Trial Outcomes & Findings for Surgery With or Without Adjuvant Stereotactic Body Radiotherapy (NCT NCT02516969)

NCT ID: NCT02516969

Last Updated: 2022-01-14

Results Overview

Local progression-free-survival (LPFS) is the number of months from the initiation of study treatment until (local) progression of disease or death from any cause. Progression is defined as the appearance of a new metastatic lesion or objective tumor progression. Clinically detected lesions will only be considered measurable when superficial (vis-à-vis skin modules and palpable lymph nodes). The lesion must be accurately measured in at least one dimension ≥ 10mm. Methods for measuring disease status include CT, PET/CT or MRI.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

7 participants

Primary outcome timeframe

Up to 1 year

Results posted on

2022-01-14

Participant Flow

Participant milestones

Participant milestones
Measure
Stereotactic Body Radiotherapy
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation
No Stereotactic Body Radiotherapy
Overall Study
STARTED
3
4
Overall Study
COMPLETED
3
4
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Surgery With or Without Adjuvant Stereotactic Body Radiotherapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stereotactic Body Radiotherapy
n=3 Participants
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation Cohort
n=4 Participants
No Stereotactic Body Radiotherapy
Total
n=7 Participants
Total of all reporting groups
Age, Continuous
63 years
n=5 Participants
64 years
n=7 Participants
63 years
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Karnofsky Performance Status (KPS)
80.0 score on a scale
n=5 Participants
80.0 score on a scale
n=7 Participants
80.0 score on a scale
n=5 Participants

PRIMARY outcome

Timeframe: Up to 1 year

Population: Patients with/without SBRT treatment.

Local progression-free-survival (LPFS) is the number of months from the initiation of study treatment until (local) progression of disease or death from any cause. Progression is defined as the appearance of a new metastatic lesion or objective tumor progression. Clinically detected lesions will only be considered measurable when superficial (vis-à-vis skin modules and palpable lymph nodes). The lesion must be accurately measured in at least one dimension ≥ 10mm. Methods for measuring disease status include CT, PET/CT or MRI.

Outcome measures

Outcome measures
Measure
Stereotactic Body Radiotherapy
n=3 Participants
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation Cohort
n=4 Participants
No Stereotactic Body Radiotherapy treatment
1-year Local Control
NA months
Median survival is not reached. Insufficient number of participants with event of (local) progression.
NA months
Interval 2.0 to
Upper bound of 95% CI not available. Insufficient number of participants with event of (local) progression.

SECONDARY outcome

Timeframe: Up to 2 years

Population: Patients with/without SBRT treatment.

Toxicities are assess according to the National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4. Acute toxicities are those seen within 3 months of completion of Stereotactic Body Radiotherapy. Toxicity in patients is documented immediately prior to randomization and 8-12 weeks post-treatment. Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events.

Outcome measures

Outcome measures
Measure
Stereotactic Body Radiotherapy
n=3 Participants
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation Cohort
n=4 Participants
No Stereotactic Body Radiotherapy treatment
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 3 - Oral Mucositis
1 Participants
0 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Dysphagia
1 Participants
1 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Dysphonia
1 Participants
0 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Edema
1 Participants
0 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Fatigue
1 Participants
1 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Lymphedema
1 Participants
1 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Odynophagia
1 Participants
0 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Pain
1 Participants
0 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Radiation Dermatitis
1 Participants
0 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Xerostomia
1 Participants
1 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 2 Xerostomia
1 Participants
0 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 2 Pain
1 Participants
0 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Dysgeusia
0 Participants
1 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 2 Fibrosis
0 Participants
1 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Jaw Pain
0 Participants
1 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Otalgia
0 Participants
1 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 telangiectasia
0 Participants
1 Participants
Number of Participants With Acute Toxicities of Adjuvant SBRT
Grade 1 Trismus
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Up to 2 years

Population: Patients with/without SBRT treatment.

Toxicities will be assessed according to the National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4. Late toxicities will be those seen after 3 months of completion of Stereotactic Body Radiotherapy. Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events.

Outcome measures

Outcome measures
Measure
Stereotactic Body Radiotherapy
n=3 Participants
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation Cohort
n=4 Participants
No Stereotactic Body Radiotherapy treatment
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 1 Xerostomia
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 3 Pneumonia
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 1 Aspiration
2 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 1 Dysgeusia
2 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Dysphagia
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 1 Fatigue
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 1 Fibrosis
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 2 Fibrosis
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 2 Infection (Thrush)
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 1 Lymphedema
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 2 Lymphedema
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 2 Pain
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 1 Trismus
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 2 Ulceration
1 Participants
0 Participants
Number of Participants With Late Toxicities of Adjuvant SBRT
Grade 2 Xerostomia
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 2 years

Population: Patients with/without SBRT treatment.

LRPFS is defined as the time from the date of randomization to the date of local or regional recurrence, whichever occurs first, or the date of death from any cause. Subjects who are alive and have not progressed will be censored at their last follow-up date. Progression is defined as the appearance of a new metastatic lesion or objective tumor progression. Clinically detected lesions will only be considered measurable when superficial (vis-à-vis skin modules and palpable lymph nodes). The lesion must be accurately measured in at least one dimension ≥ 10mm. Methods for measuring disease status include CT, PET/CT or MRI.

Outcome measures

Outcome measures
Measure
Stereotactic Body Radiotherapy
n=3 Participants
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation Cohort
n=4 Participants
No Stereotactic Body Radiotherapy treatment
Progression-free Survival (PFS) Locoregional
NA months
Median LRPFS not reached. The 95% CI not available. Insufficient number of participants with event of (locoregional) progression.
NA months
Interval 2.0 to
Median LRPFS not reached. Upper bound of 95% CI not available. Insufficient number of participants with event of (locoregional) progression.

SECONDARY outcome

Timeframe: Up to 2 years

Population: Patients with/without SBRT treatment.

Distant progression-free-survival (DPFS) is the time from the date of randomization to the date of distant progression or the date of death from any cause. Progression is defined as the appearance of a new metastatic lesion or objective tumor progression. Clinically detected lesions will only be considered measurable when superficial (vis-à-vis skin modules and palpable lymph nodes). The lesion must be accurately measured in at least one dimension ≥ 10mm. Methods for measuring disease status include CT, PET/CT or MRI.

Outcome measures

Outcome measures
Measure
Stereotactic Body Radiotherapy
n=3 Participants
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation Cohort
n=4 Participants
No Stereotactic Body Radiotherapy treatment
Progression-free Survival (DPFS) Distant
NA months
Median DPFS not reached. The 95% CI not available. Insufficient number of participants with event of (distant) progression.
NA months
Interval 11.0 to
Median DPFS not reached. Upper bound of 95% CI not available. Insufficient number of participants with event of (distant) progression.

SECONDARY outcome

Timeframe: Up to 2 years

Population: Patients with/without SBRT treatment.

Overall progression free survival is the total of the three survival time measurements; PFS = local + regional + distant. Progression is defined as the appearance of a new metastatic lesion or objective tumor progression. Clinically detected lesions will only be considered measurable when superficial (vis-à-vis skin modules and palpable lymph nodes). The lesion must be accurately measured in at least one dimension ≥ 10mm. Methods for measuring disease status include CT, PET/CT or MRI.

Outcome measures

Outcome measures
Measure
Stereotactic Body Radiotherapy
n=3 Participants
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation Cohort
n=4 Participants
No Stereotactic Body Radiotherapy treatment
Overall Progression Free Survival (PFS)
NA months
Median survival not reached. The 95% CI not available. Insufficient number of participants with event of progression.
NA months
Interval 2.0 to
Median survival not reached. Upper bound of 95% CI not available. Insufficient number of participants with event of progression.

SECONDARY outcome

Timeframe: Up to 5 years

Population: Patients with/without SBRT treatment.

The overall survival time is the measurement of time between the date of randomization and death from any cause.

Outcome measures

Outcome measures
Measure
Stereotactic Body Radiotherapy
n=3 Participants
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation Cohort
n=4 Participants
No Stereotactic Body Radiotherapy treatment
Overall Survival (OS)
NA months
Median OS not reached. 95% CI was not available. Insufficient number of participants with event of death.
NA months
Median OS not reached. 95% CI was not available. Insufficient number of participants with event of death.

SECONDARY outcome

Timeframe: Up to 2 years

Population: Patients with/without SBRT treatment.

The University of Washington Quality of Life questionnaire (revised) is a self-administered 16 item inquiry given to patients with head and neck cancer. The first 12 items ask the patient to score domains (such as pain, appearance, swallowing) from 0 (worse) to 100 (best). The arithmetic mean is then computed, yielding one number between 0 and 100. The higher the number, the "better" the patient is considered to be faring. The item simply asks the patient to choose the top 3 issues which have been bothering the patient over the past 7 days. The issues include physical symptoms, emotions and appearance. The final 3 questions provide a global assessment by asking the patient to consider their overall well-being over the past 7 days and provide possible answers ranging from excellent to very poor. For trial analysis: Period=1: before surgery, Period=2: after surgery, but before SBRT for patients in the SBRT arm, Period=3: after SBRT.

Outcome measures

Outcome measures
Measure
Stereotactic Body Radiotherapy
n=3 Participants
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation Cohort
n=4 Participants
No Stereotactic Body Radiotherapy treatment
Quality of Life (UW-QoL-R)
Period 1: Pain
100.00 score on a scale
Interval 100.0 to 100.0
75.00 score on a scale
Interval 75.0 to 75.0
Quality of Life (UW-QoL-R)
Period 2: Pain
100.00 score on a scale
Interval 100.0 to 100.0
75.00 score on a scale
Interval 37.5 to 100.0
Quality of Life (UW-QoL-R)
Period 3: Pain
75.00 score on a scale
Interval 50.0 to 75.0
NA score on a scale
Survey not completed by patient(s).
Quality of Life (UW-QoL-R)
Period 1: Appearance
75.00 score on a scale
Interval 75.0 to 75.0
75.00 score on a scale
Interval 75.0 to 75.0
Quality of Life (UW-QoL-R)
Period 2: Appearance
50.00 score on a scale
Interval 50.0 to 50.0
87.50 score on a scale
Interval 50.0 to 100.0
Quality of Life (UW-QoL-R)
Period 3: Appearance
75.00 score on a scale
Interval 62.5 to 100.0
NA score on a scale
Survey not completed by patient(s).
Quality of Life (UW-QoL-R)
Period 1: Activity
50.00 score on a scale
Interval 50.0 to 50.0
75.00 score on a scale
Interval 75.0 to 75.0
Quality of Life (UW-QoL-R)
Period 2: Activity
50.00 score on a scale
Interval 50.0 to 50.0
75.00 score on a scale
Interval 62.5 to 87.5
Quality of Life (UW-QoL-R)
Period 3: Activity
62.50 score on a scale
Interval 62.5 to 75.0
NA score on a scale
Survey not completed by patient(s).
Quality of Life (UW-QoL-R)
Period 1: Recreation
62.50 score on a scale
Interval 50.0 to 75.0
75.00 score on a scale
Interval 75.0 to 75.0
Quality of Life (UW-QoL-R)
Period 2: Recreation
25.00 score on a scale
Interval 25.0 to 25.0
75.00 score on a scale
Interval 62.5 to 87.5
Quality of Life (UW-QoL-R)
Period 3: Recreation
62.50 score on a scale
Interval 62.5 to 75.0
NA score on a scale
Survey not completed by patient(s).
Quality of Life (UW-QoL-R)
Period 1: Swallowing
67.00 score on a scale
Interval 67.0 to 67.0
67.00 score on a scale
Interval 67.0 to 67.0
Quality of Life (UW-QoL-R)
Period 2: Swallowing
67.00 score on a scale
Interval 67.0 to 67.0
67.00 score on a scale
Interval 33.5 to 83.5
Quality of Life (UW-QoL-R)
Period 3: Swallowing
67.00 score on a scale
Interval 67.0 to 67.0
NA score on a scale
Survey not completed by patient(s).
Quality of Life (UW-QoL-R)
Period 1: Chewing
50.00 score on a scale
Interval 0.0 to 100.0
100.00 score on a scale
Interval 100.0 to 100.0
Quality of Life (UW-QoL-R)
Period 2: Chewing
50.00 score on a scale
Interval 50.0 to 50.0
75.00 score on a scale
Interval 50.0 to 100.0
Quality of Life (UW-QoL-R)
Period 3: Chewing
50.00 score on a scale
Interval 50.0 to 100.0
NA score on a scale
Survey not completed by patient(s).
Quality of Life (UW-QoL-R)
Period 1: Speech
75.25 score on a scale
Interval 67.0 to 83.5
67.00 score on a scale
Interval 67.0 to 67.0
Quality of Life (UW-QoL-R)
Period 2: Speech
33.00 score on a scale
Interval 33.0 to 33.0
100.00 score on a scale
Interval 100.0 to 100.0
Quality of Life (UW-QoL-R)
Period 3: Speech
67.00 score on a scale
Interval 66.5 to 100.0
NA score on a scale
Survey not completed by patient(s).
Quality of Life (UW-QoL-R)
Period 1: Shoulder
100.00 score on a scale
Interval 100.0 to 100.0
100.00 score on a scale
Interval 100.0 to 100.0
Quality of Life (UW-QoL-R)
Period 2: Shoulder
100.00 score on a scale
Interval 100.0 to 100.0
100.00 score on a scale
Interval 83.5 to 100.0
Quality of Life (UW-QoL-R)
Period 3: Shoulder
67.00 score on a scale
Interval 66.5 to 100.0
NA score on a scale
Survey not completed by patient(s).
Quality of Life (UW-QoL-R)
Period 1: Taste
50.00 score on a scale
Interval 33.0 to 67.0
67.00 score on a scale
Interval 67.0 to 67.0
Quality of Life (UW-QoL-R)
Period 2: Taste
33.00 score on a scale
Interval 33.0 to 33.0
67.00 score on a scale
Interval 50.0 to 83.5
Quality of Life (UW-QoL-R)
Period 3: Taste
67.00 score on a scale
Interval 50.0 to 67.0
NA score on a scale
Survey not completed by patient(s).
Quality of Life (UW-QoL-R)
Period 1: Saliva
50.00 score on a scale
Interval 33.0 to 67.0
67.00 score on a scale
Interval 67.0 to 67.0
Quality of Life (UW-QoL-R)
Period 2: Saliva
0.00 score on a scale
Interval 0.0 to 0.0
83.50 score on a scale
Interval 50.0 to 100.0
Quality of Life (UW-QoL-R)
Period 3: Saliva
67.00 score on a scale
Interval 33.0 to 76.0
NA score on a scale
Survey not completed by patient(s).
Quality of Life (UW-QoL-R)
Period 1: Mood
75.00 score on a scale
Interval 75.0 to 75.0
75.00 score on a scale
Interval 75.0 to 75.0
Quality of Life (UW-QoL-R)
Period 2: Mood
50.00 score on a scale
Interval 50.0 to 50.0
75.00 score on a scale
Interval 50.0 to 75.0
Quality of Life (UW-QoL-R)
Period 3: Mood
75.00 score on a scale
Interval 75.0 to 75.0
NA score on a scale
Survey not completed by patient(s).
Quality of Life (UW-QoL-R)
Period 1: Anxiety
83.50 score on a scale
Interval 67.0 to 100.0
67.00 score on a scale
Interval 67.0 to 67.0
Quality of Life (UW-QoL-R)
Period 2: Anxiety
67.00 score on a scale
Interval 67.0 to 67.0
67.00 score on a scale
Interval 50.0 to 83.5
Quality of Life (UW-QoL-R)
Period 3: Anxiety
100.00 score on a scale
Interval 67.0 to 100.0
NA score on a scale
Survey not completed by patient(s).

Adverse Events

Stereotactic Body Radiotherapy

Serious events: 2 serious events
Other events: 3 other events
Deaths: 0 deaths

Observation Cohort

Serious events: 0 serious events
Other events: 2 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Stereotactic Body Radiotherapy
n=3 participants at risk
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation Cohort
n=4 participants at risk
No Stereotactic Body Radiotherapy treatment
Gastrointestinal disorders
Oral Mucositis
33.3%
1/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
0.00%
0/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Respiratory, thoracic and mediastinal disorders
Pneumonia
33.3%
1/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
0.00%
0/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.

Other adverse events

Other adverse events
Measure
Stereotactic Body Radiotherapy
n=3 participants at risk
Stereotactic Body Radiotherapy at the following levels: Treatment Volumes \<25cc will receive 40Gy (5 fractions of 8Gy per fraction) or treatment Volumes ≥25cc will receive 44-50Gy (5 fractions of 8.8-10Gy per fraction). Ideally all tumors volumes ≥25cc will receive 50Gy over 5 fractions, however at the discretion of the treating radiation oncologist based on tumor bed volume, prior radiation dose, and proximity to critical organs the dose can be reduced to 44Gy over 5 fractions as outlined in prior SBRT protocols.
Observation Cohort
n=4 participants at risk
No Stereotactic Body Radiotherapy treatment
Gastrointestinal disorders
Dysphagia
66.7%
2/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
25.0%
1/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Investigations
Dysphonia
33.3%
1/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
0.00%
0/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
General disorders
Edema
33.3%
1/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
0.00%
0/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
General disorders
Fatigue
66.7%
2/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
25.0%
1/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Vascular disorders
Lymphedema
100.0%
3/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
25.0%
1/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Investigations
Odynophagia
33.3%
1/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
0.00%
0/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
General disorders
Pain
100.0%
3/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
25.0%
1/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Injury, poisoning and procedural complications
Radiation Dermatitis
33.3%
1/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
0.00%
0/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Gastrointestinal disorders
Xerostomia
100.0%
3/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
25.0%
1/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Nervous system disorders
Dysgeusia
66.7%
2/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
25.0%
1/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Musculoskeletal and connective tissue disorders
Fibrosis
66.7%
2/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
25.0%
1/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Ear and labyrinth disorders
Otalgia
0.00%
0/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
25.0%
1/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Skin and subcutaneous tissue disorders
telangiectasia
0.00%
0/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
25.0%
1/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Musculoskeletal and connective tissue disorders
Trismus
33.3%
1/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
25.0%
1/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Respiratory, thoracic and mediastinal disorders
Aspiration
66.7%
2/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
0.00%
0/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
Infections and infestations
Infection (Thrush)
33.3%
1/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
0.00%
0/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
General disorders
Ulceration
33.3%
1/3 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.
0.00%
0/4 • Up to 24 months
Adverse events are Grade 1 and 2 and Serious Adverse events are Grade 3 and 4 events per National Cancer Institute Common Toxicity Criteria Events Scale (CTCAE), v4.

Additional Information

Barbara M. Stadterman, MPH, MSCR, CCRP

UPMC Hillman Cancer Center

Phone: 412-647-5554

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place