Radiation-associated Carotid Artery Disease in Patients With Nasopharyngeal Carcinoma

NCT ID: NCT03568032

Last Updated: 2018-06-26

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

UNKNOWN

Total Enrollment

248 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-07-01

Study Completion Date

2019-06-30

Brief Summary

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Radiation-associated carotid vasculopathy is a common late sequelae in patients with head and neck cancer, which correlates with the incidence of stroke. Currently, little is known about the incidence of radiation-associated carotid vasculopahty in the context of intensity-modulated radiation therapy (IMRT).

The aim of this study is to determine whether IMRT will increase the incidence of carotid vasculopathy in patients with nasopharyngeal carcinoma (NPC).

Detailed Description

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Conditions

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Nasopharyngeal Carcinoma Carotid Artery Diseases

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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the post-radiation group

patients diagnosed as non-metastatic nasopharyngeal carcinoma who received definitive IMRT more than 3 years ago

Measurement of intima media thickness of carotid artery

Intervention Type DIAGNOSTIC_TEST

IMT measurements were performed using ultrasound machine in the pre-radiation and the post-radiation group. IMT was assessed at the common carotid artery (CCA) and the internal carotid artery (ICA) of both the left and right side.

Detection and measurement of carotid plaques

Intervention Type DIAGNOSTIC_TEST

Detection and measurement of plaques within internal carotid artery and common carotid artery by ultrasound

Carotid Color Flow Duplex Testing

Intervention Type DIAGNOSTIC_TEST

Velocity measurement of carotid artery to determine carotid stenosis

Montreal Cognitive Assessment

Intervention Type DIAGNOSTIC_TEST

Cognitive assessment

Medical history of cardiovascular risk factors and cardiovascular diseases

Intervention Type OTHER

Cardiovascular risk factors include smoking, alcohol consumption, hypertension, diabetes mellitus, hypercholesterolemia, obesity. Cardiovascular diseases include ischemic stroke, ischemic coronary heart disease, TIA, etc.

the pre-radiation group

untreated patients diagnosed as non-metastatic nasopharyngeal carcinoma

Measurement of intima media thickness of carotid artery

Intervention Type DIAGNOSTIC_TEST

IMT measurements were performed using ultrasound machine in the pre-radiation and the post-radiation group. IMT was assessed at the common carotid artery (CCA) and the internal carotid artery (ICA) of both the left and right side.

Detection and measurement of carotid plaques

Intervention Type DIAGNOSTIC_TEST

Detection and measurement of plaques within internal carotid artery and common carotid artery by ultrasound

Carotid Color Flow Duplex Testing

Intervention Type DIAGNOSTIC_TEST

Velocity measurement of carotid artery to determine carotid stenosis

Montreal Cognitive Assessment

Intervention Type DIAGNOSTIC_TEST

Cognitive assessment

Medical history of cardiovascular risk factors and cardiovascular diseases

Intervention Type OTHER

Cardiovascular risk factors include smoking, alcohol consumption, hypertension, diabetes mellitus, hypercholesterolemia, obesity. Cardiovascular diseases include ischemic stroke, ischemic coronary heart disease, TIA, etc.

Interventions

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Measurement of intima media thickness of carotid artery

IMT measurements were performed using ultrasound machine in the pre-radiation and the post-radiation group. IMT was assessed at the common carotid artery (CCA) and the internal carotid artery (ICA) of both the left and right side.

Intervention Type DIAGNOSTIC_TEST

Detection and measurement of carotid plaques

Detection and measurement of plaques within internal carotid artery and common carotid artery by ultrasound

Intervention Type DIAGNOSTIC_TEST

Carotid Color Flow Duplex Testing

Velocity measurement of carotid artery to determine carotid stenosis

Intervention Type DIAGNOSTIC_TEST

Montreal Cognitive Assessment

Cognitive assessment

Intervention Type DIAGNOSTIC_TEST

Medical history of cardiovascular risk factors and cardiovascular diseases

Cardiovascular risk factors include smoking, alcohol consumption, hypertension, diabetes mellitus, hypercholesterolemia, obesity. Cardiovascular diseases include ischemic stroke, ischemic coronary heart disease, TIA, etc.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* signed inform consent
* age more than 18 years old
* ECOG 0-2
* pathologic diagnosed, non-metastatic NPC
* either untreated or treated by definitive IMRT 3 years ago
* did not receive radiation to the head and neck region prior to the diagnosis of NPC
* if the patient received definitive IMRT 3 years ago because of NPC, he or she did not receive a second course of radiation due to local relapse
* no prior surgery of head and neck

Exclusion Criteria

* prior history of cardiovascular disease before the diagnosis of NPC
* prior radiation to head and neck before the diagnosis of NPC
* prior surgery of head and neck
* pregnant or lactating women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Xiayun He, MD

Principal Investigator, Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xiayun He, MD

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Locations

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Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Central Contacts

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Xiaomin Ou, MD

Role: CONTACT

+86 13816287320

Facility Contacts

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Xiayun He, MD

Role: primary

+86-18017312167

Xiaomin Ou, MD

Role: backup

+86-13816287320

Other Identifiers

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NPC-CAROTID-01

Identifier Type: -

Identifier Source: org_study_id

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