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Trial Title: FLASH Radiotherapy for Skin Cancer

NCT ID: NCT05724875

Condition: Basal Cell Carcinoma
Cutaneous Squamous Cell Carcinoma

Conditions: Official terms:
Carcinoma
Carcinoma, Squamous Cell
Carcinoma, Basal Cell

Conditions: Keywords:
FLASH therapy
basal cell carcinoma
cutaneous squamous cell carcinoma
high dose rate radiotherapy

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Device
Intervention name: FLASH RT
Description: For T1 (small) lesions: 22 Gy single dose FLASH RT; For T2 (large) lesions: 5 x 6 Gy fractionated dose FLASH RT
Arm group label: Arm A: FLASH RT

Other name: High dose rate radiotherapy

Intervention type: Device
Intervention name: Conventional RT
Description: For T1 (small) lesions: 22 Gy single dose conventional RT; For T2 (large) lesions: 5 x 6 Gy fractionated dose conventional RT
Arm group label: Arm B: Conventional RT

Summary: This is a single center randomized selected Phase II study of FLASH radiotherapy (RT) versus standard of care (SOC) radiotherapy in patients with localized Cutaneous Squamous Cell Carcinoma (cSCC) or Basal Cell Carcinoma (BCC). In summary, the aims of the study are to describe and compare the toxicity and efficacy of high dose rate radiotherapy (FLASH therapy) to SOC conventional radiotherapy (according to the standard guidelines per lesion size) through a randomized Phase II selection study in patients presenting localized cSCC or BCC requiring a radiotherapy treatment.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Signed study Informed Consent Form - Karnofsky Performance Status (KPS) ≥ 60 - Age ≥ 60 years - Patients with histologically proven cSCC or BCC - Patients requiring radiotherapy treatment according to the dermato-oncology tumor board: patients who cannot undergo surgical procedure or patients who decline surgical resection, and/or anatomical locations where surgery can compromise function or cosmesis. - T1-T2 N0 lesions with a small (T1; lesion ≤ 2cm in diameter) or large (T2; 2cm < lesion ≤ 4 cm) volume (TNM Classification of Malignant Tumours (TNM) Union for International Cancer Control (UICC), 8th Edition) - Lesions should be at least 4 cm apart if treated with 2 different modalities (including surgical treatment of lesions). Lesions should not be located on the face, except on the forehead, above a line situated 1 cm above the eyebrows. Lesions located on the scalp can be treated. Exclusion Criteria: - Previous radiotherapy in the treated area - Concomitant auto-immune disease with skin lesions - Concomitant use of radio-sensitizer drug - Cognitive disorders not compatible with the signature of informed consent or that may compromise compliance with the requirements of the study - Current, recent (within 10 days prior to start of study treatment), or planned participation in an experimental drug study (before end of treatment (EOT) visit) - Concomitant use of systemic oncological treatment for a cancer other than the skin cancer(s)

Gender: All

Minimum age: 60 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Centre Hospitalier Universitaire Vaudois (CHUV)

Address:
City: Lausanne
Zip: 1011
Country: Switzerland

Status: Recruiting

Contact:
Last name: Olivier Gaide, MD, PhD

Phone: 0041213140111
Email: olivier.gaide@chuv.ch

Start date: June 22, 2023

Completion date: September 2026

Lead sponsor:
Agency: Centre Hospitalier Universitaire Vaudois
Agency class: Other

Source: Centre Hospitalier Universitaire Vaudois

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05724875

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