NCT04545957

Brief Summary

This is a master protocol for a prospective Phase I-II study evaluating feasibility and efficacy of incorporating magnetic resonance imaging (MRI) simulation into the planning of radiation treatments.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
86

participants targeted

Target at P50-P75 for not_applicable prostate-cancer

Timeline
54mo left

Started Oct 2020

Longer than P75 for not_applicable prostate-cancer

Geographic Reach
1 country

2 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress56%
Oct 2020Oct 2030

First Submitted

Initial submission to the registry

September 4, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 11, 2020

Completed
1 month until next milestone

Study Start

First participant enrolled

October 14, 2020

Completed
10 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 22, 2030

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 22, 2030

Last Updated

July 28, 2025

Status Verified

May 1, 2025

Enrollment Period

10 years

First QC Date

September 4, 2020

Last Update Submit

July 24, 2025

Conditions

Keywords

Prostate CancerRecurrent AdenocarcinomaLiver CancerHead and Neck Cancer

Outcome Measures

Primary Outcomes (2)

  • Feasibility of acquiring MRI simulation prior to radiation therapy planning

    Feasibility is defined as successfully enrolling patients, successfully acquiring MR data at the specified timepoint in a patient's care plan and ability to identify the radiation target and develop a radiation therapy plan on the MR data

    1 Year

  • Proportion of patients with QOL decline exceeding 2 x MID

    12 points; MID of the EPIC-26 urinary irritative/obstructive domain is 6 points) measured by EPIC-26 urinary irritation/obstruction domain from baseline to 2 years

    baseline up to 24 months

Secondary Outcomes (8)

  • Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.0

    24 Months

  • MRI evidence of disease at 2 years from treatment initiation.

    24 Months

  • PSA progression (nadir + 2) at 2 years from treatment initiation

    24 months

  • Progression free survival

    24 months

  • Change in target volumes between CT simulation and MRI simulation

    24 Months

  • +3 more secondary outcomes

Study Arms (3)

Phase I MRI Simulation

EXPERIMENTAL

This research study involves a screening period to determine eligibility. \- Radiation mapping to define the target for radiation.acquiring MR data at the specified timepoint in a patient's care plan and ability to identify the radiation target and develop a radiation therapy plan on the MR data.

Device: MRI SimulatorRadiation: Radiation Therapy

Phase II MR Simulation Protocol: Track A

EXPERIMENTAL

MR-only Radiation Therapy Simulation MRI-simulation and synthetic CT to plan treatment

Device: MRI SimulatorRadiation: Radiation Therapy

Phase II MR Simulation Protocol: Track B

EXPERIMENTAL

Adjusted Margin or / Dose Painted RT Based on Imaging of MR Simulator (e.g. biological imaging or higher resolution imaging)

Device: MRI SimulatorRadiation: Radiation Therapy

Interventions

Radiation mapping to define the target for radiation.acquiring MR data at the specified timepoint in a patient's care plan and ability to identify the radiation target and develop a radiation therapy plan on the MR data.

Phase I MRI SimulationPhase II MR Simulation Protocol: Track APhase II MR Simulation Protocol: Track B

In Phase I, radiation will be institutional standard per disease site. In Phase II, either radiation according to MR-based dose painting or adjusted RT. These adjusted doses and/or RT will vary per disease site and will be pre-specified in the subprotocols.

Phase I MRI SimulationPhase II MR Simulation Protocol: Track APhase II MR Simulation Protocol: Track B

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants must have a confirmed malignancy requiring radiation therapy.
  • Age: 18 years or older
  • ECOG performance status ≤2 (Karnofsky ≥60%, see Appendix A)
  • Ability to understand and the willingness to sign a written informed consent document.
  • Disease-specific eligibility criteria will be specified in the appropriate subprotocol.

You may not qualify if:

  • For MRI involving contrast, history of allergic reactions attributed to gadolinium based IV contrast. Note: If patient will not receive contrast, this is not applicable
  • Participants who cannot undergo an MRI

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Brigham and Women Hospital

Boston, Massachusetts, 02115, United States

RECRUITING

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

RECRUITING

MeSH Terms

Conditions

Prostatic NeoplasmsAdenocarcinomaLiver NeoplasmsHead and Neck Neoplasms

Interventions

Radiotherapy

Condition Hierarchy (Ancestors)

Genital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital DiseasesCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeDigestive System NeoplasmsDigestive System DiseasesLiver Diseases

Intervention Hierarchy (Ancestors)

Therapeutics

Study Officials

  • Raymond Mak, MD

    Brigham and Women's Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Raymond Mak, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

September 4, 2020

First Posted

September 11, 2020

Study Start

October 14, 2020

Primary Completion (Estimated)

October 22, 2030

Study Completion (Estimated)

October 22, 2030

Last Updated

July 28, 2025

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will share

The Dana-Farber / Harvard Cancer Center encourages and supports the responsible and ethical sharing of data from clinical trials. De-identified participant data from the final research dataset used in the published manuscript may only be shared under the terms of a Data Use Agreement. Requests may be directed to Sponsor Investigator or designee. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Data can be shared no earlier than 1 year following the date of publication
Access Criteria
Contact the Partners Innovations team at http://www.partners.org/innovation

Locations