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A Study Evaluating a New Radiation Treatment Workflow (NGDS) (SPEED)

14 september 2026 uppdaterad av: Varian, a Siemens Healthineers Company

A ProSPEctivE Study of NGDS DMAT Workflow Feasibility

The purpose of this research is to evaluate the "Next Generation Delivery System" (NGDS) and determine if this machine will be more efficient at delivering radiation in shorter treatment time and better patient tolerance, with less breath holding.

Studieöversikt

Status

Rekrytering

Betingelser

Intervention / Behandling

Detaljerad beskrivning

This study is a prospective multi-center clinical trial. It is designed to evaluate the feasibility of a breath hold workflow on a new treatment platform (NGDS DMAT).

Eligible participants will be receiving stereotactic body radiotherapy (SBRT) under breath hold conditions to targets in the thorax and upper abdomen as part of their routine care.

Enrolled participants will be asked to undergo a mock treatment on this new treatment platform under breath hold conditions. Participant images for set up and alignment will be obtained on the NGDS.

Studietyp

Interventionell

Inskrivning (Beräknad)

20

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

  • Förenta staterna
    • Missouri
      • St Louis, Missouri, Förenta staterna, 63108
        • Rekrytering
        • Siteman Cancer Center Washington University
        • Huvudutredare:
          • Pamela Samson
    • Ohio
      • Cleveland, Ohio, Förenta staterna, 44106
        • Rekrytering
        • University Hospital Cleveland Medical Center
        • Huvudutredare:
          • Lauren Henke
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Beskrivning

Inclusion Criteria:

  1. Target lesions in the thorax or upper abdomen
  2. Planned to undergo SBRT radiation treatment delivered on a conventional "C-arm" or ring gantry CBCT guided linear accelerator under breath hold conditions
  3. ECOG performance status 0-1
  4. At least 21 years of age
  5. Able to sign informed consent

Exclusion Criteria:

  1. Participants enrolled in another clinical investigation the investigator believes to be in conflict with this clinical investigation.
  2. Participants with any other medical condition or laboratory value that would, at the discretion of the investigator, preclude the patient from participation in this clinical investigation.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Enhetens genomförbarhet
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Övrig: Single Arm - All patients will be treated the same
"Mock" treatment on the NGDS machine.
Enhet: Next Generation Delivery System (NGDS)
Participant will receive a "mock" treatment on the NGDS machine. Participant will complete experience questionnaires.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
To evaluate the feasibility of the mock NGDS DMAT workflow under breath hold conditions.
Tidsram: From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months

Feasibility of the mock NGDS DMAT treatment workflow under breath hold conditions will be confirmed following successful execution of each step:

  1. Acquisition of an IDENTIFY-monitored breath hold kV HyperSight CBCT
  2. Conduct verification imaging of shifts and breath hold position using kV fluoroscopy
  3. Delivery of an investigator approved "mock" DMAT treatment plan
From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
To quantify the number of breath holds required.
Tidsram: From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months
Record and compare the number of breath holds required by the participant to complete treatment beam delivery on the NGDS to the number of breath holds required on the conventional treatment machine.
From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months
To assess the participant's experience of the conventional treatment and mock NGDS DMAT treatment.
Tidsram: From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months
Participant survey to assess the experience of treatment on the conventional machine and mock treatment on the NGDS.
From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months
To quantify all temporal aspects of the NGDS DMAT and conventional treatment sessions.
Tidsram: From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months
Measuring and recording the time required for each workflow step in both conventional treatment and mock NGDS DMAT treatment.
From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months
To create a DMAT dosimetry plan judged clinically acceptable for treatment.
Tidsram: From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months
The NGDS DMAT plan must be judged by the attending physician to be clinically similar to the conventional SBRT plan (i.e. the same clinical goals will be used to evaluate both plans), and acceptable for treatment.
From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months
To assess patient-specific quality assurance results for DMAT plans.
Tidsram: From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months
Delivery quality assurance and dose calculation accuracy will be measured by institutional-specific QA equipment (compliant with AAPM (American Association of Physicists in Medicine) Task Group 218).
From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months
To assess the feasibility of intra-fraction motion monitoring with triggered imaging.
Tidsram: From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months
Success of intra-fraction motion monitoring imaging will be measured by the ability to carry out triggered imaging in one second intervals (or as dictated by the treatment plan).
From enrollment to end of "mock" treatment of last participant enrolled, assessed up to 6 months

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Varian, a Siemens Healthineers Company

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

31 juli 2026

Primärt slutförande (Beräknad)

1 februari 2027

Avslutad studie (Beräknad)

1 maj 2027

Studieregistreringsdatum

Först inskickad

19 augusti 2026

Först inskickad som uppfyllde QC-kriterierna

14 september 2026

Första postat (Faktisk)

17 september 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

17 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

14 september 2026

Senast verifierad

1 september 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • VAR-2025-01

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

OBESLUTSAM

IPD-planbeskrivning

Data is highly confidential however any publication plans will follow ICMJE guidelines.

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Ja

produkt tillverkad i och exporterad från U.S.A.

Ja

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