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Trial Title: 3D Printed Custom Applicators for HDR BT (DISCO)

NCT ID: NCT06432478

Condition: Gynecologic Cancer
Endometrial Cancer
Vaginal Cancer
Vulva Cancer

Conditions: Official terms:
Endometrial Neoplasms
Vaginal Neoplasms
Vulvar Neoplasms

Conditions: Keywords:
3D-printed applicator
Gynaecological Cancer
Brachytherapy

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Device
Intervention name: 3D-printed custom applicator
Description: 3D-printed custom applicator
Arm group label: Gynaecological HDR brachytherapy patients

Summary: Intracavitary brachytherapy for gynaecological cancer currently use cylinder-type applicators or custom wax moulds to place a radioactive source in close proximity to the treatment area and provide highly conformal dose distributions. This study is a Phase IIa non-randomised interventional pilot trial that will investigate the feasibility of successfully treating patients with 3D-printed custom applicators.

Detailed description: Intracavitary brachytherapy for gynaecological cancer currently use cylinder-type applicators or custom wax moulds to place a radioactive source in close proximity to the treatment area and provide highly conformal dose distributions. Current workflows for designing and constructing custom applicators with wax moulds are complex, time consuming and can result in a device that fails to meet original design specifications dictated by the planning system. In contrast, 3D-printed custom applicators provide the ability to design and print patient-specific devices that match optimal design specifications. The workflow for 3D-printed applicators is also more efficient with lower turn-around time and labour/equipment costs, and ensures a more robust product for treatment. Despite these advantages there is currently no radiotherapy department offering 3D printed custom applicators at present. This study will investigate the feasibility of successfully treating gynaecological cancers with 3D-printed custom applicators.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Able to give informed consent - Patients indicated for intracavitary brachytherapy - FIGO stage I-IVA - ECOG 0-2 - Primary endometrial cancer, primary vaginal cancer, primary vulva cancer, recurrent gynaecological cancer Exclusion Criteria: - Pregnancy - Patients contraindicated for brachytherapy - Inflammatory bowel disease/history of adhesions/bowel obstruction - Renal transplant/horseshoe kidney - Patients with significant LVSI or pelvic sidewall invasion - Patients requiring interstitial brachytherapy implants

Gender: Female

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Royal North Shore Hospital

Address:
City: St Leonards
Zip: 2067
Country: Australia

Status: Recruiting

Contact:
Last name: Carol Kwong

Phone: 02 9463 1339
Email: Carolyn.Kwong@health.nsw.gov.au

Contact backup:
Last name: Heidi Tsang

Phone: 02 9463 1340
Email: Heidi.Tsang@health.nsw.gov.au

Start date: November 24, 2023

Completion date: September 2028

Lead sponsor:
Agency: Royal North Shore Hospital
Agency class: Other

Source: Royal North Shore Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06432478

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