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CompletedNCT01449864Updated Apr 15, 2020Results posted

Proton Radiotherapy for Upper Gastrointestinal Malignancies

An interventional study of Proton therapy in Gastrointestinal Cancer, sponsored by Abramson Cancer Center at Penn Medicine. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-04-15.

Sponsored by Abramson Cancer Center at Penn Medicine · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
22
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The primary objectives are to determine feasibility and the acute toxicity profile of proton therapy with concurrent continuous infusion 5-FU chemotherapy. Secondary objectives are to determine late toxicities and to generate preliminary data on clinical efficacy.

Read the detailed description

This protocol invites patients with cancer of the upper digestive tract who will receive simultaneous proton radiation therapy and chemotherapy. The purpose of this study is to use a newer form of radiation therapy called proton radiation and to determine if its use is safe and effective in people with this type of cancer. Doctors will assess the safety of this method of treatment, record the side effects participants experience while receiving the standard dose of proton radiation.

02

Conditions studied

  • Gastrointestinal Cancer

Keywords

  • upper GI malignancies
  • concurrent chemoradiation with continuous infusion 5-Fluorouracil chemotherapy
03

In context

Gastrointestinal Neoplasms

795 studies on the registry are indexed under Gastrointestinal Neoplasms; 235 are open to participants now.

This study's enrollment of 22 is below the median of 60 across 580 interventional studies indexed under Gastrointestinal Neoplasms.

Browse Gastrointestinal Neoplasms studies →

Lead sponsor

Abramson Cancer Center at Penn Medicine is the lead sponsor of 457 studies on the registry; 84 are open to participants now.

Of its 33 completed or terminated interventional studies of FDA-regulated products, 14 (42%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with histologic diagnosis of adenocarcinoma of the upper gastrointestinal tract, including patients with any of the following diagnoses and settings who are candidates to receive radiation which concurrent continuous infusion 5-FU chemotherapy: Pancreatic adenocarcinoma (unresected and adjuvant), Duodenal adenocarcinoma (unresected or adjuvant), Cholangiocarcinoma (unresected or adjuvant), Gastric adenocarcinoma (unresected or adjuvant), Gastroesophageal junction adeno carcinoma (adjuvant)
  • Patient must be >18 years of age.
  • Patient must have an ECOG Performance Status of 0-2, and a life expectancy of greater than or equal to 3 months.
  • Patient must be able to provide informed consent.
  • Women of child-bearing potential as long as she agrees to use a recognized method of birth control (e.g. oral contraceptive, IUD, condoms or other barrier methods etc.). Hysterectomy or menopause must be clinically documented.

Exclusion criteria

Exclusion Criteria:

  • Prior or simultaneous malignancies within the past two years (other than cutaneous squamous or basal cell carcinoma, melanoma in situ or thyroid carcinoma)
  • Pregnant women, women planning to become pregnant and women that are nursing.
  • Patients who experience surgical complications which prevent radiation from starting for 3 months or more.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Proton RT

    Subjects receive proton radiation

    Radiation: Proton therapy

Interventions

  • RadiationProton therapy

    The goal of radiation therapy is to deposit the majority of the radiation dose to the target while minimizing the dose to the surrounding normal tissues.

06

What researchers measure

Primary outcomes

  1. Serious Adverse Events

    Serious Adverse Events preventing more than 25% of planned treatments using proton radiotherapy.

    Time frame: 90 days

  2. Acute Toxicity

    Measured by experience of adverse events

    Time frame: 90 days

07

Results

Posted Nov 4, 2019

Participant flow

Participant flow — Overall Study
MilestoneProton RT
Started22
Completed17
Not completed5

Outcome measures

PrimarySerious Adverse Events

Serious Adverse Events preventing more than 25% of planned treatments using proton radiotherapy.

Time frame:
90 days
Reported as:
Count of participants · Participants
Serious Adverse Events
ParticipantsProton RT
Serious Adverse Events0
PrimaryAcute Toxicity

Measured by experience of adverse events

Time frame:
90 days
Reported as:
Count of participants · Participants
Acute Toxicity
ParticipantsProton RT
Acute Toxicity14

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Proton RT5/22 (22.7%)0/22 (0%)15/22 (68.2%)
Most frequent other events
Showing 10 of 30
Most frequent other events
EventProton RT
AnorexiaMetabolism and nutrition disorders7/22
FatigueGeneral disorders6/22
Abdominal painGastrointestinal disorders4/22
Dermatitis radiationInjury, poisoning and procedural complications4/22
Mucositis oralGastrointestinal disorders4/22
DepressionPsychiatric disorders3/22
DizzinessNervous system disorders3/22
NauseaGastrointestinal disorders3/22
Palmar-plantar erythrodysesthesia syndromeSkin and subcutaneous tissue disorders3/22
BloatingGastrointestinal disorders2/22

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Proton RT
<=18 years0
Between 18 and 65 years8
>=65 years14
Age, Continuous
Age, Continuous(years)Proton RT
Mean67.79 ± 9.55
Sex: Female, Male
Sex: Female, Male(Participants)Proton RT
Female5
Male17
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Proton RT
Hispanic or Latino1
Not Hispanic or Latino21
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Proton RT
American Indian or Alaska Native0
Asian2
Native Hawaiian or Other Pacific Islander0
Black or African American1
White19
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Proton RT
United States22
08

Study locations

1 site
  • Abramson Cancer Center of the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Aug 2011, a primary completion of Dec 2015 and a completion of Dec 2019. It does not say whether these dates are actual or estimated.

Results were first posted in Nov 2019, 3 years 11 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 7, 2011
First posted
Oct 10, 2011
Start
Aug 2011
Primary completionActual
Dec 2015
CompletionActual
Dec 2019
Results first posted
Nov 4, 2019
Last update
Apr 15, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 15, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01449864
Responsible party
Sponsor
First posted
Oct 10, 2011
Start date
Aug 2011
Primary completion
Dec 2015
Completion
Dec 2019
Results posted
Nov 4, 2019
Last update
Apr 15, 2020

Study contacts

John Plastaras, MD, PhD
principal investigator · Abramson Cancer Center at Penn Medicine

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.

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