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Intraoperative Radiotherapy for Rectal Cancer Using the Photon Radiosurgery System

Primary Purpose

Rectal Neoplasm

Status
Terminated
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
Photon Radiosurgery System IORT
Photon Radiosurgery System IORT
Sponsored by
University of Dundee
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rectal Neoplasm focused on measuring Rectal neoplasm C04.588.274.476.411.307.790, Intraoperative Radiotherapy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Operable rectal cancer

Exclusion Criteria:

  • Locally advanced disease requiring long course pre-operative chemoradiation, metastatic disease

Sites / Locations

  • University of Dundee

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

12 Gray IORT

15 Gray IORT

Arm Description

Outcomes

Primary Outcome Measures

surgical complication rate

Secondary Outcome Measures

survival
local control

Full Information

First Posted
May 28, 2009
Last Updated
April 22, 2018
Sponsor
University of Dundee
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1. Study Identification

Unique Protocol Identification Number
NCT00910494
Brief Title
Intraoperative Radiotherapy for Rectal Cancer Using the Photon Radiosurgery System
Official Title
Intraoperative Radiotherapy (IORT) for Rectal Cancer Using the Photon Radiosurgery System (PRS): A Phase I Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Terminated
Why Stopped
No longer practical to deliver treatment
Study Start Date
January 2010 (undefined)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
March 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Dundee

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The investigators would like to test the safety and efficacy of intraoperative radiotherapy (IORT) in rectal cancer using the Photon Radiosurgery System (PRS).
Detailed Description
Rectal cancer is usually managed by a combination of surgery and x-ray treatments (radiotherapy). The standard way of delivering radiotherapy is with external 'beams' directed at the tumour site. However, although in rectal cancer these treatments are effective, patients are often troubled by late side effects. An alternative option is to deliver the x-rays at the same time as surgery. This is known as intraoperative radiotherapy, or IORT, and a number of techniques have already been tried. There is a new IORT technology known as the Photon Radiosurgery System (PRS) which we are using to treat breast and brain cancers. Our experience to date has informed us that IORT with this x-ray source is safe and effective. We would like to use the technology to treat rectal cancer and believe that it may improve disease outcomes without the side effects associated with standard radiotherapy. We would also like to study the biological processes that follow radiation. It is not understood why some people are more sensitive to x-ray treatments than others. If we knew the reasons for this then we might be able to individualise treatments.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rectal Neoplasm
Keywords
Rectal neoplasm C04.588.274.476.411.307.790, Intraoperative Radiotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
12 Gray IORT
Arm Type
Experimental
Arm Title
15 Gray IORT
Arm Type
Experimental
Intervention Type
Radiation
Intervention Name(s)
Photon Radiosurgery System IORT
Intervention Type
Radiation
Intervention Name(s)
Photon Radiosurgery System IORT
Primary Outcome Measure Information:
Title
surgical complication rate
Time Frame
30 days post treatment
Secondary Outcome Measure Information:
Title
survival
Time Frame
5 year
Title
local control
Time Frame
5 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Operable rectal cancer Exclusion Criteria: Locally advanced disease requiring long course pre-operative chemoradiation, metastatic disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alastair Munro, MBChB
Organizational Affiliation
University of Dundee
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Dundee
City
Dundee
State/Province
Tayside
ZIP/Postal Code
DD1 9SY
Country
United Kingdom

12. IPD Sharing Statement

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Intraoperative Radiotherapy for Rectal Cancer Using the Photon Radiosurgery System

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