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Trial Title: Multi-parametric Imaging in Personalized Radiotherapy

NCT ID: NCT05888064

Condition: Skull Base Chordoma

Conditions: Official terms:
Chordoma

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Diagnostic Test
Intervention name: diffusion MRI sequences
Description: Diffusion MRI sequences will be optimized to derive more accurate estimates of microstructure and microvasculature of tumour and healthy organs: multiple b-values will be acquired and advanced diffusivity models considered. MRI sequences to derive tumour hypoxia (i.e. indicative of radioresistance) will be also considered along with MR spectroscopy to evaluate tumour microenvironment.
Arm group label: Prospective non-invasive MRI acquisitions are planned to be performed

Summary: The study consists in the retrospective and prospective collection of imaging data (along with clinical information related to treatment) of skull-base chordoma patients treated with particle therapy, to derive imaging biomarkers which, integrated with advanced mathematical models, will allow predicting treatment outcome on a multi-scale basis.

Detailed description: The study design consists of the retrospective collection of routinely-acquired data (CT, MRI and dose maps, along with relevant clinical information) and the prospective acquisition of optimized non-invasive MR imaging data, of skull-based chordoma patients treated with particle therapy (PT) at the National Center for Oncological Hadrontherapy (CNAO, Pavia, Italy). This data will be stored in a proper repository under CNAO's control, shared with Politecnico di Milano through encrypted channels, and it will be used to implement mathematical models able to predict treatment outcome at different scales (macroscopic, microscopic and radiobiological).

Criteria for eligibility:

Study pop:
skull-based chordoma patients treated with particle therapy at the National Center for Oncological Hadrontherapy (CNAO, Pavia, Italy).

Sampling method: Probability Sample
Criteria:
Inclusion Criteria: - Patients with histologically confirmed diagnosis of chordoma of the skull base - Particle therapy with curative intent - Karnofsky Performance status greater than or equal to 60 - Patients with macroscopic disease detectable at pre-radiotherapy imaging - Patients undergoing PT with standardized treatment procedures - Patients who have signed the written informed consent for research Exclusion Criteria: - Metastatic disease - Palliative treatment - Other malignancies with disease-free interval < 5 years (excepting pre- cancerous lesions) - Pregnancy - Simultaneous CHT or Immunotherapy - Extensive metal instrumentation/implants - Patients with autoimmune diseases (ADs) -including collagen-vascular (CVD) and inflammatory bowel (IBD)

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: CNAO

Address:
City: Pavia
Zip: 27100
Country: Italy

Status: Recruiting

Contact:
Last name: Cristina Bono, MSc

Phone: 0382078613
Email: cristina.bono@cnao.it

Start date: April 19, 2022

Completion date: August 18, 2025

Lead sponsor:
Agency: CNAO National Center of Oncological Hadrontherapy
Agency class: Other

Collaborator:
Agency: Dept. of Electronics, Informatics, Bioengineering, Politecnico di Milano, Italy
Agency class: Other

Source: CNAO National Center of Oncological Hadrontherapy

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05888064

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