NCT05055635

Brief Summary

This protocol aims to determine toxicity and efficacy of re-irradiation for patients with recurrences from anal cancers with dose-escalated pencil beam proton therapy either pre-operative for marginally resectable recurrences or as a definitive treatment strategy (un-resectable, operation declined etc.). The over-all aim is to improve local tumor control with acceptable side effects.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
55

participants targeted

Target at P25-P50 for phase_2

Timeline
51mo left

Started Jul 2021

Longer than P75 for phase_2

Geographic Reach
1 country

1 active site

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 Progress54%
Jul 2021Jul 2030

Study Start

First participant enrolled

July 7, 2021

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

July 8, 2021

Completed
3 months until next milestone

First Posted

Study publicly available on registry

September 24, 2021

Completed
5.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 6, 2027

Expected
3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

July 6, 2030

Last Updated

September 24, 2021

Status Verified

July 1, 2021

Enrollment Period

6 years

First QC Date

July 8, 2021

Last Update Submit

September 14, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Local control

    MRI

    12 months

Secondary Outcomes (13)

  • Local re-recurrence

    6 and 24 months

  • Progression free survival

    3-5 year FU

  • Overall survival

    3-5 year FU

  • Pathological evaluation of R0, R1 or R2 resection

    6 months

  • Toxicity

    up to 6 weeks, 1 year, 3 year

  • +8 more secondary outcomes

Study Arms (1)

Doseescalated pencil beam proton therapy

EXPERIMENTAL

Neo-adjuvant or definitive pencil beam proton therapy: 55 Gy(RBE)/44fx - 65 Gy(RBE)/52 fx (1.25 Gy per fraction), two fractions a day.

Radiation: Pencil beam proton therapy

Interventions

Neo-adjuvant or definitive pencil beam proton therapy: 55 Gy(RBE)/44fx - 65 Gy(RBE)/52 fx (1.25 Gy per fraction), two fractions a day

Doseescalated pencil beam proton therapy

Eligibility Criteria

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

You may qualify if:

  • Recurrent anal cancer
  • Bioptically verified (squamous cell carcinoma)
  • Available dose plan from primary radiotherapy
  • Previous RT (\>30Gy EQD2)
  • Evaluated in MDT-conferences (Herlev, Aarhus)
  • Age\>18 years
  • PS 0-2
  • Adequate organ function
  • Written informed consent

You may not qualify if:

  • Distant metastases deemed without curative intended treatment options (PET-CT)
  • Unable to undergo MRI, PET-CT
  • Inability to attend full course radiotherapy and follow up in the outpatient clinic.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Danish Centre for Particle Therapy

Aarhus N, Aarhus, 8200, Denmark

RECRUITING

MeSH Terms

Conditions

Anus Neoplasms

Condition Hierarchy (Ancestors)

Rectal NeoplasmsColorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesIntestinal DiseasesAnus DiseasesRectal Diseases

Central Study Contacts

Camilla Kronborg, MD, PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 8, 2021

First Posted

September 24, 2021

Study Start

July 7, 2021

Primary Completion (Estimated)

July 6, 2027

Study Completion (Estimated)

July 6, 2030

Last Updated

September 24, 2021

Record last verified: 2021-07

Data Sharing

IPD Sharing
Will not share

Locations