Masks Against Surface-Scanning for Radiation Therapy Immobilisation in Head and Neck Cancer (MASSC) (MASSC)
Masks Against Surface-Scanning for Radiation Therapy Immobilisation in Head and Neck Cancer (MASSC Study)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Daan Nevens, PhD
- Phone Number: +32 0032034433737
- Email: Daan.Nevens@gza.be
Study Locations
-
-
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Antwerp, Belgium, 2610
- Recruiting
- GZA Ziekenhuizen campus Sint-Augustinus
-
Contact:
- Daan Nevens, PhD
- Phone Number: +32 0032034433737
- Email: Daan.Nevens@gza.be
-
Principal Investigator:
- Daan Nevens, PhD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients ≥ 18 years old
- Histologically confirmed head and neck cancer.
- Patients treated with radiotherapy (RT) as primary treatment.
- An Eastern Cooperative Oncology Group (ECOG) Performance Status grade of 0-1 as defined in Appendix 3.
- Each subject must sign an informed consent form (ICF) indicating that he understands the purpose of and procedures required for the study and is willing to participate in the study.
- Patients must be willing to comply with treatment plan and other study procedures
Exclusion Criteria:
- Patients with significantly altered mental status or with psychological, familial, sociological or geographical condition potentially hampering compliance with the study.
- Patients who cannot stay still during fraction because of a disorder (e.g. Parkinson's disease)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Starting with closed mask
Patient 1-8, receiving radiotherapy for head and neck cancer in this study.
Patients will receive 35 fractions of radiotherapy in total.
For the first 5 fractions these patients will receive radiotherapy using a closed mask.
For the next 5 fractions these patients will receive radiotherapy using an open mask.
For the 5 fractions after that these patients will receive radiotherapy using no mask.
This schedule repeats for the rest of their treatment.
|
Radiotherapy for head and neck cancer, using a closed mask (full thermoplastic mask) to restrict patient movement.
Other Names:
Radiotherapy for head and neck cancer, using an open mask to restrict patient movement.
Surface Scanning is used to monitor patient movement/positioning.
Radiotherapy for head and neck cancer, without using a mask to restrict patient movement.
Surface Scanning is used to monitor patient movement/positioning.
|
|
Experimental: Starting with open mask
Patient 9-16, receiving radiotherapy for head and neck cancer in this study.
Patients will receive 35 fractions of radiotherapy in total.
For the first 5 fractions these patients will receive radiotherapy using an open mask.
For the next 5 fractions these patients will receive radiotherapy using no mask.
For the 5 fractions after that these patients will receive radiotherapy using a closed mask.
This schedule repeats for the rest of their treatment.
|
Radiotherapy for head and neck cancer, using a closed mask (full thermoplastic mask) to restrict patient movement.
Other Names:
Radiotherapy for head and neck cancer, using an open mask to restrict patient movement.
Surface Scanning is used to monitor patient movement/positioning.
Radiotherapy for head and neck cancer, without using a mask to restrict patient movement.
Surface Scanning is used to monitor patient movement/positioning.
|
|
Experimental: Starting with no mask
Patient 17-24, receiving radiotherapy for head and neck cancer in this study.
Patients will receive 35 fractions of radiotherapy in total.
For the first 5 fractions these patients will receive radiotherapy using no mask.
For the next 5 fractions these patients will receive radiotherapy using a closed mask.
For the 5 fractions after that these patients will receive radiotherapy using an open mask.
This schedule repeats for the rest of their treatment.
|
Radiotherapy for head and neck cancer, using a closed mask (full thermoplastic mask) to restrict patient movement.
Other Names:
Radiotherapy for head and neck cancer, using an open mask to restrict patient movement.
Surface Scanning is used to monitor patient movement/positioning.
Radiotherapy for head and neck cancer, without using a mask to restrict patient movement.
Surface Scanning is used to monitor patient movement/positioning.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Positional Deviation
Time Frame: Positional Deviation will be assessed from start of treatment period to end of treatment period (up to 7 weeks).
|
Patient positioning and movement during treatment will be assessed using cone-beam computed tomopgraphy (CBCT).
The position of the patient and target volumes measured by CBCT will be compared to computed tomography (CT) scans made during the initial simulation of treatment.
CBCT-scans are made right before administering radiation and after radiation has been administered.
Translational and rotational deviations will be measured and expressed in millimeters (for translational deviation) and degrees (for rotational deviation).
|
Positional Deviation will be assessed from start of treatment period to end of treatment period (up to 7 weeks).
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patient Distress
Time Frame: Patient distress will be assessed from start of treatment period to end of treatment period (up to 7 weeks).
|
Patient Distress, measured every week using the Subjective Units of Distress Scale (SUDs), a scale of 0-10 where a higher number indicates a worse outcome.
|
Patient distress will be assessed from start of treatment period to end of treatment period (up to 7 weeks).
|
|
Duration of Treatment
Time Frame: Duration of treatment will be assessed from start of treatment period to end of treatment period (up to 7 weeks).
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Duration of treatment (in minutes), registered in radiotherapy software.
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Duration of treatment will be assessed from start of treatment period to end of treatment period (up to 7 weeks).
|
|
Radiotherapy Technician Satisfaction
Time Frame: Radiotherapy technician satisfaction will be assessed from start of treatment period to end of treatment period (up to 7 weeks).
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Personnel satisfaction, questioned weekly using a personnel satisfaction scale from 0 to 10, where a higher number indicates a better outcome.
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Radiotherapy technician satisfaction will be assessed from start of treatment period to end of treatment period (up to 7 weeks).
|
|
Radiation Dose
Time Frame: Radiation dose will be assessed from start of treatment period to end of treatment period (up to 7 weeks).
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In vivo dosimetry will be used to asses the accuracy of treatment.
Using PerFRACTION™ in vivo dosimetry.
Administered radiation doses will be measured for the target volume and expressed in Gray (Gy).
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Radiation dose will be assessed from start of treatment period to end of treatment period (up to 7 weeks).
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Daan Nevens, PhD, Cancer Research Antwerp
Publications and helpful links
General Publications
- Siegel R, Ma J, Zou Z, Jemal A. Cancer statistics, 2014. CA Cancer J Clin. 2014 Jan-Feb;64(1):9-29. doi: 10.3322/caac.21208. Epub 2014 Jan 7. Erratum In: CA Cancer J Clin. 2014 Sep-Oct;64(5):364.
- Wiant D, Squire S, Liu H, Maurer J, Lane Hayes T, Sintay B. A prospective evaluation of open face masks for head and neck radiation therapy. Pract Radiat Oncol. 2016 Nov - Dec;6(6):e259-e267. doi: 10.1016/j.prro.2016.02.003. Epub 2016 Feb 13.
- Li G, Lovelock DM, Mechalakos J, Rao S, Della-Biancia C, Amols H, Lee N. Migration from full-head mask to "open-face" mask for immobilization of patients with head and neck cancer. J Appl Clin Med Phys. 2013 Sep 6;14(5):243-54. doi: 10.1120/jacmp.v14i5.4400.
- Zhao B, Maquilan G, Jiang S, Schwartz DL. Minimal mask immobilization with optical surface guidance for head and neck radiotherapy. J Appl Clin Med Phys. 2018 Jan;19(1):17-24. doi: 10.1002/acm2.12211. Epub 2017 Nov 9.
- Dekker J, Rozema T, Böing-Messing F, Garcia M, Washington D, de Kruijf W. Whole-brain radiation therapy without a thermoplastic mask. Phys Imaging Radiat Oncol. 2019 Jul 25;11:27-29. doi: 10.1016/j.phro.2019.07.004. eCollection 2019 Jul.
- Ali I, Matthiesen C, Algan O, Thompson S, Bogardus C, Herman T, Ahmad S. Quantitative evaluation of increase in surface dose by immobilization thermoplastic masks and superficial dosimetry using Gafchromic EBT film and Monte Carlo calculations. J Xray Sci Technol. 2010;18(3):319-26. doi: 10.3233/XST-2010-0263.
- Stieler F, Wenz F, Shi M, Lohr F. A novel surface imaging system for patient positioning and surveillance during radiotherapy. A phantom study and clinical evaluation. Strahlenther Onkol. 2013 Nov;189(11):938-44. doi: 10.1007/s00066-013-0441-z. Epub 2013 Sep 27.
- Cerviño LI, Pawlicki T, Lawson JD, Jiang SB. Frame-less and mask-less cranial stereotactic radiosurgery: a feasibility study. Phys Med Biol. 2010 Apr 7;55(7):1863-73. doi: 10.1088/0031-9155/55/7/005. Epub 2010 Mar 12.
- Bartlett FR, Donovan EM, McNair HA, Corsini LA, Colgan RM, Evans PM, Maynard L, Griffin C, Haviland JS, Yarnold JR, Kirby AM. The UK HeartSpare Study (Stage II): Multicentre Evaluation of a Voluntary Breath-hold Technique in Patients Receiving Breast Radiotherapy. Clin Oncol (R Coll Radiol). 2017 Mar;29(3):e51-e56. doi: 10.1016/j.clon.2016.11.005. Epub 2016 Nov 24.
- van Herk M. Errors and margins in radiotherapy. Semin Radiat Oncol. 2004 Jan;14(1):52-64. doi: 10.1053/j.semradonc.2003.10.003.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
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 (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CTOR20051GZA
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
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