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Neoplasm Metastasis clinical trials

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NCT ID: NCT05010031 Recruiting - Metastatic Cancer Clinical Trials

A Study of Reduced-dose Radiation in People With Metastatic Tumors With a Genetic Change

Start date: August 11, 2021
Phase: Phase 2
Study type: Interventional

This study will test whether reduced-dose radiotherapy is an effective treatment for metastatic tumors with an ATM mutation. The researchers want to find the lowest dose of radiation that would still be effective to treat these tumors.

NCT ID: NCT05002686 Recruiting - Gastric Cancer Clinical Trials

Safety and Efficacy of Sintilimab in Combination With Chemoradiothrapy Followed by D2 Surgical Resection in Patients With Advanced Gastric Cancer With Retroperitoneal Lymph Node Metastasis

Start date: August 7, 2021
Phase: Phase 2/Phase 3
Study type: Interventional

Gastric cancer with retroperitoneal lymph node metastasis was considered as unresectable, to improve these patients' prognosis, we designed systematic conversion therapy including immunotherapy and chemoradiotherapy. The purpose of this study is to estimate safety and efficacy of Sintilimab in combination with chemoradiothrapy followed by D2 surgical resection in patients with advanced gastric cancer with retroperitoneal lymph node metastasis.

NCT ID: NCT04992013 Recruiting - Metastatic Cancer Clinical Trials

Niraparib in Tumors Metastatic to the CNS

Start date: April 5, 2022
Phase: Phase 2
Study type: Interventional

This research is being done to see how effective the drug niraparib is against cancer that has metastasized to the central nervous system (CNS). - This research study involves the study drug niraparib.

NCT ID: NCT04989725 Recruiting - Clinical trials for Head and Neck Cancer

Stereotactic Ablative Radiotherapy for Oligo-Progressive Disease REfractory to Systemic Therapy in Metastatic Cancer

SUPPRESS
Start date: October 1, 2021
Phase: Phase 2
Study type: Interventional

A registry-based randomized phase II trial. A total of 46 patients with metastatic head and neck cancer on systemic therapy with oligoprogression to 1-5 extracranial lesions will be randomized using a 1:1 ratio to standard of care (begin next-line systemic therapy, best supportive care, continue current systemic line, based on treating physician decision) vs. receive stereotactic ablative radiotherapy to all oligoprogressive lesions while continuing their current systemic therapy.

NCT ID: NCT04989192 Recruiting - Neoplasms Clinical Trials

Dose Efficiency of Modern CT Scanners in Oncologic Scans

Start date: August 17, 2021
Phase: N/A
Study type: Interventional

CT-Staging is crucial for therapy planning of patients with malignancies. Dose efficiency and image quality are important parameters for these examinations. Up to now, scientific evidence of dose efficiency of modern CT scanners is mostly derived from retrospective analyses. This prospective study systematically analyzes dose efficiency and image quality of three modern CT scanners by randomization of patients who are scheduled for a CT scan to examine the status of malignancies. After giving informed consent and randomization (1:1:1), the CT scan will be performed at one of the modern CT scanners available at our department. This will allow a systematic allocation to the different scanners.

NCT ID: NCT04987086 Recruiting - Renal Cancer Clinical Trials

68Ga-PSMA PET in the Renal Cell Carcinoma

Start date: June 1, 2021
Phase: N/A
Study type: Interventional

The primary research purpose is to evaluate the diagnostic efficacy of 68Ga-PSMA PET in metastatic lesions of locally advanced and advanced renal cell carcinoma, and to compare with that of enhanced CT. The second purpose is to evaluate whether 68Ga-PSMA PET can change the treatment decision of patients with locally advanced and advanced renal cell carcinoma

NCT ID: NCT04986696 Recruiting - Clinical trials for Metastasis From Malignant Melanoma of Skin (Diagnosis)

Irradiation of Melanoma in a Pulse

IMPulse
Start date: July 1, 2021
Phase: N/A
Study type: Interventional

This is a single center phase I, first-in-human, dose escalation study of FLASH therapy in patients with metastases of melanoma. The trial is based on escalating single doses of FLASH therapy administered to skin melanoma metastases using the Mobetron® with high dose rate (HDR) functionality. The aim of the study is to evaluate a dose escalation of high dose rate radiotherapy (FLASH therapy) as single dose treatment for skin melanoma metastases that progress locally despite systemic treatments. Melanoma is a typically radio-resistant tumor type, which can justify such a dose escalation with a new type of radiotherapy that appears much better tolerated than conventional radiotherapy.

NCT ID: NCT04983199 Recruiting - Metastatic Cancer Clinical Trials

Patient Reported Outcomes/Metrics Program Trial

PROMPT
Start date: November 24, 2022
Phase:
Study type: Observational

This is an observational study to investigate if it is feasible to recruit 100 patients receiving radiotherapy (RT) to metastatic disease to wear Hexoskin and if Hexoskin will facilitate the monitoring, detection and early treatment of RT-related side effects.

NCT ID: NCT04980287 Recruiting - Colon Cancer Clinical Trials

Mesogastrium Metastasis in Colon Cancer

Start date: January 12, 2021
Phase:
Study type: Observational

Complete mesocolic excision is currently recognized as a standard procedure for colon cancer. Controversy remains on the presence of right gastroepiploic mesentery metastasis in patients with colon cancer locating at or close to the hepatic flexure. The investigators design this study in order to define the incidence of mesogastrium metastasis and analyse the safety and surgical outcome in these patients who undergo complete mesocolic excision with right gastroepiploic mesentery resection.

NCT ID: NCT04978753 Recruiting - Clinical trials for Non-small Cell Lung Cancer

the Efficacy and Safety of Anlotinib Combined With Almonertinib in the First-line Treatment of Patients With Brain Metastases From EGFR Mutation-positive Non-small Cell Lung Cancer

Start date: May 1, 2021
Phase: Phase 2
Study type: Interventional

Subject population:Patients with brain metastases from EGFR mutation-positive non-small cell lung cancer who have not received systemic treatment. Experimental design: Single-center, single-arm phase II clinical trial. Purpose: Efficacy and safety of Anlotinib combined with Almonertinib in the treatment of patients with brain metastases from EGFR mutation-positive non-small cell lung cancer. treatment plan: 1). Anlotinib: 12mg/time (BSA≥1.6 m2) or 10mg/time (BSA<1.6 m2), once a day orally, taking two weeks and stopping for one week; 2). Almonertinib: 110mg, orally once a day; primary endpoint: Intracranial progression-free survival (iPFS); secondary endpoint: Objective intracranial response rate (iORR=iCR+iPR), intracranial disease control rate (iDCR=iCR+iPR+i SD), overall progression-free survival (PFS), overall survival (OS), quality of life score.