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Background:
Between 2000 and 2006, 433 patients were overexposed (8% to 10%) during a course of conformal radiotherapy for a prostate adenocarcinoma in Jean MONNET hospital, Epinal, France. Among them, twenty four patients received an additional mean dose about 20%, due to an inappropriate use of the treatment planning system. Severe adverse events (proctitis, cystitis, and tissue necrosis) have occurred among most of these overexposed patients. We propose to develop several research programs in order to increase the scientific knowledge on iatrogenic effects related to overexposure of ionizing radiation, by studying their relationship with dosimetric, clinical, biologic and genetic characteristics.
Aim of the study:
To correlate the received doses, the volume of irradiated normal tissues, the events, with biologic, phenotypic and genetic data.
Primary study endpoint:
Incidence and severity of adverse events related to radiotherapy (according to SOMA - LENT and CTCAE scales).
Secondary study endpoint:
Inclusion criteria:
Consecutive patients treated for a prostate adenocarcinoma in the radiation department of the Jean MONNET Hospital between 2000 and 2006.
Potential. Better identification of patients at high risk of adverse events related to radiotherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | patients treated for a prostate adenocarcinoma |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Whole blood sample | Other | 70 ml per patient for collection of biological sample |
|
| Measure | Description | Time Frame |
|---|---|---|
| To correlate the received doses, the volume of irradiated normal tissues, the events, with biologic, phenotypic and genetic data. | At the inclusion visit |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between adverse events and radiation doses with biologic, phenotypic and genetic data. | At the inclusion visit | |
| Evaluation of T-lymphocyte apoptosis to predict radiation-induced late toxicity | At the inclusion visit |
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Inclusion Criteria:
Exclusion Criteria:
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Consecutive patients treated for a prostate adenocarcinoma in the radiation department of the Jean MONNET Hospital between 2000 and 2006.
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| Name | Affiliation | Role |
|---|---|---|
| Jean Marc SIMON, PH | Assistance Publique - Hôpitaux de Paris | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Groupe Hospitalier Pitié-Salpêtrière | Paris | 75013 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17331670 | Background | Alsbeih G, El-Sebaie M, Al-Harbi N, Al-Buhairi M, Al-Hadyan K, Al-Rajhi N. Radiosensitivity of human fibroblasts is associated with amino acid substitution variants in susceptible genes and correlates with the number of risk alleles. Int J Radiat Oncol Biol Phys. 2007 May 1;68(1):229-35. doi: 10.1016/j.ijrobp.2006.12.050. Epub 2007 Feb 27. | |
| 36739457 |
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| ID | Term |
|---|---|
| D011832 | Radiation Injuries |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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White cells, serum and DNA
| Gene associations with risks for adverse events related to radiotherapy | At the inclusion visit |
| Levels of circulating microparticles and bystander effect after irradiation | At the inclusion visit |
| Ribault A, Benadjaoud MA, Squiban C, Arnaud L, Judicone C, Leroyer AS, Rousseau A, Huet C, Guha C, Benderitter M, Lacroix R, Flamant S, Chen EI, Simon JM, Tamarat R. Circulating microvesicles correlate with radiation proctitis complication after radiotherapy. Sci Rep. 2023 Feb 4;13(1):2033. doi: 10.1038/s41598-022-21726-y. |