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To evaluate whether Transoral Laser Microsurgery (TLM) is non-inferior compared to Accelerated Radiotherapy (accRT) in the treatment of T1aN0M0 glottic SCC
Since 2003 the Danish national standard treatment for T1aN0M0 glottic SCC has been accelerated RT (66Gy. 2 GY/fraction, 6 fractions/week). In 2012 cordectomy type I-III using TLM was introduced as an experimental treatment.
The DAHANCA 27 trial is a comparative non-inferiority phase II study comparing two timely separated national patient cohorts. Patients treated with radical TLM from September 2012 to April 2016 were included in the TLM cohort, and patients treated with accelerated RT from January 2003 to august 2012 were included in the RT cohort
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transoral Laser Microsurgery | Experimental | Transoral Laser Microsurgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transoral Laser Microsurgery | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| laryncegtomy free survival | Alive with larynx | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Local control | Free from disease after primary treatment | 5 years |
| Ultimate tumor control | Free from disease after primary treatment including salvage RT or surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nina M Lyhne, MD | Aalborg University Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aalborg University Hospital | Aalborg | Denmark | ||||
| Department of Experimental Clinical Oncology, Aarhus University Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40622110 | Derived | Lyhne NM, Kjaergaard T, Tvedskov JF, Godballe C, Hald K, Ulhoi BP, Printz T, Overgaard J. The DAHANCA 27 Phase II Study: Transoral Laser Microsurgery for T1aN0M0 Glottic Squamous Cell Carcinoma, a Comparison to Accelerated Radiotherapy. Head Neck. 2025 Dec;47(12):3228-3236. doi: 10.1002/hed.28225. Epub 2025 Jul 7. |
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information can be obtained from the Dahanca database, pending legal and dataprotection accept and relevance
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| ID | Term |
|---|---|
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| ID | Term |
|---|---|
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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Phase 2 prospective non-inferiority trial comparing with previous prospective collected national cohort
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| 5 years |
| Overall survival | Death of any cause | 5 years |
| Voice quality | Voice Handicap Index score | 3 years |
| Radiation free survival | survival without being treated with RT | 5 years |
| any other treatment related morbidity | Dahanca morbidity recording | 5 years |
| Aarhus |
| 8000 C |
| Denmark |
| Aarhus University Hospital | Aarhus | Denmark |
| Rigshospitalet | Copenhagen | Denmark |
| Odense University Hospital | Odense | Denmark |
| D009369 | Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D009371 | Neoplasms by Site |