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临床试验/NCT07478679
NCT07478679尚未招募1 期

Use of Low-Dose RADiotherapy in the Management of Immune Checkpoint- Inhibitor-ArThropathy as an Immune-Related Adverse Event (RADIATE)

University of Chicago1 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2026年8月26日最近更新:
干预措施

试验速览

阶段
1 期
状态
尚未招募
入组人数
20
试验地点
1
主要终点
Radiation therapy

研究概览

简要总结

This study will prospectively investigate the feasibility and safety of administering LDRT in patients with immunotherapy-induced inflammatory arthritis.

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
40 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients must have histologically confirmed malignancy that is metastatic or unresectable and for which they are receiving single agent or combination immunotherapy or within the last 6 months.
  • Rheumatologist-established diagnosis of new onset CTCAE grade 2-3 immunotherapy-induced inflammatory arthritis or activated osteoarthritis, involving one or more joints (up to 3) including but not limited to hands, shoulders, elbows, hips, knees and ankles.
  • Age ≥ 40 years.
  • ECOG performance status ≤2 (Karnofsky ≥60%).
  • Patients with ability and willingness to sign consent.

排除标准

  • Contraindications to radiation treatment, such as pregnancy, breast-feeding women and active collagen-vascular disease.
  • Women of child-bearing potential who have positive urine or serum pregnancy test or refuse to do pregnancy test unless last menstrual cycle was >1 year prior to consent and/or clear documentation states that the patient is peri- or post-menopausal or there was recent supporting objective evidence of 'no pregnancy' status (e.g. blood or imaging) within 30 days prior to initiation of study treatment.
  • Have not received systemic steroids within the last 3 months for the treatment of immune related adverse events.
  • History of prior autoimmune conditions, or concurrent immune related adverse events requiring systemic immunosuppressants.
  • Estimated life expectancy less than 3 months as assessed by investigators.
  • Any condition at the discretion of investigator that will preclude participation in the study.
  • History of secondary malignancy as assessed by investigators.
  • History of radiation to affected joints as assessed by investigators.

研究组 & 干预措施

Radiation treatment

Experimental

干预措施: Low dose radiation therapy (Radiation)

结局指标

主要结局

Radiation therapy

时间窗: 3 months post enrollment.

To assess the safety and feasibility of administering Low dose radiation therapy (LDRT) in patients with immunotherapy-induced arthritis. Number of patients that experience at least one treatment related Common Terminology Criteria for Adverse Events (CTCAE) grade 4 or 5 side effect.

次要结局

  • To examine the use of steroids.(3 months post enrollment.)
  • To examine the use of rescue analgesics.(3 months post enrollment.)
  • Effectiveness of Radiation in treating immunotherapy-induced arthritis.(3 months post enrollment.)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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