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

2026年9月14日 更新者: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.

研究概览

详细说明

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.

研究类型

介入性

注册 (估计的)

20

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

学习地点

    • Missouri
      • St Louis、Missouri、美国、63108
        • 招聘中
        • Siteman Cancer Center Washington University
        • 首席研究员:
          • Pamela Samson
    • Ohio
      • Cleveland、Ohio、美国、44106
        • 招聘中
        • University Hospital Cleveland Medical Center
        • 首席研究员:
          • Lauren Henke
        • 接触:

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人
  • 年长者

接受健康志愿者

不

描述

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.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:设备可行性
  • 分配:不适用
  • 介入模型:单组作业
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
其他:Single Arm - All patients will be treated the same
"Mock" treatment on the NGDS machine.
Participant will receive a "mock" treatment on the NGDS machine. Participant will complete experience questionnaires.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
To evaluate the feasibility of the mock NGDS DMAT workflow under breath hold conditions.
大体时间: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

次要结果测量

结果测量
措施说明
大体时间
To quantify the number of breath holds required.
大体时间: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.
大体时间: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.
大体时间: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.
大体时间: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.
大体时间: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.
大体时间: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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2026年7月31日

初级完成 (估计的)

2027年2月1日

研究完成 (估计的)

2027年5月1日

研究注册日期

首次提交

2026年8月19日

首先提交符合 QC 标准的

2026年9月14日

首次发布 (实际的)

2026年9月17日

研究记录更新

最后更新发布 (实际的)

2026年9月17日

上次提交的符合 QC 标准的更新

2026年9月14日

最后验证

2026年9月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

未定

IPD 计划说明

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

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

是的

在美国制造并从美国出口的产品

是的

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