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Trial Title: Pivotal Study of Proton Radiotherapy Treatments Using Fixed Beam Chair-Based Delivery System

NCT ID: NCT05549414

Condition: Thoracic Cancer
Pancreatic Cancer Non-resectable
Brain Cancer
Head Cancer
Neck Cancer

Conditions: Official terms:
Head and Neck Neoplasms
Brain Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Device
Intervention name: Proton Radiation
Description: Proton beam radiotherapy, first proposed by Robert Wilson at Harvard University in 1946, utilizes an energetic beam of ionized hydrogen nuclei (protons) directed at the tumor volume to effect DNA damage of the targeted cells. Today, there are hundreds of proton treatment centers worldwide and it is considered standard treatment for certain malignancies and/or clinical scenarios
Arm group label: Patients with locally recurrent, previously irradiated thoracic cancer
Arm group label: Patients with recurrent Head and Neck, Brain and Spinal Cord tumors, indicated for re- irradiation
Arm group label: Patients with unresectable pancreatic cancer

Other name: p-cure PROTON RADIATION SYSTEM

Other name: Proton Beam Radiation Therapy

Other name: Quality-of-Life Assessment

Summary: This study with Chair-Based, Gantry-less Proton System (CBGS) (aka P-CURE Proton Beam Therapy System or Fixed Beam Chair-based Delivery System) is composed of 3 arms, as following: ARM1: Patients with locally recurrent, previously irradiated thoracic cancer indicated for re- irradiation. ARM2: Patients with recurrent Head and Neck, Brain and Spinal Cord tumors, indicated for re- irradiation. ARM3: Patients with unresectable pancreatic cancer. The primary objectives of the study for all arms are: 1. to describe the efficacy (local control after 3 month) and acute toxicity for patients treated with a fully-integrated CBGS and (2) to compare treatment plans between the fully-integrated CBGS and Photon therapy defined for each patient, based upon OAR sparing for comparable target coverage.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Pathologically (histologically or cytologically) proven malignancy - Treatment planning analysis shows advantage to proton over photon treatments - both malignancies (such as thoracic tumors) as well as metastatic lesions (such as metastatic breast cancer or colorectal cancer to the lungs) are allowed - Patient must have CT confirmation of the tumor - Patients must have a life expectancy of > 6 months - Patients must have measurable disease to be treated with proton radiation (minimum tumor dimension at least 10 mm on CT imaging). - Patients must be a candidate for definitive radiation dose - There are no limits on prior therapy. Patients are allowed to have prior chemotherapy and surgery. Patients are allowed to have concurrent chemotherapy with radiation treatment. Patients are allowed to have chemotherapy or surgery after radiation treatment Exclusion Criteria: 1. Severe, active co-morbidity, defined as follows: 1. Unstable angina and/or congestive heart failure requiring hospitalization within the last 6 months 2. Transmural myocardial infarction within the last 6 months 3. Chronic obstructive pulmonary disease exacerbation or other respiratory illness other than the diagnosed lung cancer requiring hospitalization or precluding study therapy within 30 days before registration 4. Acquired immune deficiency syndrome (AIDS) based upon current CDC definition (protocol may be significantly immunosuppressive endangering AIDS patients) 2. Pregnancy or women of childbearing potential and men who are sexually active and not willing/able to use medically acceptable forms of contraception 3. Patients with life expectancy < 6 months 4. Patients that participate in another, active clinical trial carried out concurrently with this protocol

Gender: All

Minimum age: 18 Years

Maximum age: 90 Years

Healthy volunteers: No

Locations:

Facility:
Name: Hadassah Ein Karem

Address:
City: Jerusalem
Country: Israel

Status: Recruiting

Contact:
Last name: Irena Barsky

Phone: 0534304994
Email: IRAB@hadassah.org.il

Start date: March 30, 2023

Completion date: February 2026

Lead sponsor:
Agency: P-Cure
Agency class: Industry

Collaborator:
Agency: Hadassah Medical Organization
Agency class: Other

Source: P-Cure

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05549414

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