- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05671458
Multiparametric Imaging-based Intraoperative Navigation for Guidance of Surgical Resection and Postoperative Radiotherapy in Patients With Head-and-neck Tumors (NAVIGATORR)
Multiparametric Imaging-based Intraoperative Navigation for Guidance of Surgical Resection and Postoperative Radiotherapy in Patients With Head-and-neck Tumors - NAVIGATORR
The overarching goal of the NAVIGATORR trial is the improvement of local tumor control in head-and-neck cancer (HNC) by increasing the precision of surgical resection and individualization of radiotherapy. Squamous cell carcinomas (SCC) together with salivary gland carcinomas (adenoid cysytic Carcinoma (ACC), mucoepidermoid Carcinoma (MEC), adenocarcinoma (AC)) represent the most common entities in German head and neck oncology. In localized tumors, primary tumor resection with possible adjuvant (chemo)radiotherapy is still the treatment of choice. Advances in targeted therapy and immunotherapy have greatly expanded the repertoire of medical oncology in recent years. In particular, prognosis of patients with end-stage non-small cell lung cancer (NSCLC) has been improved and even patients with advanced head and neck disease can be offered new second line regimes. Importantly, all of these advances are based on personalized and targeted therapies. Unfortunately, surgical oncology in the head-and-neck region has not yet shown such developments towards individualized treatment, so that the rates of safe oncological resections (clear resection margins) haven been stagnating. Despite advances in reconstructive surgery that allow the resection of head-and-neck tumors that would not have been operable 10 - 15 years ago, the basic principles of the resection margin and especially margin evaluation have remained unchanged. The technique of navigation-based tumor resection and the annotation of biopsies by titanium clip-markings or special annotation have been described, but only in small case series and without proving the benefit of the method concerning clinically relevant parameters.
Therefore, the NAVIGATORR trial will enroll 60 patients with HNC of the midface that will undergo navigation-based surgery. Importantly, interdisciplinary data exchange of the intraoperative navigation data between surgeons, pathologists and radiation oncologists will be established. Clear surgical margins (distance between tumor cells and resection border > 5 mm) have been defined as primary endpoint. Secondary endpoints such as dosimetric assessment of individualized radiotherapy plans, local tumor control or overall survival should then be compared to data from the literature to further assess this multidisciplinary approach.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Sebastian Adeberg, Prof. Dr.
- Phone Number: +49 6221 56 8202
- Email: sebastian.adeberg@med.uni-heidelberg.de
Study Locations
-
-
-
Heidelberg, Germany, 69120
- Recruiting
- Department of Radiotherapy, University of Heidelberg
-
Contact:
- Juergen Debus, Prof. Dr. Dr.
- Phone Number: 8200 +49 6221 56
- Email: juergen.debus@med.uni-heidelberg.de
-
Contact:
- Adriane Hommertgen, Dr. med.
- Phone Number: 34091 0622156
- Email: adriane.hommertgen@med.uni-heidelberg.de
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of a malignancy (squamous cell carcinoma (SCC), adenocarcinoma (AC), mucoepidermoid carcinoma (MEC), adenoidcystic carcinoma (ACC)) of the midface, upper jaw and skull-base (e.g. based on imaging-studies and/or biopsies)
- Indication of surgical tumor resection according to multidisciplinary tumor conference
- Probably indication for postoperative radiotherapy (e.g. T3/4 tumor)
- Medical operability and written informed consent of the patient to undergo surgical resection (as indicated clinically)
- Patient age ≥ 18 years
- Karnofsky performance index ≥ 60%
- For women with childbearing potential: adequate contraception
- Ability of subject to understand character and individual consequences of the trial
- Written informed consent to participate in this trial
Exclusion Criteria:
- Contraindications against radiotherapy, especially pregnant or lactating women
- Refusal of the patient to take part in the study
- Participation in another competing clinical study or observation period of competing trials
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety of tumor resection
Time Frame: within 24 month after radiotherapy
|
occurence of clear resection margins according to NCCN guidelines.
|
within 24 month after radiotherapy
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
local tumor control
Time Frame: within 24 month after radiotherapy
|
Local progression is defined as progressive disease at the original tumor site according to the Response Evaluation Criteria in Solid Tumors (RECIST) in the current version 1.1.
|
within 24 month after radiotherapy
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
distant tumor control
Time Frame: within 24 month after radiotherapy
|
Distant progression is defined as progressive disease according to RECIST v1.1 outside the original tumor site
|
within 24 month after radiotherapy
|
Progression-free survival
Time Frame: within 24 month after radiotherapy
|
Progression-free survival is defined as the time interval from surgical resection until the day of a progressive disease according to RECIST v1.1 at any site or death of any cause
|
within 24 month after radiotherapy
|
Overall survival
Time Frame: within 24 month after radiotherapy
|
Overall survival is defined as the time interval from surgical resection until death
|
within 24 month after radiotherapy
|
Treatment-related toxicity
Time Frame: within 24 month after radiotherapy
|
Treatment-related side effects will be assessed clinically and radiographically according to the CTCAE version 5.0
|
within 24 month after radiotherapy
|
Collaborators and Investigators
Sponsor
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
- NAVIGATORR
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.
Clinical Trials on Head and Neck Tumors
-
IntraGel TherapeuticsNot yet recruiting
-
Gustave Roussy, Cancer Campus, Grand ParisActive, not recruiting
-
Royal Marsden NHS Foundation TrustRoyal Brompton and Harefield NHS Foundation TrustUnknown
-
University College, LondonWithdrawnHead and Neck Cancer
-
Institut du Cancer de Montpellier - Val d'AurelleCompleted
-
University Hospital, GhentCompleted
-
University Hospital HeidelbergCompletedHead and Neck CancerGermany
-
Royal Marsden NHS Foundation TrustRoyal Brompton and Harefield NHS Foundation TrustCompleted
-
The Affiliated Nanjing Drum Tower Hospital of Nanjing...RecruitingHead and Neck TumorsChina
-
Nanospectra Biosciences, Inc.CompletedHead and Neck CancerUnited States
Clinical Trials on intraoperative navigation and creation of tumor resection maps
-
University Hospital TuebingenCompletedBrain Tumor, Recurrent | Vestibular Schwannoma | Brainstem Glioma | Brainstem NeoplasmGermany
-
Instituto do Cancer do Estado de São PauloRecruitingBladder Cancer | Bladder Urothelial CarcinomaBrazil
-
Gustave Roussy, Cancer Campus, Grand ParisInnovative Therapies For Children with Cancer ConsortiumUnknownRelapsed or Refractory Pediatric TumorFrance, Ireland, Israel, Italy, Spain
-
Fudan UniversityCompletedRectal Neoplasm With Metastasis to the Liver
-
Sichuan Provincial People's HospitalRecruitingGastrointestinal Stromal Tumor(GIST)China
-
Huashan HospitalNot yet recruiting
-
Central Hospital, Nancy, FranceCompletedEsophageal Neoplasms | Cirrhosis | Portal Hypertension
-
Fudan UniversityRecruitingSurgery | Metastatic Colon CancerChina
-
Vanderbilt University Medical CenterTerminated
-
Sun Yat-sen UniversityGuangzhou 8th People's Hospital; Kaiping Central Hospital; The 458 Hospital of...TerminatedHepatocellular Carcinoma With Portal Vein Tumor ThrombusChina