Comparison of Adaptive Dose Painting by Numbers With Standard Radiotherapy for Head and Neck Cancer.

NCT ID: NCT01341535

Last Updated: 2022-12-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2021-07-15

Brief Summary

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The investigators hypothesize that treatment adaptation to biological and anatomical changes, occurring during treatment, can increase the chance of cure at minimized or equal radiation-induced toxicity in head and neck cancer patients. This trial compares standard intensity-modulated radiotherapy (IMRT), using only pre-treatment planning 18F-2-fluoro-2-deoxy-D-glucose positron emission tomography to adaptive 18F-2-fluoro-2-deoxy-D-glucose positron emission tomography voxel intensity based IMRT or volumetric-modulated arc therapy (VMAT) using repetitive per-treatment planning 18F-2-fluoro-2-deoxy-D-glucose positron emission tomography for head and neck cancer.

Detailed Description

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Conditions

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Primary Non-operated Squamous Cell Carcinoma of Oral Cavity Primary Non-operated Squamous Cell Carcinoma of Oropharynx Primary Non-operated Squamous Cell Carcinoma of Hypopharynx Primary Non-operated Squamous Cell Carcinoma of Larynx

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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adaptive DPBN

This patient group will be treated by adaptive dose-painting-by-numbers, while patients in the control arm will receive standard treatment.

Patients will have a 50 % chance of being allocated to the experimental arm and a 50 % chance of being allocated to the control arm.

Group Type EXPERIMENTAL

Adaptive dose-painting-by-numbers

Intervention Type RADIATION

Adaptive dose escalation by dose-painting-by-numbers.

standard IMRT

This patient group will be treated by standard intensity-modulated radiotherapy (IMRT), while patients in the experimental arm will receive adaptive dose-painting-by-numbers.

Patients will have a 50 % chance of being allocated to the experimental arm and a 50 % chance of being allocated to the control arm.

Group Type ACTIVE_COMPARATOR

standard intensity-modulated radiotherapy (IMRT)

Intervention Type RADIATION

Standard radiotherapy for head and neck cancer.

Interventions

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Adaptive dose-painting-by-numbers

Adaptive dose escalation by dose-painting-by-numbers.

Intervention Type RADIATION

standard intensity-modulated radiotherapy (IMRT)

Standard radiotherapy for head and neck cancer.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed squamous cell carcinoma of oral cavity, oropharynx, hypopharynx or larynx
* Primary unresectable tumor and/or patients that refused surgery
* Stages T1-4; T3-4 N0 or T(any) N1-3 for glottic cancer
* Multidisciplinary decision of curative radiotherapy or radiochemotherapy
* Karnofsky performance status \>= 70 %
* Age \>= 18 years old
* Informed consent obtained, signed and dated before specific protocol procedures

Exclusion Criteria

* High risk Human Papilloma Virus (HPV)
* Treatment combined with brachytherapy
* Prior irradiation to the head and neck region
* History of prior malignancies, except for cured non-melanoma skin cancer, curatively treated in-situ carcinoma of the cervix or other cancer curatively treated and with no evidence of disease for at least 5 years.
* Distant metastases
* Pregnant or lactating women
* Creatinine clearance (Cockcroft-Gault) =\< 60 mL/min
* Mental condition rendering the patient unable to understand the nature, scope and possible consequences of the study
* Patient unlikely to comply with protocol, i.e. uncooperative attitude, inability to return for follow-up visits, and unlikely to complete the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Ghent

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Wilfried De Neve, Ph.D., M.D.

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Ghent

Locations

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Department of Radiotherapy, University Hospital Ghent

Ghent, , Belgium

Site Status

Clinique & Materinité Sainte Elisabeth

Namur, , Belgium

Site Status

Countries

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Belgium

Related Links

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Other Identifiers

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2010/567

Identifier Type: -

Identifier Source: org_study_id

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