Clinical Study on the Re-irradiation of Lateral Pelvic Recurrences of Gynecological Malignancies
- Conditions
- Tumor RecurrenceMalignant Epithelial Neoplasm of VulvaMalignant Epithelial Tumor of OvaryMalignant 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:<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
Not provided
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method local control;complete response;partial response;stable disease;progression disease
- Secondary Outcome Measures
Name Time Method overall survival;Toxicity assessment according to CTCAE v. 5;Progression free survival