
Description |
In this project, the collected biological material will be examined in order to gain further knowledge in the area of the cause, detection and treatment of tumor diseases in the head and neck area. The biological material obtained in this way is linked to the associated personal and treatment data. |
Phase/Biobank/etc. |
|
Heads Clinical Trial |
Prof. Carsten Riether, PhD (Riether Lab); PD Dr. Michaela Medová (Medova Lab); Dr. med. Simon Häfliger (Häfliger Lab); Prof. Dr. med. Roland Giger (HNO) |
Study-Nurse |
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Back-up |
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Status |
active since 04.10.2022 |
BASEC-Nummer |
2022-00543 |
KOFAM |
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WHO-Register-Nummer |
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Insel-Nummer |
VoiceDetect
Title in German |
Die Stimme zur Erkennung von Kehlkopf- und Rachenkrebsrückfällen - eine Machbarkeitsstudie |
Title in English |
The Voice as a tool to Detect recurrence of laryngeal and hypopharyngeal cancer - a feasibility study |
Description |
The aim of this research project is to examine the feasibility of long-term, regular voice monitoring in laryngeal and hypopharyngeal cancer patients, particularly with regard to their follow-up adherence. All patients with squamous cell carcinoma of the larynx/hypopharynx (exclusively after total laryngectomy) who have successfully completed primary curative treatment 6-30 months ago will receive three-monthly voice recordings and fiber endoscopic examinations (examination using a flexible camera) over a period of at least six months. carried out. In addition, a subjective assessment of the patient's own voice problems is carried out at each study visit using the Voice Handicap Index 30 questionnaire. Ultimately, it is about determining and analyzing intra-individual voice changes, i.e. voice changes in patients over time, and correlating these objective voice changes with the subjective voice changes (questionnaire) and the clinical changes in the larynx/hypopharynx (flexible camera examination). |
Phase/Biobank/etc. |
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Head Clinical Trial |
|
Study-Nurse |
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Back-up |
|
Status |
active since 01.07.2023 |
BASEC-Nummer |
2023-00838 |
KOFAM |
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WHO-Register-Nummer |
ClinicalTrials.gov ID:NCT05894070 |
Insel-Nummer |
VoiceS
Title in German |
VoiceS: Stimmqualität nach transoraler CO2-Lasermikrochirurgie im Vergleich zur singulären Stimmbandbestrahlung bei einseitigem glottischem Frühkarzinom – Multizentrische randomisierte Phase III Studie |
Title in English |
VoiceS: Voice Quality after Transoral CO2-Laser Surgery versus Single Vocal Cord Irradiation for Unilateral Stage 0 & I Glottic Larynx Cancer – A Randomized Phase III Trial |
Description |
There are two equivalent treatment options for early-stage vocal fold carcinoma: endoscopic laser surgery or radiation therapy. According to medical literature, both treatment options show comparable results in terms of chances of curing the tumor and voice quality. However, all studies conducted and published to date have been carried out using less than ideal methodology. Patients who were evaluated in these studies either actively decided on one of the two types of therapy themselves or their “correct” treatment was given to them by the treating physicians. |
Our study focuses primarily on long-term voice quality. As part of this study, the type of therapy for each patient (surgery or radiotherapy) is determined not by the doctors or the patients themselves, but by a random generator using a computer program. This results in a study with greater scientific validity. |
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Today, surgical and radiotherapeutic treatments are carried out using the most modern organ-preserving techniques and are regularly checked for quality. The biostatistical calculations carried out in advance show that 34 patients are needed to complete the study successfully and with a sufficiently high level of significance. In each canton in which the study is carried out, a review is carried out by the responsible ethics committee. |
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Phase/Biobank/etc. |
Phase III |
Studienleiter |
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Status |
active since 15.01.2020 |
BASEC Nummer |
2019-01506 |
KOFAM |
SNCTP000003599 |
WHO-Register-Nummer |
NCT04057209 |