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Clinical Study on the Re-irradiation of Lateral Pelvic Recurrences of Gynecological Malignancies

Not Applicable
Recruiting
Conditions
Tumor Recurrence
Malignant Epithelial Neoplasm of Vulva
Malignant Epithelial Tumor of Ovary
Malignant Epithelial Neoplasm
Registration Number
NCT05457595
Lead Sponsor
CNAO National Center of Oncological Hadrontherapy
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Female
Target Recruitment
Not specified
Inclusion Criteria

Inclusion Criteria:<br><br> - Patients = 18 years of age<br><br> - Karnofsky Index = 70<br><br> - Histological or radiological diagnosis of pelvic and groin recurrence<br><br> - Contraindications for radical surgery<br><br> - No other distant progression or stable disease (SD) of known secondarisms (=6<br> months)<br><br> - Previous radiation therapy on pelvis<br><br> - Distance = 10mm between tumour and close intestinal tract (small intestine),<br> radiologically evaluated<br><br> - Possibility to perform a surgery to space the intestinal loops, in case of distance<br> < 10mm<br><br> - If needed, spacer in biocompatible material (silicon, goretex) or anatomical<br> material (omentum, muscle patch), non-absorbable.<br><br> - DICOM (Digital Imaging and COmmunications in Medicine) images of the previous<br> treatment plan availability<br><br> - Written informed consent<br><br> - Patient's ability to understand the characteristics and consequences of the clinical<br> trial<br><br>Exclusion Criteria:<br><br> - Hip prosthesis, metal prostheses or any other condition that prevents adequate<br> imaging to identify the target volume and calculate the dose in the treatment plan<br><br> - Intestinal infiltration<br><br> - Bladder infiltration<br><br> - Vessel infiltration<br><br> - Previous therapy with anti-angiogenesis drugs<br><br> - Psychic or other disorders that may prevent informed consent<br><br> - Previous invasive tumor, with the exception of skin cancer (excluding melanoma)<br> unless disease-free for at least 3 years<br><br> - Spacer in absorbable material (i.e. vycril)<br><br> - Distance < 10mm between tumour and close intestinal tract (small intestine),<br> radiologically evaluated<br><br> - Impossibility to assess MRI

Exclusion Criteria

Not provided

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
local control;complete response;partial response;stable disease;progression disease
Secondary Outcome Measures
NameTimeMethod
overall survival;Toxicity assessment according to CTCAE v. 5;Progression free survival
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