- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03206385
IMRT Followed by CyberKnife Boost Focused on the Gross Residual Pelvic Tumor Volume (Boost_Pelvis)
Intensity Modulated Radiation Treatments Followed by A Stereotactic CyberKnife Boost Focused on the Gross Residual Pelvic Tumor Volume
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This register concerned patients with any kind of non-resected pelvic cancer for which a brachytherapy Gross Tumor Volume (GTV) boost is non indicated.
- Placement of fiducials First of all, fiducials will be placed near or inside the Gross Tumor Volume (GTV).
- Radiation treatment The radiation treatment will be delivered by Varian Rapid ARC accelerators. 50 Gy will be delivered in the Planning Tumor Volume (PTV) 1 and 60 Gy in the PTV 2 simultaneously in 28 fractions (5 fractions a week) in no more than 40 days. Anytime, 95% of the prescribed dose will have to cover at least 90% of the PTV 1 and PTV 2.
- CK Boost pelvis In the following 14 days after the external beam treatment, two high CyberKnife dose sessions will deliver a pelvic boost of 6.5 Gy each to the initial GTV or eventually to the residual GTV in case of too close vicinity of the organs at risk (OAR). This boost will be planned according to a recent paper, using a new CT scan and MRI scan for planimetric purposes. 95% of the prescribed dose will have to cover at least 90% of the PTV. The maximal CyberKnife tolerated doses to the OAR for a 6.5 Gy dose will be 5 Gy to 2cc of the bladder, rectum or sigmoid structures and 2.5 Gy to 5 cc of the small bowel. The protocol will not require a dose summation of the different steps of the treatment. The total duration of the whole treatment will have to be inferior to 55 days.
4 Follow-up The clinical follow up will be planed weekly during the radiation treatments, and at 2, 4 and 6 months thereafter. The patients will be then followed up every 4 months during the first 2 years and twice yearly thereafter.
A medical imaging using PET Scanner and MRI when possible will be performed at least at 6 months intervals during the first 2 years.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
-
-
SUD
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Esch-sur-Alzette, SUD, Luxembourg, L-4240
- Centre Francois Baclesse
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- any kind of locally advanced pelvic tumor, non-operable for any reason
- signed informed consent
- concomitant chemotherapy or hormonotherapy unless gemcitabine will not be contraindicated during the treatment
Exclusion Criteria:
- possibility to easily offer the patient a brachytherapy boost
- extra pelvic tumor dissemination above the L3 vertebra
- collagenoses
- any bowel tumor when the digestive tract is not definitely and locally bypassed
- any biologic targeted therapy or anti angiogenic therapy within the 6 weeks preceding the initiation of the radiation treatment, for the first 20 patients. This point will be revisited afterwards and will conduct to an amendment in case of protocol modification
- gemcitabine chemotherapy within the 6 weeks preceding the initiation of the radiation treatment or during the treatment
- hip prostheses
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
CK Boost pelvis
|
50 Gy will be delivered in the PTV 1 and 60 Gy in the PTV 2 simultaneously in 28 fractions (5 fractions a week) in no more than 40 days.
Anytime, 95% of the prescribed dose will have to cover at least 90% of the PTV 1 and PTV 2.
Two high CyberKnife dose sessions will deliver a pelvic boost of 6.5 Gy each to the initial GTV or eventually to the residual GTV in case of too close vicinity of the OAR
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Severe toxicity
Time Frame: follow up during 3 years after patient inclusion
|
The objective is to confirm an expected toxicity level of severe toxicity < 5%
|
follow up during 3 years after patient inclusion
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Local clinical control rates
Time Frame: follow up during 3 years after patient inclusion
|
Ths objective is to study the local control rates defined by a study panel board including at least a radiologist specially trained to review the imaging data after high radiation doses per fraction and the coordinator of the register, using PET Scanner, MRI and clinical data
|
follow up during 3 years after patient inclusion
|
Extra pelvic dissemination rates
Time Frame: follow up during 3 years after patient inclusion
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The objective is to study the dissemination data of the disease above the pelvis
|
follow up during 3 years after patient inclusion
|
Ability of the multi leaf collimator to better cover the PTVs and to help shortening the delivery times
Time Frame: follow up during 3 years after patient inclusion
|
Using the different Conformal Index modalities, the objective is to compare the treatment planning with or without using the multi leaf collimator
|
follow up during 3 years after patient inclusion
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CK Boost Pelvis
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
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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