Conventionally Fractionated Adaptive Radiation Therapy of Bladder Cancer an Individualized Approach

NCT ID: NCT05295992

Last Updated: 2023-03-14

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

RECRUITING

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-15

Study Completion Date

2026-03-31

Brief Summary

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This is a single-arm, prospective, Phase II, multi-center clinical trial designed to demonstrate that adaptive radiotherapy for muscle invasive bladder cancer will translate into a decreased rate of acute gastrointestinal toxicity compared with the historically reported rate for non-adaptive intensity modulated radiation therapy (IMRT).

Detailed Description

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Conditions

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Muscle-Invasive Bladder Carcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Daily Adaptive External Beam Radiation Therapy

Daily adaptive radiation therapy delivered with Varian Ethos treatment system.

Group Type EXPERIMENTAL

Varian Ethos Adaptive Radiation Therapy

Intervention Type DEVICE

Daily adaptive external beam radiation therapy delivered on Varian Ethos treatment system.

Interventions

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Varian Ethos Adaptive Radiation Therapy

Daily adaptive external beam radiation therapy delivered on Varian Ethos treatment system.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Histologically proven bladder cancer
2. Urothelial carcinoma
3. Age ≥ 18 years
4. Stage T1b-T4AN0M0
5. TUR-B and PET-CT or CT of thorax/abdomen/pelvis within 8 weeks prior to inclusion
6. Suitable for radiotherapy
7. ECOG/WHO performance status 0-2
8. Written informed consent
9. For Cohort B, participant's must have normal organ and marrow function as defined below:

* leukocytes ≥2,500/mcL
* absolute neutrophil count ≥1,500/mcL
* platelets ≥100,000/mcL
* hemoglobin ≥9 g/dL
* total bilirubin ≤ 1,5 ULN
* AST(SGOT)/ALT(SGPT) ≤3 × ULN
* alkaline phosphatase ≤2.5 × ULN
* creatinine clearance \<25 ml/min We recommend avoiding cisplatin for participants with creatinine clearance \<50 ml/min.
* INR and aPTT £1.5 ULN

Exclusion Criteria

1. Prior pelvic radiation therapy
2. Inability to comply with the protocol
3. Presence of a hip prothesis
4. Grade 2 or greater baseline diarrhea
5. Uncontrolled inflammatory bowel disease (ulcerative colitis or Crohn's disease)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Herlev Hospital

OTHER

Sponsor Role collaborator

Rigshospitalet, Denmark

OTHER

Sponsor Role collaborator

Varian, a Siemens Healthineers Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Katrine Storm, MD

Role: PRINCIPAL_INVESTIGATOR

Herlev Hospital, Copenhagen University

Locations

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Herlev and Gentofte Hospital

Herlev, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Steve Kohlmyer, MS

Role: CONTACT

12062760076

Sean Davidson, MS

Role: CONTACT

Facility Contacts

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Katrine Storm

Role: primary

Other Identifiers

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VAR-2021-06

Identifier Type: -

Identifier Source: org_study_id

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