Hypoxia-positron Emission Tomography (PET) and Intensity Modulated Proton Therapy (IMPT) Dose Painting in Patients With Chordomas
Hypoxia-PET and IMPT Dose Painting in Patients With Chordomas: A Pilot Study
1 other identifier
interventional
20
1 country
1
Brief Summary
Before radiation treatment is given to treat chordomas, CT and MRI scans are used to create a three dimensional picture of the tumor using x-rays. The CT and MRI scans are used to determine the size and location of the area that will receive radiation treatment. The purpose of this research study is to see if combining the images from the FMISO-PET scan and the CT and MRI scans in radiation treatment planning changes the size and location of the area that will receive radiation treatment when compared to planning the radiation treatment with CT and MRI scans alone.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jun 2008
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2008
CompletedFirst Submitted
Initial submission to the registry
July 9, 2008
CompletedFirst Posted
Study publicly available on registry
July 11, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2016
CompletedFebruary 3, 2017
February 1, 2017
8 years
July 9, 2008
February 2, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To evaluate if FMISO-PET is a feasible approach for the visualization of hypoxia in skull base and spinal CD.
2 years
Secondary Outcomes (2)
To investigate if using a Dose Painting/IMPT approach based on FMISO-PET/CT/MRI the irradiation dose can be escalated and the normal tissue be better spared in comparison to a IMPT approach based on anatomical imaging alone.
2 years
To evaluate and improve the precision of patients' positioning and image fusin using PET/CT for radiation treatment planning.
2 years
Study Arms (1)
(18F)-FMISO/CT
EXPERIMENTALThe study utilizes PET/CT scanning with (18F)-FMISO/CT in addition to standard used CT and MRI. Patients enrolled in this trial completed 2 PET/CT investigations, the first before proton radiation therapy and the second at a dose of approximately 30 Gy (24-36 Gy).
Interventions
2 scans at different time intervals: 2 weeks before and 3 weeks after the participants first proton radiation treatment.
Eligibility Criteria
You may qualify if:
- Skull base and spinal chordomas diagnosis based on pathology review by Department of Pathology at Massachusetts General Hospital
- Patient to be treated with proton or combined photon RT for primary CD or recurrent CD after surgery
- years of age or older
- Karnofsky Score of 60% or greater
- Gross tumor mass larger than 1cm (maximal diameter on MRI)
You may not qualify if:
- Recurrences after RT
- Pregnancy
- Allergic reaction to FMISO injection
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Massachusetts General Hospitallead
- National Cancer Institute (NCI)collaborator
Study Sites (1)
Massachusetts General Hospital
Boston, Massachusetts, 02214, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thomas F. DeLaney, MD
Massachusetts General Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Attending Radiation Oncologist
Study Record Dates
First Submitted
July 9, 2008
First Posted
July 11, 2008
Study Start
June 1, 2008
Primary Completion
June 1, 2016
Study Completion
June 1, 2016
Last Updated
February 3, 2017
Record last verified: 2017-02