Shloma Koyfman, MD, Cleveland Clinic, Cleveland, OH, discusses the outcomes of a multi-center Phase II trial investigating hypoxia-directed de-escalated chemoradiotherapy without surgery for human papillomavirus associated oropharyngeal carcinoma (HPV+ OPC). With 150 eligible patients, de-escalation to 30Gy based on hypoxia status achieved notable toxicity reduction while maintaining a 2-year locoregional control of 95% and a 2-year overall survival probability of 99%. These findings support chemoradiation without surgery as an effective treatment approach for HPV+ OPC. This interview took place during the 2024 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.
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