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De-escalation: RTOG 1016: phase III

p16+ oropharyngeal carcinomas

T1-2,N2a-3 or T3-4

any N

RANDOMIZE

RT 70Gy/35f/6 wks + cisplatin 100mg/m² x 2

Stratify:

T 1-2

T3-4

N0-2a

N2b-c

Smoking

Zubrod 1-

2

RT 70Gy/35f/6 wks + cetuximab for 8 weeks

N=700

Reducing toxicity by replacement of cisplatin with cetuximab ?

98 pts recruited before closure in July 2014