Breast Cancer Clinical Trial
Official title:
Evaluation of CPAP (Continuous Positive Airway Pressure) in the Planning of Radiation Treatments for Lung, Upper Abdomen and Left Breast Cancers
This is a clinical study on patients to compare the effects of CPAP on lung volume diaphragm motion, heart position and tumor motion compared to free breathing. Only patients with significant tumor motion of greater than 1 cm amplitude or unfavorable chest wall geometry (heart close to chest wall) identified on standard imaging and simulation will be candidates for the study. Patients will be re- simulated and planned for radiation treatments with CPAP. The radiation plans generated with and without CPAP will be compared to evaluate the impact of CPAP on tumor motion and dose delivered to adjacent critical structures such as the heart and lung.
Status | Recruiting |
Enrollment | 30 |
Est. completion date | December 2015 |
Est. primary completion date | December 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Lung tumors and nodules with tumor motion greater than 1 cm on standard imaging - Left sided breast tumors with unfavorable anatomy, viz heart abutting chest wall - Upper abdominal tumors: Liver and Pancreas with tumor motion greater than 1 cm. (n=10) Exclusion Criteria: - Under 18 years old - Inability to sign informed consent - Pregnancy, - Mental Illness, - Not legally competent |
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Israel | Sheba_Medical_Center | Tel Hashomer |
Lead Sponsor | Collaborator |
---|---|
Sheba Medical Center |
Israel,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Tolerability of CPAP | Percentage of patients who tolerate CPAP | immediate | Yes |
Primary | Reduction in amplitude of tumor motion | Measurement of the Internal Target Volume in cc | 2 months | No |
Secondary | Reduction of radiation dose to critical organs | Mean Lung dose, Mean Heart dose measured in Gy | 2 months | No |
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