Stereotactic Body Radiation Therapy in Treating Patients With Recurrent Primary Ovarian or Uterine Cancer
A Phase I Study of Stereotactic Body Radiation Therapy for Patients With Limited Locoregional Recurrences of Ovarian and Uterine Serous Carcinoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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Colorado
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Aurora, Colorado, United States, 80045
- University of Colorado Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Female patients > 18 years of age.
- ECOG 0 or 1.
- Diagnosis of primary ovarian cancer of any histology (patients with diagnoses of fallopian tube and primary peritoneal cancer are also eligible), or primary uterine cancer of papillary serous histology.
- Pathologic confirmation of eligible histology.
- Three or fewer total sites of active disease (at least one site of active disease to be treated on study must be confined to the abdomen or pelvis excluding liver and must be < 5 cm in greatest dimension as determined by pre-screening cross-sectional imaging).
- Additional site(s) of active disease (such as parenchymal liver and lung metastases, or supraclavicular nodal metastases), should be considered for treatment (off study) with radiation, surgery, or another form of local therapy, at the discretion of the study PI.
- Systemic therapy is allowed but SBRT cannot begin until > or = 7 days after the last cycle of systemic therapy, and systemic therapy cannot be initiated or re-initiated until > or = 7 days after SBRT. There will be no limit on prior lines of systemic therapy.
- Patients with contraindications to intravenous (IV) contrast administration are still eligible for this study if the tumor can be delineated clearly without IV contrast (at the discretion of the treating radiation oncologist) but will not participate in the functional imaging studies.
Exclusion Criteria:
- Pregnant women. If patients are not status post bilateral salpingo-oopherectomy then pregnancy testing is required.
- Patients with active collagen vascular disease (CVD), specifically systemic lupus erythematosus or scleroderma. Patients with a history of CVD without evidence of active disease are eligible for enrollment at the discretion of the study PI.
- Patients with inflammatory bowel disease and/or GI ulcers and/or GI fistulas are eligible but only at the discretion of the study PI after personalized review of their medical history and proximity of SBRT targets to gastrointestinal mucosa.
- Patients with a separate non-cutaneous cancer diagnosis for which the patient has not been without evidence of disease for at least 5 years.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Treatment (SBRT)
Patients undergo Stereotactic Body Radiation Therapy (SBRT) every other day for 3 fractions.
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Correlative studies
Ancillary studies
Other Names:
Ancillary studies
Undergo SBRT
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Maximum Tolerated Dose
Time Frame: After the completion of SBRT treatment through 3 months of followup.
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This will be accomplished using the standard 3+3 dose escalation design.
Dose Limiting Toxicities (DLTs) will be determined through the NCI CTCAE version 4.03.
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After the completion of SBRT treatment through 3 months of followup.
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
One Year Local Control
Time Frame: After the completion of SBRT treatment, throughout followup, or death, whichever comes first, up to one year.
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Local Control will be defined as Stable Disease (SD), Partial Response (PR) or Complete Repsonse (CR) according to RECIST 1.1 criteria.
Assessed using Kaplan Meier survival curves.
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After the completion of SBRT treatment, throughout followup, or death, whichever comes first, up to one year.
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Progression Free Survival
Time Frame: After the completion of SBRT treatment, throughout followup, or death, whichever comes first, up to one year.
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The amount of time a patient survives without worsening of disease, according to RECIST 1.1 criteria.
Assessed using Kaplan Meier survival curves.
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After the completion of SBRT treatment, throughout followup, or death, whichever comes first, up to one year.
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Overall Survival
Time Frame: After the completion of SBRT treatment, throughout followup, or death, whichever comes first, up to one year.
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The amount of time a patient survives, with or without progression of disease.
Assessed using Kaplan Meier survival curves.
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After the completion of SBRT treatment, throughout followup, or death, whichever comes first, up to one year.
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Chemotherapy-Free Interval
Time Frame: After the completion of SBRT treatment throughout followup to the re-initiation of chemotherapy, up to one year.
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The amount of time a patient survives without having to undergo re-initiation of chemotherapy.
Assessed using Kaplan Meier survival curves.
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After the completion of SBRT treatment throughout followup to the re-initiation of chemotherapy, up to one year.
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Acute Toxicities
Time Frame: During SBRT treatment, throughout followup, or death, whichever comes first, up to 6 weeks post treatment.
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Acute toxicities will be assessed by the NCI CTCAE version 4.03.
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During SBRT treatment, throughout followup, or death, whichever comes first, up to 6 weeks post treatment.
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Late Toxicities
Time Frame: After the completion of SBRT treatment, throughout followup, or death, whichever comes first, up to one year.
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Delayed toxicities will be assessed by the NCI CTCAE version 4.03.
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After the completion of SBRT treatment, throughout followup, or death, whichever comes first, up to one year.
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Quality of Life Assessment through Survey
Time Frame: After the completion of SBRT treatment, throughout followup, or death, whichever comes first, up to one year.
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Quality of life will be assessed through the EORTC QLQ-C30 and OV28 questionnaires.
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After the completion of SBRT treatment, throughout followup, or death, whichever comes first, up to one year.
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Functional Imaging
Time Frame: Prior to completion of SBRT, immediately after the completion of SBRT, and 6 weeks after the completion of SBRT.
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DCE-CT scans using the Siemens AS open scanner will be assessed according to RECIST 1.1 criteria.
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Prior to completion of SBRT, immediately after the completion of SBRT, and 6 weeks after the completion of SBRT.
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Profile of SBRT-Associated Immune Response
Time Frame: Prior to completion of SBRT, 2 weeks after the completion of SBRT, and 6 weeks after the completion of SBRT.
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The Human Immune Monitoring Shared Resource will preform cytometry and cytokine arrays, as well as characterizing activation markers.
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Prior to completion of SBRT, 2 weeks after the completion of SBRT, and 6 weeks after the completion of SBRT.
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Christine Fisher, MD, University of Colorado, Denver
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Genital Diseases, Female
- Endocrine Gland Neoplasms
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Fallopian Tube Diseases
- Ovarian Neoplasms
- Fallopian Tube Neoplasms
- Investigative Techniques
- Therapeutics
- Surgical Procedures, Operative
- Radiotherapy
- Stereotaxic Techniques
- Neurosurgical Procedures
- Radiosurgery
Other Study ID Numbers
Other Study ID Numbers
- 17-1333.cc
- NCI-2017-01888 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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