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Radiation Therapy in Treating Patients With Liver Metastases

Phase 1
Completed
Conditions
Metastatic Cancer
Interventions
Radiation: radiation therapy
Registration Number
NCT00255814
Lead Sponsor
Radiation Therapy Oncology Group
Brief Summary

RATIONALE: Specialized radiation therapy that delivers a high dose of radiation directly to the tumor may kill more tumor cells and cause less damage to normal tissue.

PURPOSE: This phase I trial is studying the side effects and best dose of radiation therapy in treating patients with liver metastases.

Detailed Description

OBJECTIVES:

Primary

* Determine the maximum tolerated dose of high dose per fraction, highly conformal radiotherapy in patients with liver metastases.

Secondary

* Determine the failure patterns and survival of patients treated with this regimen.

* Correlate dose-volume characteristics with possible toxic effects of this regimen in these patients.

* Determine the local control rate within irradiated fields in patients treated with this regimen.

OUTLINE: This is a multicenter, dose-escalation study.

Patients undergo highly conformal radiotherapy (HCR) to the liver once daily, 5 days a week, for 2 weeks.

Cohorts of 6 patients receive escalating doses of HCR until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity.

After completion of study treatment, patients are followed periodically for 3 years.

PROJECTED ACCRUAL: A total of 18 patients will be accrued for this study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
26
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Radiation therapy dose level III: 4.5 Gy/fxradiation therapyRadiation therapy dose level III: 4.5 Gy/fraction
Radiation therapy dose level II: 4.0 Gy/fxradiation therapyRadiation therapy dose level II: 4.0 Gy/fraction
Radiation therapy dose level IV: 5.0 Gy/fxradiation therapyRadiation therapy dose level IV: 5.0 Gy/fraction
Primary Outcome Measures
NameTimeMethod
To determine the maximally tolerated doseFrom start of treatment to 90 days
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (3)

James P. Wilmot Cancer Center at University of Rochester Medical Center

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Rochester, New York, United States

Princess Margaret Hospital

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Toronto, Ontario, Canada

McGill Cancer Centre at McGill University

πŸ‡¨πŸ‡¦

Montreal, Quebec, Canada

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