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SAbR With Oligo-Progressive Renal Cell Cancer.

赞助:
合作者:
信息的提供 (责任方):
September 28, 2018
October 4, 2018
October 4, 2018
October 1, 2018
October 1, 2020   (主要结果测量的最终数据收集日期)
Time to change of systemic therapy[ Time Frame: 2 Years ]
SAbR for oligo-progression will be measured to delay the change of systemic therapy.

与当前相同
  • Progression-free survival (PFS)[ Time Frame: 6 years ]
    Progression-Free Survival on systemic therapy started (PFS-ST) after progression on SAbR with existing or new progression at >3 or >30% of all lesions.
  • Acute & Delayed Toxicity[ Time Frame: 6 Years ]
    Severity or Toxicity will be assessed according to the National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE), version 4.0. The consequences of toxicity should all be graded 1-5 according to the Common Terminology Criteria for Adverse Events (CTCAE), version 4.0.
  • Local Control[ Time Frame: 6 Years ]
    Radiographic progression with >20% increase in the longest diameter of the treated lesions.
  • Health-related quality of life (HRQOL)[ Time Frame: 6 Years ]
    HRQOL will be measured using FACT-G.
  • Health-related quality of life (HRQOL)[ Time Frame: 6 years ]
    HRQOL will be measured using EQ-5D-5L.
  • Quality of life (QOL)[ Time Frame: 6 years ]
    HRQOL will be measured using FKSI.
  • Quality of life with cost involved[ Time Frame: 6 years ]
    QOL will be measured using Cost & Convenience Questionnaire.
 
SAbR With Oligo-Progressive Renal Cell Cancer.
A Phase II Trial of Stereotactic Ablative Radiation Therapy (SAbR) for Patients With Oligo-progressive Renal Cancer (RCC).

Metastatic kidney cancer patients on systemic therapy often develop resistance to limited sites that leads to changing of the systemic therapy. Local therapy to the sites of progression may allow patients to continue on the same systemic therapy that is otherwise effective and being tolerated well. Hypothesis: Stereotactic ablative radiation (SAbR) can delay the change of systemic therapy with oligoprogressive renal cell cancer (RCC) and improve progression free survival (PFS). Primary Objectives: • To evaluate the benefit of SAbR for oligo-progressive mRCC. Secondary Objectives: • To measure the toxicity, safety and tolerance of concurrent systemic therapy and SAbR for mRCC patients and its impact on quality of life.

The study is a prospective phase II, single arm, open label trial evaluating Stereotactic Ablative Radiation Therapy (SAbR) for patients with oligo-progressive RCC. Problem Statements: - Can local therapy (SAbR) for oligoprogression delay the change of systemic therapy if progression is minimal to the progressive sites? - Safely delaying the change of systemic therapy can have significant quality of life benefits for patients with oligo-progressive RCC. - Can SAbR potentially improve progression free survival in oligoprogressive RCC patients? Primary Endpoint: • Time to change of systemic therapy. Secondary Endpoint: - To measure the toxicity, safety and tolerance. - To evaluate the progression free survival (PFS) on subsequent systemic therapy after progression on SAbR. - To measure the impact on health-related quality of life (HRQOL). - To evaluate local control of SAbR for RCC Sample Size: 20 Patients Statistical Analysis: Time to event will be estimated using the Kaplan-Meier approach along with the 95% confidence interval.
Interventional
Phase 2
分配:
干预模型: Single Group Assignment
干预模型描述:
盲法: Interventional
盲法描述:
主要目的: Treatment
  • Radiation: Stereotactic ablative body radiation (SABR)
    SAbR treatment regimens including ≥25Gy x1 fraction, ≥12Gy x 3 fractions, or ≥8Gy x 5 fractions.
  • Experimental: Stereotactic ablative body radiation (SABR)
    SAbR will be used to treat all sites of measurable metastases. New sites of metastasis will be treated if deemed appropriate by both medical and radiation oncologists with SAbR.
 
Recruiting
20
与当前相同
October 1, 2024
October 1, 2020   (主要结果测量的最终数据收集日期)
Inclusion Criteria: - Metastatic renal cell carcinoma with systemic therapy (oligo-progression defined as ≤3 sites of metastasis). - Radio-graphic evidence of metastatic disease. Exclusion Criteria: - Subjects with ≥3 unfavorable prognostic factors defined by IMDC. - Subjects with history of or new brain metastasis.
参与研究的性别: All
最小年龄:18 Years ,最大年龄:99 Years  
没有
United States
 
Yes
研究美国FDA监管的药品: No
研究涉及美国FDA监管的设备产品: No
计划分享 IPD:
University of Texas Southwestern Medical Center
Principal Investigator: Raquibul Hannan, MD, PhD University of Texas
October 2018

ICMJE     国际医学期刊编辑委员会和 世界卫生组织 ICTRP 要求的元素
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