Re-optimization Based Online Adaptive Radiotherapy of Anal Cancer

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorHerlev Hospital

About this trial

A single-arm, prospective, Phase II, single-center clinical trial that will investigate if daily online adaptive radiotherapy for anal cancer will significantly reduce early treatment-related GI toxicity compared with the historically reported rate for non-adaptive intensity modulated radiation therapy (IMRT).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Biopsy-verified anal cancer

Eligible for curative intended radiotherapy

Written and oral consent

Disqualifiers

Other malignant disease within the past 5 years (excluding basal cell carcinoma)

Trial population

Patients with non-metastatic squamous cell carcinoma of the anus, referred for chemo-radiotherapy with curative intent.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • online adaptive radiotherapy

    Radiation

    Online adaptive radiotherapy compared to standard non-adaptive Image-Guided Radiotherapy

Treatment groups

205 Participants
are divided into 1 treatment group
Group A: Online adaptive radiotherapy1 intervention

Trial outcomes

Primary outcomes

1

Early Rate of Common Terminology Criteria for Adverse Events (CTCAE) Gastrointestinal Toxicity grade 2 or more (scale from 0-5, 5 being the highest)

percentage of patients with grade 2 or more early treatment-related Gastrointestinal-toxicity

Time frame
from mid-treatment to 3 months after end of treatment

Secondary outcomes

1

All Early Common Terminology Criteria for Adverse Events (CTCAE) Treatment Related Toxicities. Grade 1-5 (5 being the highest)

percentage of patients with grade 2 or more early treatment-related toxicity

Time frame
from mid-treatment to 3 months after end of treatment
2

All Late Common Terminology Criteria for Adverse Events (CTCAE) Treatment Related Toxicities

percentage of patients with grade 2 or more late treatment-related toxicity

Time frame
From 3 months after end of treatment to 5 years follow-up
3

Patient Reported Outcomes (PRO)

Collection of National Cancer Institute Patient Reported Outcome-Common Terminology Criteria for Adverse Events (NCI PRO-CTCAE) questionnaire (scale from none to a lot) and comparison to Common Terminology Criteria for Adverse Events (CTCAE) and dosimetry data

Time frame
from baseline to 5 years follow-up
4

European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Assessment

Collection ofEuropean Organisation for Research and Treatment of Cancer (EORTC) Quality of life questionnaire C30

Time frame
from baseline to 5 years follow-up

Other outcomes

Sponsors and contacts

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