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Radiation Toxicity clinical trials

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NCT ID: NCT05258422 Enrolling by invitation - Clinical trials for Ventricular Tachycardia

Stereotactic Arrhythmia Radioablation for Ventricular Tachycardia (StAR-VT)

StAR-VT
Start date: July 1, 2023
Phase: Phase 2
Study type: Interventional

In 2017 a novel treatment approach to a series of 5 patients with refractory VT was introduced, using ablative radiation with a stereotactic body radiation therapy (SBRT) technique to arrhythmogenic scar regions defined by noninvasive cardiac mapping. More recently, Robinson et al. reported on the results of their Electrophysiology-Guided Noninvasive Cardiac Radioablation for Ventricular Tachycardia (ENCORE-VT) trial, also using a similar SBRT technique in a series of 17 patients with refractory VT. Both studies report a marked reduction in VT burden, a decrease in antiarrhythmic drug use, and an improvement in quality of life. Since then, numerous other centres have detailed their initial experience with this technique. These initial results suggest that this new treatment paradigm has the potential to improve morbidity and mortality for patients suffering from treatment-refractory VT by means of a minimally invasive technique, but requires further validation for widespread use. The appropriate dose for therapeutic effect of this new treatment is not well established as only a single dose prescription of 25 Gy in 1 fraction has been described with benefit. In this phase 2 trial, the investigators plan on expanding the experience with this technique but also by contributing to understanding the relationship between dose-effect relationship through a dose de-escalation stratification, to 20 Gy in 1 fraction, with the goal of minimizing possible adverse events and radiation dose to surrounding healthy tissue while maintaining a clinical benefit.

NCT ID: NCT04305613 Enrolling by invitation - Radiation Toxicity Clinical Trials

Cardiotoxicity in Locally Advanced Lung Cancer Patients Treated With Chemoradiation Therapy

CLARITY
Start date: September 14, 2020
Phase:
Study type: Observational

This observational cohort will evaluate the cardiovascular effects of chemoradiation used to treat locally advanced, non-small cell lung cancer. Patients will be enrolled prior to the start of therapy and followed during and for at least 2 years after therapy with echocardiograms, nuclear stress tests, blood sampling, and quality of life surveys.

NCT ID: NCT04047823 Enrolling by invitation - Radiation Toxicity Clinical Trials

Temperature and Injury in Radiotherapy Radiation Skin Injury

Start date: October 2, 2016
Phase:
Study type: Observational

the main purpose of the present study was threefold: (1) to describe the thermographic response after radiation; (2) to investigate whether there was a significant temperature change over time and among the different radiation-dermatitis score; and (3) to test if temperature change could be used to predict the development of radiation-induced skin injury in the incipient stage.

NCT ID: NCT03876197 Enrolling by invitation - Radiation Toxicity Clinical Trials

Mesenchymal Stem Cells for Radiation-induced Xerostomia

Start date: August 1, 2020
Phase: Phase 1/Phase 2
Study type: Interventional

A prospective study for long-term follow-up (LTFU) to evaluate safety and efficacy in subjects who participated in the Phase 1/2 randomized placebo-controlled trial MESRIX.