Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This protocol aims to determine toxicity and efficacy of re-irradiation for patients with recurrences from anal cancers with dose-escalated pencil beam proton therapy either pre-operative for marginally resectable recurrences or as a definitive treatment strategy (un-resectable, operation declined etc.). The over-all aim is to improve local tumor control with acceptable side effects.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Doseescalated pencil beam proton therapy | Experimental | Neo-adjuvant or definitive pencil beam proton therapy: 55 Gy(RBE)/44fx - 65 Gy(RBE)/52 fx (1.25 Gy per fraction), two fractions a day. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pencil beam proton therapy | Radiation | Neo-adjuvant or definitive pencil beam proton therapy: 55 Gy(RBE)/44fx - 65 Gy(RBE)/52 fx (1.25 Gy per fraction), two fractions a day |
|
| Measure | Description | Time Frame |
|---|---|---|
| Local control | MRI | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Local re-recurrence | 6 and 24 months | |
| Progression free survival | 3-5 year FU | |
| Overall survival |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Camilla Kronborg, MD, PhD | Contact | +45 78 45 00 00 | camkro@rm.dk |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Danish Centre for Particle Therapy | Recruiting | Aarhus N | Aarhus | 8200 | Denmark |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D001005 | Anus Neoplasms |
| ID | Term |
|---|---|
| D012004 | Rectal Neoplasms |
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| 3-5 year FU |
| Pathological evaluation of R0, R1 or R2 resection | 6 months |
| Toxicity | evaluated by NCI-CTCAE v. 5.0 | up to 6 weeks, 1 year, 3 year |
| Quality of life assessment | EORTC QLQ-c30 | up to 6 weeks, 1 year, 3 year |
| Quality of life assessment | QLQ-CR29 | up to 6 weeks, 1 year, 3 year |
| Quality of life assessment | QLQ-ANL27 | up to 6 weeks, 1 year, 3 year |
| Quality of life assessment | LARS score | up to 6 weeks, 1 year, 3 year |
| Translational research | cfDNA | baseline, end of therapy, 1 year |
| Summed radiotherapy dose volume to organs at risk and correlation to toxicities | up to 6 weeks, 1 year, 3 year |
| To investigate 30-day surgical overall morbidity | Clavien-Dindo | 30-day |
| To investigate 6-month surgical site morbidity | 6 months |
| D004067 |
| Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D007410 | Intestinal Diseases |
| D001004 | Anus Diseases |
| D012002 | Rectal Diseases |