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
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Giovanna Dipasquale
- Telefonnummer: +41(0)783349987
- E-mail: giovanna@herosupport.ch
Undersøgelse Kontakt Backup
- Navn: Cristina Riccadonna
- Telefonnummer: +41(0)223794650
- E-mail: clinical@herosupport.ch
Studiesteder
-
-
New York
-
New York, New York, Forenede Stater, 10016
- Rekruttering
- NYU Grossman School of Medicine
-
Ledende efterforsker:
- Naamit Gerber, MD
-
Kontakt:
- Lucia Greco
- Telefonnummer: 718-687-8702
- E-mail: lucia.greco@nyulangone.org
-
Kontakt:
- Nadia Chowdhury
- Telefonnummer: 347-327-4988
- E-mail: nadia.chowdhury@nyulangone.org
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
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.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: 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
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Feasibility outcome: Time (days) between surface scan data received by HeroSupport and arrival of the VENUS SHELL™ at the clinical site
Tidsramme: 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
Tidsramme: 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
Tidsramme: Through study completion (an average of 3 months)
|
Through study completion (an average of 3 months)
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Patients' comfort (questionnaires)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Naamit Gerber, MD, NYU Langone Health
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- SHIELD (Jacobs Institute)
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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