Head and Neck Squamous Cell Carcinoma (HNSCC)Early Phase 1NCT07168785
[18F]-AraG PET Imaging in LA HNSCC
A Early Phase 1 study testing [18F]-AraG radiotracer, Chemotherapy and Radiotherapy in people with Head and Neck Squamous Cell Carcinoma (HNSCC) and Locally Advanced Head and Neck Squamous Cell Carcinoma, run by Indiana University at 1 site in United States.
Trial summary
This study will use [18F]-AraG PET/CT scans to monitor patients who have been diagnosed with locally advanced Head and Neck Squamous Cell carcinoma (LA-HNSCC), and are planning to undergo standard of care chemoradiotherapy for treatment. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Head and Neck Squamous Cell Carcinoma (HNSCC), Locally Advanced Head and Neck Squamous Cell Carcinoma
- What is being tested?
- [18F]-AraG radiotracer, Chemotherapy and Radiotherapy
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5 participants
- Where
- 1 siteUnited States
- Study dates
- Sep 2026to Oct 2027
- Phase
- Early Phase 1
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients ≥18 years of age.
- Ability to provide written informed consent and HIPAA authorization.
- LA-HNSCC in the larynx, hypopharynx, or human papillomavirus (HPV) negative oropharynx and is planning to receive definitive CRT as the SOC treatment, which includes a total of 70 Gy of radiation dose in 35 fractions, delivered over 5 days a week for 7 weeks, as well as planned weekly cycles of cisplatin (CDDP).
- Tumor stage III and IV (AJCC 8th edition).
- Unresectable cases.
- Eastern Cooperative Oncology Group (ECOG) performance status 0-2
- Willing and able to maintain the imaging protocol.
- Patients planning to receive pre-CRT and post-CRT FDG PET/CT scans as part of the standard clinical practice.
Who cannot join
- Diagnosis of immunodeficiency or receiving systemic steroid therapy or any form of immunosuppressive therapy within 7 days prior to the PET/CT scan.
- Pregnant or breastfeeding.
- Patients that will receive definitive induction chemotherapy or surgery.
- Patients who are unable to complete the radiation therapy.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site
Indiana University
Indianapolis, Indiana, 46202
Kathryn I Lauer, (317) 962-8969, kilauer@iu.edu
Richard Zellars, MD
About this study
Official title: [18F]-AraG PET Imaging for Enhanced Risk Stratification and Chemoradiotherapy Response Assessment in Patients With Locally Advanced Head and Neck Squamous Cell Carcinoma
This study will use [18F]-AraG PET/CT scans to monitor patients who have been diagnosed with locally advanced Head and Neck Squamous Cell carcinoma (LA-HNSCC), and are planning to undergo standard of care chemoradiotherapy for treatment.
Read the detailed description
Head and neck squamous cell carcinoma (HNSCC) is the seventh most common cancer globally. Definitive chemoradiotherapy (CRT) remains the standard of care (SOC) treatment for LA-HNSCC, yet some patients are unsuccessfully treated. The purpose of this study is to explore the feasibility and possible function of [18F]-AraG PET/CT (a diagnostic procedure that uses a radioactive tracer [A method that uses radioactive substances to make pictures of areas inside the body] to image tumors and assess response to treatment) scans performed before and during treatment to monitor response in patients undergoing chemoradiotherapy.
- Conditions
- Head and Neck Squamous Cell Carcinoma (HNSCC), Locally Advanced Head and Neck Squamous Cell Carcinoma
- Being tested
- [18F]-AraG radiotracer, Chemotherapy, Radiotherapy
- Keywords
- AraG PET/CT, Chemoradiotherapy, [18F]-AraG PET/CT
- Medical subject headings
- Squamous Cell Carcinoma of Head and Neck
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
[18F]-AraG radiotracerDrug
[18F]-AraG radiotracer, which occurs on the first and sixteenth day of treatment.
ChemotherapyDrug
Concurrent chemoradiotherapy (CRT) with weekly doses of cisplatin.
RadiotherapyDevice
Concurrent chemoradiotherapy (CRT) of 70Gy of radiation dose in 33 fractions.
| Study group | Role | What they receive |
|---|---|---|
| [18F]-AraG PET/CT scan | Experimental | [18F]-AraG PET/CT scans to be performed according to the institution's standard of operation, which occurs on the first and sixteenth day of treatment. Receives: Drug: [18F]-AraG radiotracer; Drug: Chemotherapy; Device: Radiotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
[18F]-AraG PET/CT uptake and infiltrating cytotoxic T-cell expression.
Examining the distribution of [18F]-AraG PET SUV metrics and counts of CD3+/CD8+/PD1- and CD3+/CD8+/PD1+ T-cells
Measured: Week 1 and Week 16
Pre-treatment [18F]-AraG PET/CT uptake and clinical response.
Correlation of pre-treatment [18F]-AraG PET/CT metrics (such as SUVmax, mean and uptake volume) and clinical response.
Measured: Pre-treatment
Changes between pre-treatment and mid-treatment [18F]-AraG PET/CT uptake and clinical response
Correlation between percentage changes in PET uptake values (max, mean, and peak) at pre- and mid-CRT and treatment response categories.
Measured: Pre-treatment and Week 16
Secondary outcomes (3)
Individual cytotoxic T-cell activities (CD3+, CD8+, PD1-, and PD1+) and pre-treatment [18F]-AraG PET/CT uptake
Correlation between individual cytotoxic T-cell activities (CD3+, CD8+, PD1-, and PD1+) and pre-treatment [18F]-AraG PET/CT uptake.
Measured: Pre-Treatment
Tumor extent and standard uptake values between FDG PET and [18F]-AraG PET/CT imaging
Identify accuracy in tumor extent and standard uptake values between FDG PET and [18F]-AraG PET/CT imaging.
Measured: treatment planning through post treatment ( up to 6 months)
[18F]-AraG PET/CT uptake over time and progressive-free survival
Association between the pattern of change in [18F]-AraG PET/CT uptake over time and progressive-free survival.
Measured: up to 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Sep 2025
- Study startSep 2026 (estimated)
- Primary completionJun 2027 (estimated)
- Study completionOct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Head and Neck Squamous Cell Carcinoma (HNSCC)Studies of the same condition, open and under way.
- More trials run by Indiana UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Early Phase 1
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 5 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Indiana University
- Sponsor type
- University, hospital or other
- Collaborators
- CellSight Technologies, Inc.
- Responsible party
- Principal investigator, Richard Zellars, Indiana University
- Investigators
- Richard Zellars, MD, Principal investigator, Indiana University Simon Comprehensive Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07168785
- Sponsor's protocol ID
- CTO-IUSCCC-0910
- Status last verified
- Jun 2026
- First submitted
- 27 Aug 2025
- Last updated
- 22 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 22 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- [18F]-AraG PET Imaging for Enhanced Risk Stratification and Chemoradiotherapy Response Assessment in Patients With Locally Advanced Head and Neck Squamous Cell Carcinoma
- ClinicalTrials.gov ID
- NCT07168785
- Acronym / sponsor ID
- CTO-IUSCCC-0910
- Conditions
- Head and Neck Squamous Cell Carcinoma (HNSCC), Locally Advanced Head and Neck Squamous Cell Carcinoma
- Keywords
- AraG PET/CT, Chemoradiotherapy, [18F]-AraG PET/CT
- Phase
- Early Phase 1
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 5 participants (estimated)
- Lead sponsor
- Indiana UniversityUniversity, hospital or other
- Collaborators
- CellSight Technologies, Inc.
- Study start
- Sep 2026 (estimated)
- Primary completion
- Jun 2027 (estimated)
- Study completion
- Oct 2027 (estimated)
- First posted
- 11 Sep 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will use [18F]-AraG PET/CT scans to monitor patients who have been diagnosed with locally advanced Head and Neck Squamous Cell carcinoma (LA-HNSCC), and are planning to undergo standard of care chemoradiotherapy for treatment.
Detailed description
Head and neck squamous cell carcinoma (HNSCC) is the seventh most common cancer globally. Definitive chemoradiotherapy (CRT) remains the standard of care (SOC) treatment for LA-HNSCC, yet some patients are unsuccessfully treated. The purpose of this study is to explore the feasibility and possible function of [18F]-AraG PET/CT (a diagnostic procedure that uses a radioactive tracer [A method that uses radioactive substances to make pictures of areas inside the body] to image tumors and assess response to treatment) scans performed before and during treatment to monitor response in patients undergoing chemoradiotherapy.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| [18F]-AraG PET/CT scan | Experimental | Drug: [18F]-AraG radiotracer, Drug: Chemotherapy, Device: Radiotherapy[18F]-AraG PET/CT scans to be performed according to the institution's standard of operation, which occurs on the first and sixteenth day of treatment. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Patients ≥18 years of age.
- Ability to provide written informed consent and HIPAA authorization.
- LA-HNSCC in the larynx, hypopharynx, or human papillomavirus (HPV) negative oropharynx and is planning to receive definitive CRT as the SOC treatment, which includes a total of 70 Gy of radiation dose in 35 fractions, delivered over 5 days a week for 7 weeks, as well as planned weekly cycles of cisplatin (CDDP).
- Tumor stage III and IV (AJCC 8th edition).
- Unresectable cases.
Key exclusion criteria (4 listed)
- Diagnosis of immunodeficiency or receiving systemic steroid therapy or any form of immunosuppressive therapy within 7 days prior to the PET/CT scan.
- Pregnant or breastfeeding.
- Patients that will receive definitive induction chemotherapy or surgery.
- Patients who are unable to complete the radiation therapy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| [18F]-AraG radiotracer[18F]-AraG radiotracer, which occurs on the first and sixteenth day of treatment. | Drug | [18F]-AraG PET/CT scan |
| ChemotherapyConcurrent chemoradiotherapy (CRT) with weekly doses of cisplatin. | Drug | [18F]-AraG PET/CT scan |
| RadiotherapyConcurrent chemoradiotherapy (CRT) of 70Gy of radiation dose in 33 fractions. | Device | [18F]-AraG PET/CT scan |
Primary outcome
[18F]-AraG PET/CT uptake and infiltrating cytotoxic T-cell expression.
Time frame: Week 1 and Week 16
Examining the distribution of [18F]-AraG PET SUV metrics and counts of CD3+/CD8+/PD1- and CD3+/CD8+/PD1+ T-cells
Pre-treatment [18F]-AraG PET/CT uptake and clinical response.
Time frame: Pre-treatment
Correlation of pre-treatment [18F]-AraG PET/CT metrics (such as SUVmax, mean and uptake volume) and clinical response.
Changes between pre-treatment and mid-treatment [18F]-AraG PET/CT uptake and clinical response
Time frame: Pre-treatment and Week 16
Correlation between percentage changes in PET uptake values (max, mean, and peak) at pre- and mid-CRT and treatment response categories.
3 secondary outcomes
Individual cytotoxic T-cell activities (CD3+, CD8+, PD1-, and PD1+) and pre-treatment [18F]-AraG PET/CT uptake
Time frame: Pre-Treatment
Tumor extent and standard uptake values between FDG PET and [18F]-AraG PET/CT imaging
Time frame: treatment planning through post treatment ( up to 6 months)
[18F]-AraG PET/CT uptake over time and progressive-free survival
Time frame: up to 6 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Jul 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Richard Zellars, MD principal investigator
Indiana University Simon Comprehensive Cancer Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Early Phase 1 study testing [18F]-AraG radiotracer, Chemotherapy and Radiotherapy in people with Head and Neck Squamous Cell Carcinoma (HNSCC) and Locally Advanced Head and Neck Squamous Cell Carcinoma, run by Indiana University at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 22 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Kathryn I Lauer ((317) 962-8969, kilauer@iu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
[18F]-AraG PET/CT uptake and infiltrating cytotoxic T-cell expression. (time frame: Week 1 and Week 16). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jul 2026.