DOsimetry and Radiation Induced NAusea in Head and Neck Cancers

NCT ID: NCT06341985

Last Updated: 2024-04-02

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

Total Enrollment

180 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-11-15

Study Completion Date

2024-12-31

Brief Summary

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This is a prospective cohort study for the analysis of correlation between dosimetric parameters and RANV (Radiation Associated Nausea and Vomiting) in patients with head and neck cancer undergoing exclusive radiotherapy (RT).

The primary purpose of this study is to search for a potential correlation between dosimetry and physician- and patient-rated symptoms in patients treated with exclusive radiotherapy for head and neck cancer.

Detailed Description

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The use of Intensity Modulated Radiation Therapy (IMRT) has become increasingly common in clinical practice for the treatment of head and neck tumors. Despite the well-documented dosimetric advantages of IMRT, there has been a gradual recognition of toxicity profiles that are characteristic and distinct from those known in the era of 2D and 3D techniques, associated with the so-called "dose bath" typical of all intensity-modulated treatments. Among these, one of the main concerns is Radiation-Associated Nausea and Vomiting (RANV), the persistence and severity of which can significantly compromise the quality of life for patients.

Consequently, there has been a growing need to more thoroughly assess the clinical and dosimetric risk factors associated with the onset of RANV in this population. Although several authors have already investigated this aspect, most studies available to date consider cases where concurrent chemotherapy administration may affect the assessment of the outcomes of interest. Even when exclusively focusing on studies centered on IMRT (without concurrent chemotherapy), the generalization of results is at least partially affected by the fact that these are retrospective series with a relatively small population (23-130 patients).

Conditions

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Head and Neck Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Exclusive Radiotherapy Treatment

Curative radiotherapy treatment using 3 Dimension (3D) conformal or Intensity Modulated Radiation Therapy (IMRT) techniques.

Exclusive radiotherapy

Intervention Type RADIATION

Curative radiotherapy treatment using 3D conformal or Intensity Modulated Radiation Therapy (IMRT) techniques.

Interventions

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Exclusive radiotherapy

Curative radiotherapy treatment using 3D conformal or Intensity Modulated Radiation Therapy (IMRT) techniques.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Patients aged ≥ 18 years
* Diagnosis of primary head and neck neoplasm in the following subsites: oropharynx, nasopharynx, oral cavity, paranasal sinuses, salivary glands, and neoplasms with an unknown primary focus.
* Curative radiotherapeutic treatment with photons or protons using 3D conformal or Intensity Modulated Radiation Therapy (IMRT), Volumetric Modulated Arc Therapy (VMAT), Tomotherapy; both photon and proton treatments are allowed.
* Ability to prospectively collect and anonymously submit clinical data related to the patient, pathology, and treatment characteristics (including the radiotherapy treatment plan in RT.dose format) to a single referring center.
* Ability to prospectively collect and anonymously submit DICOM (Digital Imaging and COmmunication in Medicine) files related to pre-RT magnetic resonance imaging (MRI) to a single referring center.
* Ability to collect acute toxicity data (mucositis, xerostomia, nausea, vomiting, weight loss) during radiotherapy and at three months post-treatment.
* Ability to undergo a clinical follow-up examination three months after the completion of radiotherapy.
* Willingness to provide written informed consent for the anonymous use of data for research purposes.

Exclusion Criteria

* Patients undergoing chemotherapy treatment (neoadjuvant or concurrent with radiotherapy).
* Patients with local and/or locoregional recurrence of head and neck disease.
* Patients previously treated with oncologic interventions in the head and neck region.
* Patients with synchronous distant metastases at the time of diagnosis.
* Inability to comprehensively collect baseline data related to the patient, pathology, and treatment characteristics (including the treatment plan) and follow-up data.
* Inability to obtain written informed consent for the anonymous use of data for research purposes.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Institute of Oncology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stefania Volpe, MD

Role: PRINCIPAL_INVESTIGATOR

European Institute of Oncology

Locations

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Ospedale "Mons. Dimiccoli"

Barletta, , Italy

Site Status RECRUITING

Azienda Ospedaliera S.Pio

Benevento, , Italy

Site Status RECRUITING

Ospedale MultiMedica

Castellanza, , Italy

Site Status RECRUITING

IRCCS Ospedale Policlinico San Martino

Genova, , Italy

Site Status RECRUITING

European Institute of Oncology

Milan, , Italy

Site Status RECRUITING

IRCCS Ospedale San Raffaele

Milan, , Italy

Site Status RECRUITING

Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona

Ancona, , Italy

Site Status RECRUITING

Azienda Ospedaliero-Universitaria di Modena

Modena, , Italy

Site Status RECRUITING

Azienda Ospedaliero Universitaria Ospedale Maggiore della Carità di Novara

Novara, , Italy

Site Status RECRUITING

Fondazione IRCCS Policlinico San Matteo

Pavia, , Italy

Site Status RECRUITING

Azienda Ospedaliera Complesso Ospedaliero San Giovanni - Addolorata

Roma, , Italy

Site Status RECRUITING

Azienda Ospedaliero Universitaria Policlinico Umberto I

Roma, , Italy

Site Status RECRUITING

Ospedale San Giovanni Calibita Fatebenefratelli Isola Tiberina

Roma, , Italy

Site Status RECRUITING

I.R.C.C.S. MultiMedica - Sesto San Giovanni

Sesto San Giovanni, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Stefania Volpe, MD

Role: CONTACT

+3902574892418

Facility Contacts

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Giovanna Mantello

Role: primary

Alessia Di Rito

Role: primary

Angela Argenone

Role: primary

Gianpiero Catalano

Role: primary

Liliana Belgioia

Role: primary

Stefania Volpe

Role: primary

Italo Dell'Oca

Role: primary

Elisa D'Angelo

Role: primary

Carla Pisani

Role: primary

Sara Colombo

Role: primary

Giuseppina Apicella

Role: primary

Francesca De Felice

Role: primary

Orietta Caspiani

Role: primary

Gianpiero Catalano

Role: primary

Other Identifiers

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IEO 1593

Identifier Type: -

Identifier Source: org_study_id

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