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Clinical Trials/NCT03183271
NCT03183271CompletedNot Applicable

Phase II Clinical Study on Proton Therapy Boost (Hadrontherapy) for Locally Advanced HEAD AND NECK TUMORS

CNAO National Center of Oncological Hadrontherapy2 sites in 1 country20 target enrollmentStarted: July 16, 2012Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Sponsor
Enrollment
20
Locations
2
Primary Endpoint
Local response

Study Overview

Brief Summary

The aim of this research project is to test the local response and the acute toxicity (which can be observed within 90 days).

Detailed Description

Local response and acute toxicity are primary endpoints of the trial. At CNAO a proton boost is delivered on the PTV1rx (area at high risk of relapse) up to at least 70 Gy [RBE] in 2-3 Gy [RBE] per fractions for 8-15 total fractions.

PTV2 rx (area at low or intermediate risk of relapse) will be irradiated with photon IMRT up to a total dose of 50-60 Gy [RBE].

Secondary endpoints of the trial are local control, relapse free survival, overall survival, tumor specific survival, intermediate and long term toxicity.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to 75 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Histologic/cytologic diagnosis of primary epithelial malignant or neuroendocrine tumour
  • Inoperable tumour, locally advanced stage
  • Seated in rhinopharynx, nasal and paranasal sinuses, hypopharynx, larynx, oral cavity and oropharynx
  • At least one lesion measured according to the RECIST criteria
  • Enrollment for irradiation with IMRT up to 50-60 Gy RBE] on the PTV1rx and PTV2 rx to be followed at CNAO with irradiation with proton boost on thePTV1rx.

Exclusion Criteria

  • Metastasis
  • Previous radiotherapy
  • Any metallic implants or other conditions such to prevent an adequate imaging of target volume
  • Unavailability of previous IMRT first phase radiotherapy plans

Outcomes

Primary Outcomes

Local response

Time Frame: 90 days

RECIST criteria

Acute toxicity

Time Frame: 90 days

According to CTCAE v4.0

Secondary Outcomes

  • Local control(5 years)
  • Disease free survival(5 years)
  • Overall survival(5 years)
  • Late toxicity(5 years)

Investigators

Sponsor
CNAO National Center of Oncological Hadrontherapy
Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (2)

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