- ICH GCP
- Registre américain des essais cliniques
- Essai clinique 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
Aperçu de l'étude
Statut
Intervention / Traitement
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Coordonnées de l'étude
- Nom: Giovanna Dipasquale
- Numéro de téléphone: +41(0)783349987
- E-mail: giovanna@herosupport.ch
Sauvegarde des contacts de l'étude
- Nom: Cristina Riccadonna
- Numéro de téléphone: +41(0)223794650
- E-mail: clinical@herosupport.ch
Lieux d'étude
-
-
New York
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New York, New York, États-Unis, 10016
- Recrutement
- NYU Grossman School of Medicine
-
Chercheur principal:
- Naamit Gerber, MD
-
Contact:
- Lucia Greco
- Numéro de téléphone: 718-687-8702
- E-mail: lucia.greco@nyulangone.org
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Contact:
- Nadia Chowdhury
- Numéro de téléphone: 347-327-4988
- E-mail: nadia.chowdhury@nyulangone.org
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La 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.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Feasibility outcome: Time (days) between surface scan data received by HeroSupport and arrival of the VENUS SHELL™ at the clinical site
Délai: 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
Délai: 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
Délai: Through study completion (an average of 3 months)
|
Through study completion (an average of 3 months)
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Patients' comfort (questionnaires)
Délai: 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)
Délai: 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)
Délai: 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)
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Naamit Gerber, MD, NYU Langone Health
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- SHIELD (Jacobs Institute)
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
produit fabriqué et exporté des États-Unis.
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