- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03892720
Stereotactic Body Radiation Therapy Using HyperArc in Treating Patients With Recurrent Head and Neck Cancer
A Phase II Study of Non-Coplanar SBRT Re-Irradiation Using HyperArc in Patients With Recurrent Head and Neck Cancer
Study Overview
Status
Conditions
Detailed Description
PRIMARY OBJECTIVES:
I. To evaluate local control and toxicity of patients who receive escalated dose stereotactic body radiation therapy (SBRT) reirradiation with HyperArc for recurrent head and neck cancer (rHNC).
SECONDARY OBJECTIVES:
I. To evaluate the clinical benefit of HyperArc through the analysis of overall survival (OS), progression-free survival (PFS) and locoregional progression-free survival (LPFS).
EXPLORATORY OBJECTIVES:
I. To evaluate dosimetric data including dose to target and organs at risk (OAR).
OUTLINE:
Patients undergo treatment planning with both standard radiation treatment software and HyperArc software technology. The most optimal plan will be delivered to a total dose of 55 Gy in 5 fractions, given 2-3 times weekly.
After completion of study treatment, patients are followed up periodically for 1 year.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Carol Felix
- Phone Number: 310-825-9771
- Email: cfelix@mednet.ucla.edu
Study Locations
-
-
California
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Los Angeles, California, United States, 90095
- Recruiting
- UCLA / Jonsson Comprehensive Cancer Center
-
Contact:
- Carol Felix
- Phone Number: 310-825-9771
- Email: cfelix@mednet.ucla.edu
-
Principal Investigator:
- Robert Chin
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Histologically confirmed recurrent head and neck cancer; either unresectable or status post salvage surgery.
- History of radiation therapy for head and neck cancer with minimum 50% overlap of the 50% isodose line from prior treatment to the proposed treatment volume.
- Estimated life expectancy > 12 weeks.
- Karnofsky performance status >= 70 (Eastern Cooperative Oncology Group [ECOG] 0-2).
- Maximum tumor, or tumor bed, diameter < 5 cm.
- If a woman is of childbearing potential, a negative serum pregnancy test must be documented. Women of childbearing potential must agree to use adequate contraception (hormonal or barrier method of birth control; or abstinence) for duration of study participation and for up to 4 weeks following the study treatment.
- Ability to understand and willingness to sign a written informed consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment (SBRT)
Patients undergo stereotactic body radiation therapy with either standard radiation treatment software or HyperArc software technology for 2-3 fractions per week over a 2-week period for 5 fractions.
|
Ancillary studies
Other Names:
Ancillary studies
Undergo SBRT
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Local control rate of the treated tumor target per Response Evaluation Criteria in Solid Tumors version 1.1, magnetic resonance imaging (MRI) response or positron emission tomography (PET) response
Time Frame: At 1 year
|
Will calculate the percentage and construct 95% exact confidence interval for local control rate.
|
At 1 year
|
Percent of patients with acute or chronic grade >= 3 treatment-related toxicity per Common Terminology Criteria for Adverse Events version 4.0
Time Frame: At 1 year
|
Data will be tabulated and summarized.
Incidence of adverse events (AEs) will be summarized overall and with separate summaries for serious adverse events (SAEs), AEs leading to discontinuation, AEs leading to death, etc.
The overall safety and tolerability will be assessed throughout the study period.
All AE data will be listed individually by patient identifier.
|
At 1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall survival (OS)
Time Frame: The time between the first dose of stereotactic body radiation therapy (SBRT) and death, assessed at 1 year
|
The Kaplan-Meier method will be used to provide an estimate of OS.
The corresponding 95% confidence interval will also be presented.
|
The time between the first dose of stereotactic body radiation therapy (SBRT) and death, assessed at 1 year
|
OS
Time Frame: The time between the first dose of SBRT and death, assessed at 2 years
|
The Kaplan-Meier method will be used to provide an estimate of OS.
The corresponding 95% confidence interval will also be presented.
|
The time between the first dose of SBRT and death, assessed at 2 years
|
Median OS
Time Frame: The time between the first dose of SBRT and death, assessed up to 2 years
|
The Kaplan-Meier method will be used to provide an estimate of median OS.
The corresponding 95% confidence interval will also be presented.
|
The time between the first dose of SBRT and death, assessed up to 2 years
|
Progression-free survival (PFS)
Time Frame: From the first dose of SBRT to the first objectively documented disease progression or death due to any cause, assessed at 1 year
|
The Kaplan-Meier method will be used to provide an estimate of PFS.
The corresponding 95% confidence interval will also be presented.
|
From the first dose of SBRT to the first objectively documented disease progression or death due to any cause, assessed at 1 year
|
PFS
Time Frame: From the first dose of SBRT to the first objectively documented disease progression or death due to any cause, assessed at 2 years
|
The Kaplan-Meier method will be used to provide an estimate of PFS.
The corresponding 95% confidence interval will also be presented.
|
From the first dose of SBRT to the first objectively documented disease progression or death due to any cause, assessed at 2 years
|
Median PFS
Time Frame: From the first dose of SBRT to the first objectively documented disease progression or death due to any cause, assessed up to 2 years
|
The Kaplan-Meier method will be used to provide an estimate of median PFS.
The corresponding 95% confidence interval will also be presented.
|
From the first dose of SBRT to the first objectively documented disease progression or death due to any cause, assessed up to 2 years
|
Locoregional progression-free survival (LPFS)
Time Frame: From the first dose of SBRT to the first objectively documented disease progression in either the primary tumor, adjacent to the primary tumor, or in the surrounding lymph node areas, assessed at 1 year
|
The Kaplan-Meier method will be used to provide an estimate of LPFS.
The corresponding 95% confidence interval will also be presented.
|
From the first dose of SBRT to the first objectively documented disease progression in either the primary tumor, adjacent to the primary tumor, or in the surrounding lymph node areas, assessed at 1 year
|
LPFS
Time Frame: From the first dose of SBRT to the first objectively documented disease progression in either the primary tumor, adjacent to the primary tumor, or in the surrounding lymph node areas, assessed at 2 years
|
The Kaplan-Meier method will be used to provide an estimate of LPFS.
The corresponding 95% confidence interval will also be presented.
|
From the first dose of SBRT to the first objectively documented disease progression in either the primary tumor, adjacent to the primary tumor, or in the surrounding lymph node areas, assessed at 2 years
|
Median LPFS
Time Frame: From the first dose of SBRT to the first objectively documented disease progression in either the primary tumor, adjacent to the primary tumor, or in the surrounding lymph node areas, assessed up to 2 years
|
The Kaplan-Meier method will be used to provide an estimate of median LPFS.
The corresponding 95% confidence interval will also be presented.
|
From the first dose of SBRT to the first objectively documented disease progression in either the primary tumor, adjacent to the primary tumor, or in the surrounding lymph node areas, assessed up to 2 years
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Dosimetric data including achievable dose to target and organs at risk (OAR)
Time Frame: Up to 2 years
|
Data will be collected but not analyzed.
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Up to 2 years
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Serum markers predictive of response and/or toxicity
Time Frame: Up to 2 years
|
Will perform correlation analysis to explore serum markers predictive of efficacy endpoints.
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Up to 2 years
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Robert Chin, MD, UCLA / Jonsson Comprehensive Cancer Center
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
- 18-001247 (UCLA / Jonsson Comprehensive Cancer Center)
- NCI-2018-02996 (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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