Recurrent Rectal Cancer Clinical Trial
Official title:
Magnetic Resonance-Guided High Intensity Focused Ultrasound for Recurrent Rectal Cancer - A Pilot Study
NCT number | NCT02528175 |
Other study ID # | 273-2011 |
Secondary ID | 226861 |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | April 2015 |
Est. completion date | April 2022 |
Verified date | December 2023 |
Source | Sunnybrook Health Sciences Centre |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This pilot study hypothesizes that hyperthermia delivered via magnetic resonance-guided focused ultrasound (MRg-FU) is technically feasible and can be safely used in combination with concurrent reirradiation and chemotherapy for the treatment of recurrent rectal cancer. Twenty recurrent rectal cancer patients who are not candidates for surgery will be recruited for hyperthermia treatment delivered via MRg-FU concurrent with reirradiation and oral chemotherapy.
Status | Completed |
Enrollment | 6 |
Est. completion date | April 2022 |
Est. primary completion date | April 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Able to give informed consent - Weight <140kg - Biopsy-proven recurrent rectal adenocarcinoma - Assessed by the treating surgeon, medical oncologist and radiation oncologist, and following a multidisciplinary discussion, determined to have unresectable and/or inoperable disease in the presence or absence of distant metastases - Assessed by the treating radiation oncologist and medical oncologist determined to be fit for reirradiation and chemotherapy - Prior pelvic radiotherapy - Target lesion visible by MR - Target lesion accessible for MRg-FU procedure - Target lesion maximum dimension = 6cm - Able to communicate sensation during MRg-FU treatment Exclusion Criteria: - Abdominal or pelvic surgery (excluding biopsy) = 6 weeks prior to study enrolment - Chemotherapy or other systemic anti-cancer agent = 6 weeks prior to enrolment - Previous radiotherapy = 6 weeks prior to enrolment - Recurrent tumour involves small bowel - Unable to characterize pain - Pregnant / Nursing woman - Orthopaedic implant along proposed MRg-FU beam path or at site of target lesion. - Serious cardiovascular, neurological, renal or hematological chronic disease - Active infection - Unable to tolerate required stationary position during treatment - Allergy to MR contrast agent or sedation |
Country | Name | City | State |
---|---|---|---|
Canada | Sunnybrook Health Sciences Centre | Toronto | Ontario |
Lead Sponsor | Collaborator |
---|---|
William Chu, MD, MSc, FRCPC | Philips Medical Systems |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Acute toxicities | Gastrointestinal and genitourinary toxicities assessed as per Common Toxicity Criteria for Adverse Effects (CTCAE) v4.0 after each MRg-FU treatment and 30, 60 and 90 days post-treatment. | 3 months | |
Secondary | Late toxicities | Gastrointestinal and genitourinary toxicities assessed as per CTCAE v4.0 every 6 months post-treatment for three years. | 3 years | |
Secondary | The efficacy of MRg-FU in reducing pain | Patient reported pain will be assessed through completion of the Brief Pain Inventory (BPI) and reporting of analgesic usage after each MRg-FU treatment, monthly post-treatment for three months and every 6 months post-treatment for 3 years. | 3 years | |
Secondary | Patient quality of life | Patient reported quality of life will be assessed through completion of the European Organization for Research and Treatment of Cancer (EORTC) Functional Assessment of Cancer Therapy - Colorectal (FACT-C) questionnaire after each MRg-FU treatment, monthly post-treatment for three months and every 6 months post treatment for 3 years. | 3 years | |
Secondary | Assessment of radiologic response following treatment. | Assessment of response using the EORTC Response Evaluation Criteria in Solid Tumors (RECIST) criteria. | 3 years |
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