Hypofractionated Radiotherapy for Nonmelanoma Skin Cancer

NCT ID: NCT02080962

Last Updated: 2014-03-07

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2014-02-28

Brief Summary

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Radiotherapy is a treatment considered standard for non melanoma skin cancer. This institution uses schemes of 4 to 6 weeks of treatment. The objective of the study is to perform radiation therapy in 1 to 2 weeks, depending on the size of the lesion.

Detailed Description

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Delineation of radiation field

* Gross tumor volume (GTV): disease clinically visible / palpable
* clinical target volume (CTV): equal to GTV
* planned treatment volume (PTV):
* tumors ≤ 2 cm in diameter, with 5-10 mm CTV margin
* tumors\> 2-5 cm in diameter, with 15-20 mm CTV margin
* Marking the GTV and PTV pen back projection
* photograph of the treatment area
* protections of the normal structures with blocks of lead, if necessary

Technical

* Distance focus-skin Tube: 35 cm Locator: 30 and 40 cm
* Sizes Tube: 2, 3 and 4 cm in diameter Finder: 6x8 cm, 8x10 cm
* Energy:

80 kV 140 kv
* Filter 80 kV, 2 mm Al 140 kv, 0.5 mm Copper
* Current Draw: 20 mA

Dose

* tumors ≤ 2 cm in diameter: 5 fractions of 600 cGy, once a day, five times a week - TDF: 89
* tumors \> 2-5 cm in diameter: 10 fractions of 400 cGy, once a day, five times a week - TDF: 96

Clinical revisions every 5 weekly sessions, or a weekly and at the end of treatment.

Conditions

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Non-melanoma Skin Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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30 Gy in 5 fractions of 6 Gy

tumors ≤ 2 cm in diameter: 5 fractions of 600 cGy, once a day, five times a week - TDF: 89

Group Type EXPERIMENTAL

30 Gy in 5 fractions

Intervention Type RADIATION

5 fractions of 600 cGy, once a day, five times a week - TDF: 89

40 Gy in 10 fractions of 4 Gy

tumors \> 2-5 cm in diameter: 10 fractions of 400 cGy, once a day, five times a week - TDF: 96

Group Type EXPERIMENTAL

40 Gy in 10 fractions

Intervention Type RADIATION

tumors \> 2-5 cm in diameter: 10 fractions of 400 cGy, once a day, five times a week - TDF: 96

Interventions

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30 Gy in 5 fractions

5 fractions of 600 cGy, once a day, five times a week - TDF: 89

Intervention Type RADIATION

40 Gy in 10 fractions

tumors \> 2-5 cm in diameter: 10 fractions of 400 cGy, once a day, five times a week - TDF: 96

Intervention Type RADIATION

Other Intervention Names

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hypofractionated orthovoltage hypofractionated orthovoltage

Eligibility Criteria

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Inclusion Criteria

* Cosmesis not important
* Basal cell carcinoma (BCC) or squamous cell carcinoma (SCC) of any differentiation
* Clinical stage I and II
* Location on the thorax, abdomen, pelvis (except perineum), arm, thigh, cheek
* Patient with up to 3 injuries eligible for the study
* Karnofsky Performance Status (KPS) ≥ 70%
* Age \> 18 years
* Informed Consent signed by the patient consenting to undergo the study

Exclusion Criteria

* Indian Race
* Prior treatment for their skin cancer
* More than three synchronous lesions to treatment with RT
* Basal syndrome, xeroderma, vitiligo and albinism
* Immunosuppression
* Prior burn at the tumor site
* Tumor \> 5 cm
* Age \<18 years
* Carrier mental incapacity
* People in a relationship of dependence as prisoners, soldiers, students, staff, etc..
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Barretos Cancer Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ricardo A Nakamura, MD

Role: PRINCIPAL_INVESTIGATOR

Barretos Cancer Hospital - Fundação Pio XII

Locations

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Barretos Cancer Hospital - Fundacao Pio XII

Barretos, São Paulo, Brazil

Site Status

Countries

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Brazil

Other Identifiers

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399/2010

Identifier Type: -

Identifier Source: org_study_id

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