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临床试验/ACTRN12621001548820
ACTRN12621001548820尚未招募未知

A Phase 2 study investigating the feasibility of stereotactic ablative body radiotherapy for the palliation of Head and Neck Cancer

South Western Sydney Local Health District0 个研究点目标入组 40 人开始时间: 2021年11月15日最近更新:
适应症

试验速览

阶段
未知
状态
尚未招募
入组人数
40

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Non-randomised trial
主要目的
Treatment

入排标准

年龄范围
18 Years 至 o limit(—)
性别
All

入选标准

  • All participants:
  • 1.Age greater than or equal to 18 years
  • 2.Clinical stage T0-T4, N0-N3, M0 or M1
  • 3.Measurable tumour present in the head and neck region on PET
  • 4.Between 1 and 3 separate high dose PTVs in the head and neck, measuring up to 6 cm each
  • 5.Assessed by a head and neck multidisciplinary team, and deemed unsuitable for curative-intent surgery and / or radiotherapy due to poor performance status, comorbidities, or patient preference
  • 6.ECOG 0-2
  • 7.Life expectancy of at least 6 months
  • 8.Provision of signed and dated informed consent form
  • 9.Stated willingness to comply with all study procedures and availability for the duration of the study
  • Group 1 (de novo radiation) participants:
  • 1.New diagnosis, recurrent, or second primary head and neck cancer with no prior radiotherapy to the region of current active disease
  • 2.Histology or cytology confirming a diagnosis of squamous cell carcinoma (including both mucosal and cutaneous primaries, and all subtypes of nasopharyngeal carcinoma) of the head and neck.
  • Group 2 (reirradiation) participants:
  • 1.Recurrent or second primary head and neck cancer with prior radiotherapy to the region of current active disease
  • 2.Histology or cytology confirming a diagnosis of squamous cell carcinoma (including both mucosal and cutaneous primaries, and all subtypes of nasopharyngeal carcinoma) of the head and neck. Where a biopsy for recurrence is not feasible, the histology or cytology at initial diagnosis is sufficient.At least 6 months between prior radiotherapy and SABR
  • Group 3 (metastatic, non-head and neck primary) participants:
  • 1.Metastatic cancer to the head and neck region from a non-head and neck primary tumour (regardless of radiotherapy naive or reirradiation)
  • 2.All known sites of active cancer in the body can be treated with locally ablative or extirpative therapy (e.g. surgery, radiofrequency ablation, SABR, radical radiotherapy)
  • 3.Up to 5 sites of active cancer in the body (i.e. oligometastatic or oligoprogressive disease)

排除标准

  • 1.The patient would be better treated with an alternate fractionation schedule according to the treating clinician’s judgement
  • 2.Tumours of the larynx / hypopharynx in the absence of prior laryngectomy
  • 3.Use of cytotoxic chemotherapy or immunotherapy within 3 weeks prior to SABR
  • 4.Histologies other than squamous cell carcinoma
  • 5.Pregnancy
  • 6.Concurrent illness, including severe infection that may jeopardise the ability of the patient to undergo the procedures outlined in this protocol with reasonable safety
  • 7.Serious medical or psychiatric conditions that might limit the ability of the patient to comply with the protocol

研究者

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