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Recruiting NCT07227792

NCT07227792 Tongue-out Radiation Therapy (TORT) for the Mitigation of Radiotherapy-related Toxicities in Patients With Head and Neck Cancer

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Clinical Trial Summary
NCT ID NCT07227792
Status Recruiting
Phase
Sponsor Yvonne Mowery
Condition Head and Neck Carcinoma
Study Type INTERVENTIONAL
Enrollment 35 participants
Start Date 2025-11-23
Primary Completion 2027-11-30

Eligibility & Interventions

Sex All sexes
Min Age 18 Years
Max Age N/A
Study Type INTERVENTIONAL
Interventions
Tongue-out radiation therapy (TORT)

Eligibility Fast-Check

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What to Expect as a Participant

You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.

This trial targets 35 participants in total. It began in 2025-11-23 with a primary completion date of 2027-11-30.

⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.

Brief Summary

Our institution recently began incorporating a novel "tongue-out" radiation therapy (TORT) technique for patients with head and neck tumors at particular subsites (oropharynx, larynx, hypopharynx). Protruding the tongue, i.e. "tongue-out" position, induces anatomical changes that facilitate decreased radiation dose to the oral tongue and PCM. The long-term goal is to determine whether TORT results in reduced severity and faster recovery from acute treatment-related toxicities (particularly mucositis, dysphagia, and dysgeusia) and improved long-term swallowing function and taste compared to traditional "tongue-in" RT for patients with HNC.

Eligibility Criteria

Inclusion Criteria: 1. Must have histologically or cytologically confirmed squamous cell carcinoma of the oropharynx, larynx, or hypopharynx (cT0-4, N0-3, M0-1). 2. Patients with metastatic disease will be included if the following criteria are met: * Definitive RT dose is planned for the primary site * The number of metastatic lesions is ≤5 * All metastatic lesions are confined to a single organ (e.g., lung) 3. Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤ 2 4. Female subjects of childbearing potential must not be pregnant or breastfeeding at screening. * Female subjects are considered to be of childbearing potential unless one of the following criteria is met: o Permanent sterilization (hysterectomy, bilateral salpingectomy, or bilateral oophorectomy) or documented postmenopausal status (defined as 12 months of amenorrhea in a woman \> 45 years-of-age in the absence of other biological or physiological causes. Note: Documentation may include review of medical records, medical examination, or medical history interview by study site staff. * Female subjects of childbearing potential must utilize an appropriate method of birth control such as hormonal methods (oral, injectable, implant, skin patch, vaginal ring), intrauterine devices, barrier methods (consistent use of male/female condoms, diaphragms, cervical caps), surgical methods (vasectomy, tubal ligation), or true abstinence. 5. Must be able to comfortably protrude tongue in the treatment position for at least 1 minute. 6. Must have the ability to understand and the willingness to sign a written informed consent document. 7. Must be willing to comply with all study procedures. 8. Must be able to complete patient-reported outcome (PRO) questionnaires in English. Exclusion Criteria: 1. Patients with T1-T2 N0 glottic cancer (i.e., planned to undergo RT to the larynx only) 2. Posterior pharyngeal wall primary tumor 3. Widely metastatic disease 4. Surgical resection of the primary tumor 5. Induction chemotherapy or immunotherapy prior to planned radiotherapy 6. Prior head and neck radiotherapy

Contact & Investigator

Central Contact

Samantha Demko, RN

✉ albesl@upmc.edu

📞 412-623-1400

Principal Investigator

Yvonne Mowery, MD

PRINCIPAL INVESTIGATOR

UPMC Hillman Cancer Center

Frequently Asked Questions

Who can join the NCT07227792 clinical trial?

This trial is open to participants of all sexes, aged 18 Years or older, studying Head and Neck Carcinoma. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.

Is NCT07227792 currently recruiting?

Yes, NCT07227792 is actively recruiting participants. Contact the research team at albesl@upmc.edu for enrollment information.

Where is the NCT07227792 trial being conducted?

This trial is being conducted at Pittsburgh, United States.

Who is sponsoring the NCT07227792 clinical trial?

NCT07227792 is sponsored by Yvonne Mowery. The principal investigator is Yvonne Mowery, MD at UPMC Hillman Cancer Center. The trial plans to enroll 35 participants.

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