Adaptive Proton Therapy for Pediatric Solid Tumors and Hodgkin's Lymphoma
This study is looking at how to make proton therapy (a type of radiation treatment that targets tumors precisely) even better for children with solid tumors like Rhabdomyosarcoma, Ewing sarcoma, Osteosarcoma, other sarcomas and carcinomas, or Hodgkin's lymphoma. During treatment, a child's body and tumor can change, which might make the original radiation plan less accurate. This study uses regular low-dose imaging (CT scans weekly or every other week, and MRI if needed) to check for these changes. If the tumor coverage drops by more than 5% or if healthy tissues get too much radiation, the treatment plan will be updated. The goal is to see how often these plans need to be adjusted and if this adaptive approach improves tumor control and reduces side effects. About 100 patients at St. Jude Children's Research Hospital will participate. The study's status is unclear.
- Study design
- This is a single-arm study involving about 100 pediatric patients. It is an interventional study, but the phase is not specified.
- What's involved
- You would receive additional CT scans, and MRI when needed, during your proton therapy, either weekly or every other week for the duration of your treatment (about 6 to 10 weeks).
- Compensation
- Not stated in the trial record.
- Follow-up
- The primary outcomes are measured during on-therapy imaging, which occurs for the duration of your treatment course (roughly 6 to 10 weeks).
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Integration of Adaptive Proton Therapy in Pediatric Solid Tumors and Hodgkin's Lymphoma
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Ozgur Ates, PhD · PRINCIPAL_INVESTIGATOR · St. Jude Children's Research Hospital
Who to contact
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Do you actually qualify for this trial?
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Inclusion
Exclusion
What this trial measures
- Rate of Replanning TreatmentCaptured during on-therapy imaging (occurring either weekly or bi-weekly) for the duration of the patient's treatment course (varies depending on individual cases, anywhere from roughly 6 weeks to 10 weeks)
Descriptive statistics for number of cases replanned during treatment course will be reported
- Tumor Control Probability (TCP) and Normal Tissue Complication Probability (NTCP)Captured during on-therapy imaging (occurring either weekly or bi-weekly) for the duration of the patient's treatment course (varies depending on individual cases, anywhere from roughly 6 weeks to 10 weeks)
Descriptive statistics for V95% (tumor coverage) and OAR (organs-at-risk) will be reported, as well as signed-rank tests to evaluate adaptive planning effectiveness
- Correlation between tissue discrepancies and changes in proton range, and deviations from intended plan qualityCaptured during on-therapy imaging (occurring either weekly or bi-weekly) for the duration of the patient's treatment course (varies depending on individual cases, anywhere from roughly 6 weeks to 10 weeks)
Spearman correlation will be reported, assessing the associations between factors