Real-time MRI-Guided Stereotactic Body Radiation Therapy and Microwave Ablation for Non-Operable Renal Cell Carcinoma
试验速览
- 阶段
- 1 期
- 状态
- 终止
- 入组人数
- 3
- 试验地点
- 2
- 主要终点
- Dose-limiting Toxicity With SBRT Combined With Microwave Ablation for Renal Cell Carcinoma
研究概览
简要总结
The specific aims of this study are:
- To determine the safety and feasibility of treating patients with a combination of MRI guided stereotactic body radiation therapy and microwave ablation.
- To assess short and long-term toxicity rates of patients treated with a combined modality approach.
- To assess local control, survival, and pathologic response to treatment
详细描述
Renal cell carcinoma is traditionally managed via a surgical approach. Increasingly, local therapy with radiofrequency and microwave ablation is being utilized as an alternative for patients who may not tolerate a nephrectomy or who refuse one. Although local control rates for small lesions are excellent, they drop off precipitously for lesions over 4 cm. Furthermore, lesions in critical areas such as the renal hilum may be difficult to treat with this method. Stereotactic body radiation therapy (SBRT) has had a long record of treating patients with inoperable tumors in locations such as the lung and central nervous system, and there is increasing evidence that it may be useful for patients with renal cell carcinoma. The recent emergence of MRI-guided radiation therapy allows for direct visualization of tumors during treatment, and may potentially allow clinicians to treat tumors more precisely. This phase I study will treat renal cell carcinoma patients using a combination of MRI-guided stereotactic body radiation therapy and microwave ablation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with imaging findings consistent with renal cell carcinoma
- •Deemed medically inoperable per urology evaluation
- •Tumor size >4cm in largest dimension
- •ECOG performance status of <2
- •Signed informed consent document(s)
- •Patients with metastatic disease will not be excluded
排除标准
- •Patients who fail MRI screening
- •Pregnant or nursing women
- •History of prior radiation therapy to the upper abdomen
- •History of invasive cancer in the last 3 years (except for appropriately treated low-rist prostate cancer, treated non-melanoma/melanoma skin cancer, appropriately treated ductal carcinoma in situ or early stage invasive carcinoma of breast and appropriately treated in-situ/early stage cervical/endometrial cancer)
- •Treatment with a non-approved or investigational drug within 28 days of study treatment
结局指标
主要结局
Dose-limiting Toxicity With SBRT Combined With Microwave Ablation for Renal Cell Carcinoma
时间窗: Until 30 days after ablation (up to 12 weeks on study)
Dose-limiting toxicity (DLT) will be defined as grade 4 or higher non-hematologic toxicity attributable to treatment. This will exclude toxicities not caused by treatment, such as pain due to tumor progression. Toxicities will be defined per NCI CTCAE v5.0.
次要结局
- Local Control Rate Per RECIST Criteria as Reported by Count of Participants(8 weeks)
- Progression Free Survival(8 weeks)
- Overall Survival(8 weeks)
- Tumor Pathology of Post-SBRT Specimen (H&E Staining)(8 weeks)