- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07711847
Personalized Prone Immobilization for Accelerated Partial Breast Radiotherapy (SHIELD)
Accelerated Partial Breast Radiotherapy Study of a Personalized Holder for Prone Breast Immobilization to Enhance Local Delivery
The goal of this clinical trial is to find out whether using a personalized breast holder (called VENUS SHELL™) can improve positioning and patient comfort during prone radiotherapy (radiotherapy given while the patient lies on her stomach).
The main goals of the study are:
- To confirm that using the VENUS SHELL™ is safe and effective
- To assess whether the VENUS SHELL™ helps deliver accurate radiation treatment in a faster and more comfortable way
Participants will:
- Attend a study visit before radiotherapy to have a breast surface scan (no radiation) and enable the production of their personalized VENUS SHELL™
- Use their VENUS SHELL™ during radiotherapy planning and treatment
- Be asked to complete questionnaires about their comfort
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Giovanna Dipasquale
- Phone Number: +41(0)783349987
- Email: giovanna@herosupport.ch
Study Contact Backup
- Name: Cristina Riccadonna
- Phone Number: +41(0)223794650
- Email: clinical@herosupport.ch
Study Locations
-
-
New York
-
New York, New York, United States, 10016
- Recruiting
- NYU Grossman School of Medicine
-
Principal Investigator:
- Naamit Gerber, MD
-
Contact:
- Lucia Greco
- Phone Number: 718-687-8702
- Email: lucia.greco@nyulangone.org
-
Contact:
- Nadia Chowdhury
- Phone Number: 347-327-4988
- Email: nadia.chowdhury@nyulangone.org
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
INCLUSION Criteria:
- Written informed consent according to ICH/GCP regulations before registration and prior to any study-specific procedures
- Upfront breast conservative surgery
- Radiotherapy planned within 12 weeks after surgery
- ECOG/WHO performance status ≤2
- Age ≥40 year
For invasive breast cancer only:
- Staging pT1-T2, N0M0 (Tumor size ≤3 cm)
- If no sentinel lymph node biopsy performed, patient must be clinically N0
- Negative margins (no tumor on ink)
For ductal carcinoma in situ only:
- Staging pTis (tumor size ≤3 cm)
- Negative margins (≥2 mm)
EXCLUSION Criteria:
- Patient of male sex
- Inability to obtain informed consent or adhere to the CIP
- Breast skin damage that could prevent VENUS SHELL™ usage according to protocol timeline (e.g. presence of any skin or soft tissue wound that failed to show evidence of progression towards healing, clinical signs of active infection at or immediately adjacent to the intended intervention site, etc.)
- Known germline BRCA1/2 mutation
- Unable to lay prone
- Unable to undergo imaging by CT scan
- Documented hypersensitivity or allergy to medical plasters, acrylonitrile butadiene styrene
- Any serious underlying medical, psychiatric, psychological, familial or geographical condition, which in the judgment of the investigator may affect patient compliance or place the patient at high risk within the study.
- Pregnancy or breast feeding
- Claustrophobia
- Patient with a body weight exceeding 120 kg
- Patient with pendulous breasts that come into contact with the CT table, preventing adequate space for shell usage
- Presence of any cardiac implantable electronic device (CIED), including but not limited to a pacemaker, implantable cardioverter-defibrillator (ICD), cardiac resynchronization therapy (CRT) device, or other electronically active implant.
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: VENUS SHELL™ arm
VENUS SHELL™ is used for radiotherapy planning and radiotherapy tratment (Accelerated Partial Breast Radiotherapy)
|
VENUS SHELL™ is used for Accelerated Partial Breast Irradiation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Feasibility outcome: Time (days) between surface scan data received by HeroSupport and arrival of the VENUS SHELL™ at the clinical site
Time Frame: Treatment set-up (up to 21 days)
|
Treatment set-up (up to 21 days)
|
|
|
Performance outcomes: radiotherapy delivered within 15 minutes timeslot and patient positioning accuracy within 2 mm
Time Frame: Study treatment (10 days)
|
Radiotherapy time includes patient positioning and treatment.
Patient positioning accuracy is measured though displacement via Tattoos and Image-Guided Radiation Therapy imaging
|
Study treatment (10 days)
|
|
Safety outcome: number of medical device-related Adverse Events as assessed by CTCAE v5.0
Time Frame: Through study completion (an average of 3 months)
|
Through study completion (an average of 3 months)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patients' comfort (questionnaires)
Time Frame: Treatment set-up (up to 21 days) and study treatment (10 days)
|
A first set of questions is rated on a 5-point scale ranging from 1 (strongly disagree) to 5 (strongly agree). A second set of questions is rated on a 4-point scale ranging from 1 (not at all) to 4 (very). |
Treatment set-up (up to 21 days) and study treatment (10 days)
|
|
Evaluate ease of use and overall satisfaction of using the VENUS SHELL (questionnaires)
Time Frame: Study treatment (10 days)
|
A set of questions rated on a 5-point scale ranging from 1 (strongly disagree) to 5 (strongly agree).
|
Study treatment (10 days)
|
|
In-vivo dosimetry measured with thermoluminescent dosimeters (TLDs)
Time Frame: Radiotherapy treatment first session, up to last session (10 days)
|
Comparison between expected and measured dose to the skin
|
Radiotherapy treatment first session, up to last session (10 days)
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Naamit Gerber, MD, NYU Langone Health
Study record dates
Study Major Dates
Study Start (Estimated)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- SHIELD (Jacobs Institute)
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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