Original Investigation

Sustained Locoregional Control With Deintensified Chemoradiotherapy for HPV Oropharyngeal Carcinoma

JAMA Otolaryngology–Head & Neck Surgery 10.1001/jamaoto.2026.0617

April 23, 2026 at 11:00 AM EDT

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What are long-term outcomes among patients with human papillomavirus (HPV)–associated oropharyngeal carcinoma treated with definitive deintensified (chemo)radiotherapy?In this cohort study of 240 patients with HPV-associated oropharyngeal carcinoma treated with definitive deintensified 60-Gy (chemo)radiotherapy, concurrent with weekly cisplatin, 30 mg/m, in the majority of patients, the 5-year locoregional recurrence rate was 3.4%.Modest dose deintensification of 60-Gy radiotherapy in patients with HPV-associated oropharyngeal carcinoma is associated with favorable rates of locoregional control.

Corresponding Author: Ryan T. Morse, MD, Department of Radiation Oncology, University of Kansas Medical Center, 4001 Rainbow Blvd, Kansas City, KS 66160 (rmorse@kumc.edu).

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