CONFIRM: Magnetic Resonance Guided Radiation Therapy

NCT ID: NCT04368702

Last Updated: 2025-07-28

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

RECRUITING

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-01

Study Completion Date

2029-06-18

Brief Summary

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This research is being done to determine the safety and feasibility of using a type of radiation guided by magnetic resonance imaging (MRI) and chemotherapy to treat patients with gastric and breast cancer. The name of the radiation machine involved in this study is the MRIdian Linear Accelerator.

Detailed Description

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This is a master clinical protocol evaluating magnetic resonance (MR) image guided radiation in patients with gastric and breast cancer.

In this research study, the investigators are researching if getting an MRI during radiation is a feasible way to delivery radiation. In this research study, a MRI done during treatment will help doctors adapt the radiation to target the most precise spot where the cancer is located.

The research study procedures include:

* Screening for eligibility
* Study treatment including evaluations
* Follow up visits
* Questionnaires

This is a Phase I/II clinical trial. A Phase I clinical trial tests the safety of investigational radiation treatment and also tries to define the appropriate dose of the investigational radiation treatment to use for further studies. "Investigational" means that the way the radiation treatment is delivered is being studied.

This research study is a Feasibility Study, which means it is the first-time investigators at this institution are examining this type of MR-guided radiation. Investigators at other hospitals and academic centers are already using this type of radiation.

The U.S. Food and Drug Administration (FDA) has approved this radiation machine and these drugs as treatment options for gastric and breast cancer.

Conditions

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Gastric Cancer Invasive Breast Cancer in Situ Breast Cancer Mantle Cell Lymphoma Larynx Cancer Bladder Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase I - Gastric Cancer

The research study procedures include:

* Screening for eligibility
* Study treatment including evaluations
* MR-image guided radiation will be administered per disease site standards.
* Follow up visits
* Questionnaires

Group Type EXPERIMENTAL

Viewray MRIdian® Linac

Intervention Type RADIATION

MR-image guided radiation will be administered per disease site standards.

Phase I - Breast Cancer

The research study procedures include:

* Screening for eligibility
* Study treatment including evaluations
* MR-image guided radiation will be administered per disease site standards.
* Follow up visits
* Questionnaires

Group Type EXPERIMENTAL

Viewray MRIdian® Linac

Intervention Type RADIATION

MR-image guided radiation will be administered per disease site standards.

Phase I - Mantle Cell Lymphoma

The research study procedures include:

* Screening for eligibility
* Study treatment including evaluations
* MR-image guided radiation will be administered per disease site standards.
* Follow up visits
* Questionnaires

Group Type EXPERIMENTAL

Viewray MRIdian® Linac

Intervention Type RADIATION

MR-image guided radiation will be administered per disease site standards.

Phase I - Larynx

The research study procedures include:

* Screening for eligibility
* Study treatment including evaluations
* MR-image guided radiation will be administered per disease site standards.
* Follow up visits
* Questionnaires

Group Type EXPERIMENTAL

Viewray MRIdian® Linac

Intervention Type RADIATION

MR-image guided radiation will be administered per disease site standards.

Phase I - Bladder

The research study procedures include:

* Screening for eligibility
* Study treatment including evaluations
* MR-image guided radiation will be administered per disease site standards.
* Follow up visits
* Questionnaires

Group Type EXPERIMENTAL

Viewray MRIdian® Linac

Intervention Type RADIATION

MR-image guided radiation will be administered per disease site standards.

Interventions

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Viewray MRIdian® Linac

MR-image guided radiation will be administered per disease site standards.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Participants must have histologically or cytologically confirmed malignancy requiring radiation
* Age 18 years of older
* ECOG performance status ≤2 (Karnofsky ≥60%, see Appendix A)
* Ability to understand and the willingness to sign a written informed consent document.
* Any further criteria listed in the specific disease site cohort

Exclusion Criteria

* History of allergic reactions attributed to gadolinium-based IV contrast

\-- Note: If patient will not receive contrast, this is not applicable and kidney function will not affect eligibility
* Severe claustrophobia or anxiety
* Participants who cannot undergo an MRI
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Raymond Mak

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Raymond Mak, MD

Role: PRINCIPAL_INVESTIGATOR

Dana-Farber Cancer Institute

Locations

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Brigham & Women's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Raymond Mak, MD

Role: CONTACT

6177328651

Facility Contacts

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Raymond Mak, MD

Role: primary

Raymond Mak, MD

Role: primary

Other Identifiers

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19-665

Identifier Type: -

Identifier Source: org_study_id

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