- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03378856
Evaluation of Technological Innovation in Radiotherapy (PERA)
Partnership Initiative for the Evaluation of Technological Innovation in Radiotherapy
Prospective cohort study of patients receiving standard-care radiotherapy is paramount to a better understanding of radiation effects and longterm outcomes.
The primary objective is to determine the feasibility of establishing infrastructure to systematically collect clinical data, patient-reported outcomes, and imaging data from daily radiotherapy practice.
Secondary objectives are to provide a control cohort for comparative effectiveness research of investigational interventions through a cmRCT design; compare imaging features with clinical outcomes; understand dose-effect relationships; quantify imaging quality metrics.
Study Overview
Status
Conditions
Detailed Description
The study consists of an effort to develop infrastructure that will support systematic collection of data from daily radiotherapy practice. At the core, PERA is a large observational cohort study, serving as a multiple cohort randomized trial and image banking facility. It includes consent for the collection of imaging data, patient-reported outcomes, and broad randomization for studies according to the innovative cohort multiple randomized controlled trial design (cmRCT).
The basis of this design is a prospective cohort of participants receiving care as usual, who give informed consent for cohort participation.
Participants can furthermore be asked for informed consent to be randomized in future RCTs conducted within the cohort. Participants are informed that they will be offered an experimental intervention if they are randomly selected. They are also informed that they otherwise might serve as controls without being notified and that their data can be used in a trial context. For each participant in the cohort, PROs are captured at baseline and at regular intervals during follow-up. Within this cohort, multiple RCTs can be conducted. The design is especially attractive for clinical research areas with rapid evolution of technology, and for highly desired or expensive interventions.
In the first stage, at entry into the cohort, all potential participants are asked for their informed consent to participate in a cohort study and broad consent to be either randomly selected to be approached for experimental interventions or to serve as control without further notice during participation in the cohort. In a second stage, at the initiation of an RCT within the cohort, informed consent to receive the intervention is then only sought in those randomly selected for the intervention arm. At the third stage, after completion of each RCT, all cohort participants receive aggregate disclosure of trial results.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Cynthia Ménard, MD, M.Sc
- Phone Number: 514-890-8254
- Email: Cynthia.Menard@umontreal.ca
Study Locations
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British Columbia
-
Kelowna, British Columbia, Canada
- Recruiting
- BC Cancer - Kelowna
-
Contact:
- Jennifer Petterson
- Phone Number: Petterson
- Email: jennifer.petterson@bccancer.bc
-
Principal Investigator:
- Katie Jasper, MD
-
Vancouver, British Columbia, Canada, V5Z 4E6
- Recruiting
- BC Cancer - Vancouver
-
Principal Investigator:
- Srinivas Raman, MD
-
Contact:
- Jackie Cao
- Phone Number: (250) 712-3900
- Email: sijia.cao@bccancer.bc.ca
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-
Ontario
-
London, Ontario, Canada, N6C 2R5
- Recruiting
- London Health Regional Cancer Centre
-
Contact:
- Karen Eddy
- Phone Number: (519) 685-8500
- Email: karen.eddy@lhsc.on.ca
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Principal Investigator:
- Pencilla Lang, MD
-
Toronto, Ontario, Canada, M4N 3M5
- Recruiting
- Sunnybrook Research Institute
-
Contact:
- Phone Number: 514-934-1934
-
Principal Investigator:
- Amir Safavi, MD
-
Toronto, Ontario, Canada
- Recruiting
- Princess Margaret Cancer Centre
-
Principal Investigator:
- Philip Wong
-
Contact:
- Ebrahim Aslani
- Phone Number: (416) 946-6560
- Email: ebrahim.aslani@uhn.ca
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-
Quebec
-
Laval, Quebec, Canada
- Recruiting
- CISSS de Laval - Hôpital de la Cité-de-la-Santé
-
Contact:
- Imane Benmouhoub
- Email: imane.benmouhoub.cissslav@ssss.gouv.qc.ca
-
Principal Investigator:
- Danny Duplan, MD
-
Montreal, Quebec, Canada
- Recruiting
- Centre Hospitalier de l'Université de Montréal
-
Principal Investigator:
- Cynthia Menard, MD
-
Contact:
- Eva Nkurunziza
- Phone Number: 30898 514-890-8000
- Email: eva-sabrina.nkurunziza.chum@ssss.gouv.qc.ca
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Montreal, Quebec, Canada, H3H 2R9
- Recruiting
- Research Institute of the McGill University Health Center
-
Principal Investigator:
- Fabio Cury, MD
-
Contact:
- Marianna Perna
- Phone Number: 514-934-1934
- Email: marianna.perna@muhc.mcgill.ca
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Québec, Quebec, Canada
- Recruiting
- CHU de Quebec - Universite Laval
-
Principal Investigator:
- Eric Vigneault, MD
-
Contact:
- Alexandre Villeneuve-Gauthier
- Phone Number: 4185254444
- Email: Alexandre.Villeneuve-Gauthier@chudequebec.ca
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Ability to provide informed consent
- Receiving radiotherapy or brachytherapy
Exclusion Criteria:
-
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Accrual rates
Time Frame: 2 years
|
Determine feasibility of achieving high accural rates (greater than 80%) with this approach.
|
2 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of cmRCT trials activated
Time Frame: 2 years
|
Measure if success would be the activation of 2 or more trials in the time frame.
|
2 years
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Alley S, Jackson E, Olivie D, Van der Heide UA, Menard C, Kadoury S. Effect of magnetic resonance imaging pre-processing on the performance of model-based prostate tumor probability mapping. Phys Med Biol. 2022 Dec 13;67(24). doi: 10.1088/1361-6560/ac99b4.
- Giguere P, Bahig H, Westra S, Roberge D, Bourque JM, Masucci GL, Nkurunziza ES, Freire V, Belliveau C, Duplan D, Vigneault E, Wong P, Lang P, Menard C. Platform for the Evaluation of innovations in Radiation oncology through registry-based conduct of multi-centric pragmatic randomized trials: PERa implementation. Trials. 2026 Apr 24;27(1):437. doi: 10.1186/s13063-026-09709-0.
- Petit C, Delouya G, Taussky D, Barkati M, Lambert C, Beauchemin MC, Clavel S, Mok G, Pare AG, Nguyen TV, Duplan D, Keu KV, Saad F, Juneau D, Menard C. PSMA-PET/CT-Guided Intensification of Radiation Therapy for Prostate Cancer (PSMAgRT): Findings of Detection Rate, Effect on Cancer Management, and Early Toxicity From a Phase 2 Randomized Controlled Trial. Int J Radiat Oncol Biol Phys. 2023 Jul 15;116(4):779-787. doi: 10.1016/j.ijrobp.2022.12.055. Epub 2023 Jan 11.
- Belliveau C, Barkati M, Delouya G, Taussky D, Beauchemin MC, Lambert C, Beaulieu L, Beliveau-Nadeau D, Nicolas B, Carrier JF, Vigneault E, Menard C. Focal HDR brachytherapy boost to stereotactic radiotherapy (fBTsRT) for prostate cancer: a phase II randomized controlled trial. Radiat Oncol. 2022 Dec 9;17(1):203. doi: 10.1186/s13014-022-02173-5.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- 17.032
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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