This randomized phase III trial studies the side effects and how well intensity-modulated proton beam therapy works and compares it to intensity-modulated photon therapy in treating patients with stage III-IVB oropharyngeal cancer. Radiation therapy uses high-energy x-rays, protons, and other types of radiation to kill tumor cells and shrink tumors. It is not yet known whether intensity-modulated proton beam therapy is more effective than intensity-modulated photon therapy in treating oropharyngeal cancer.
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Cumulative incidence of late onset grade 3+ toxicity anytime (Phase II)
Timeframe: Up to 2 years
Cumulative incidence of acute grade 3+ toxicity (Phase II)
Timeframe: Up to 2 years
Overall survival (OS) (Phase II)
Timeframe: Up to 5 years
Overall survival (Phase III)
Timeframe: Up to 5 years
Progression-free survival (Phase III)
Timeframe: Up to 3 years