Sponsor:
Insel Gruppe AG, University Hospital Bern
Collaborator:
-
Studienleiter
Roland Giger, Prof. Principal Investigator Inselspital, Bern University Hospital
Kontakt
Roland Giger, Prof. Kontakt: Phone: +41 31 632 29 31 E-Mail: roland.giger@insel.ch» Kontaktdaten anzeigen Miranda Visini, Dr. med. Kontakt: Phone: +41 31 632 88 59 E-Mail: miranda.visini@insel.ch» Kontaktdaten anzeigen
Studienlocations (1 von 1)
Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Inselspital, Bern University Hospital 3010 Bern SwitzerlandRekrutierend» Google-Maps Ansprechpartner: Roland Giger, Prof. Phone: +41 31 632 29 31 E-Mail: roland.giger@insel.ch
Miranda Visini, Dr. med. Phone: +41 31 632 88 59 E-Mail: miranda.visini@insel.ch» Ansprechpartner anzeigen
1. Patients' compliance with scheduled 3-monthly endoscopic exam, voice recordings, and filling out of questionnaire (Time Frame - 3-18 months): The number of completed visits/exams out of all scheduled visits/exams.
2. Recruitment rate (Time Frame - 0-18 months): Recruitment rate (number of enrolled participants per year).
Secondary outcome:
1. Subjective changes in voice (Time Frame - 0-18 months): Subjective changes in voice assessed by the voice handicap index-30 (VHI-30).
2. Objective changes in voice 1 (Time Frame - 0-18 months): Changes in Roughness - Breathiness - Hoarseness (RBH).
3. Objective changes in voice 2 (Time Frame - 0-18 months): Changes in Jitter and Shimmer (JS).
4. Objective changes in voice 3 (Time Frame - 0-18 months): Changes in Glottal-to-Noise Excitation Ratio (GNE).
5. Objective changes in voice 4 (Time Frame - 0-18 months): Changes in Singing Power Ratio (SPR).
6. Recurrences of the index tumor (Time Frame - 0-18 months): Number/Percentage of patients with biopsy-proven local, regional, and/or systemic recurrences of the initially treated LSCC/HPSCC.
Note: In special scenarios such as co-morbidities, patient's rejection or other medical conditions, a biopsy can be omitted if there is a consensus for a recurrence at the multidisciplinary tumor board based on the clinical and/or radiologic findings.
7. Recurrences in other localizations (Time Frame - 0-18 months): Number/Percentage of patients with biopsy-proven local, regional, and/or systemic recurrences in other localizations.
Note: In special scenarios such as co-morbidities, patient's rejection or other medical conditions, a biopsy can be omitted if there is a consensus for a recurrence at the multidisciplinary tumor board based on the clinical and/or radiologic findings.
8. Second primary malignancies in the larynx/hypopharynx (Time Frame - 0-18 months): Number/Percentage of patients with biopsy-proven local, regional, and/or systemic second primary malignancy in the larynx/hypopharynx.
Note: In special scenarios such as co-morbidities, patient's rejection or other medical conditions, a biopsy can be omitted if there is a consensus for a second primary malignancy at the multidisciplinary tumor board based on the clinical and/or radiologic findings.
9. Second primary malignancies in other localizations (Time Frame - 0-18 months): Number/Percentage of patients with biopsy-proven local, regional, and/or systemic second primary malignancy in other localizations.
Note: In special scenarios such as co-morbidities, patient's rejection or other medical conditions, a biopsy can be omitted if there is a consensus for a second primary malignancy at the multidisciplinary tumor board based on the clinical and/or radiologic findings.
10. Composite of clinical events (Time Frame - 0-18 months): Composite endpoint: Number/Percentage of patients with laryngeal/hypopharyngeal recurrence, second primary malignancy, edema, scar/synechia, erythro-/leukoplakia, laryngeal chondroradionecrosis and hypomobility/ paralysis determined by fiber-endoscopy.
Voice recording, ENT (Ear, Nose and Throat) examination including transnasal fiberendoscopy, and VHI-30-questionnaire: The following speech samples will be recorded from the study participants:
Standardized, phonetically balanced text
Sustained, modulated production of five vowels
Picture description
Diadochokinetic exercise.
Before starting speech recording, the participant fills in a questionnaire consisting of:
Health barometer
Self-rating in terms of stress/fatigue/emotional status.
An Ear, Nose and Throat examination incl. transnasal fiberendoscopy is performed at each visit. The investigators will assess the vocal folds/aryepiglottic folds for the presence of paralysis or reduced mobility, as well as the presence of scar/synechia, edema, erythro-/leukoplakia, or a cancer-suspicious lesion/mass in the larynx/hypopharynx or a chondroradionecrosis in the larynx.
Additionally, it will be assessed, if a tracheotomy canula or a nasogastric tube is in place or was used since the last visit.
Furthermore, the investigators will ask the patients to fill out the VHI-30.
Quelle: ClinicalTrials.gov
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"The Voice as a Tool to Detect Recurrence of Laryngeal and Hypopharyngeal Cancer"
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