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Carotid Artery Sparing Radiotherapy in Early Laryngeal Cancers: A single centre Phase 2 study to assess feasibility of implementing carotid sparing intensity modulated radiotherapy techniques with image guidance in Early Laryngeal Cancers

Phase 2
Conditions
Health Condition 1: null- Head and Neck Squamous Cell Carcinoma
Registration Number
CTRI/2012/12/003243
Lead Sponsor
Tata Medical Center Kolkata
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
30
Inclusion Criteria

Tomotherapy group ALL of:

Adult patients

Squamous Cell CA of the glottis

Suited to have radical radiotherapy

Who gives informed consent

T1 or T2 tumour of the Glottis

No neck nodal involvement

Suited to receive 55Gy in 20 fractions

Control group:

Any patient needing radiotherapy without carotid sparing, to the neck

Exclusion Criteria

Any of the above criteria not met

Previous Radiotherapy to head or neck

Known carotid arterial disease

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary Endpoint: <br/ ><br>Feasibility of clinical implementation of image guided Tomotherapy <br/ ><br>The percentage change in the intimal thickness following radiotherapy <br/ ><br>The percentage difference in mean % carotid artery intimal thickness following radiotherapy in the two groups <br/ ><br>Timepoint: pre treatment, 6m, and 18 months post treatment for carotid scans <br/ ><br>1 year for accrual <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
To identify if maximum dose to the carotids would predict changes on Doppler as opposed to higher (35Gy) median or mean dose <br/ ><br>To identify if carotid Doppler at 6 months could predict longer term changes in carotid intimal thickness <br/ ><br>Timepoint: 6months and 18 months post radiotherapy
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