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CompletedNCT03183271Updated Jun 14, 2017

Proton Boost for Locally Advanced HEAD AND NECK TUMORS

An interventional study of external beam proton radiation therapy. in Epithelial Tumor, Malignant and Neuroendocrine Tumors, sponsored by CNAO National Center of Oncological Hadrontherapy. Completed at 1 site in Italy. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-06-14.

Sponsored by CNAO National Center of Oncological Hadrontherapy · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 years 10 months after the study started (first participant enrolled Jul 2012, registered Jun 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The aim of this research project is to test the local response and the acute toxicity (which can be observed within 90 days).

Read the detailed description

Local response and acute toxicity are primary endpoints of the trial. At CNAO a proton boost is delivered on the PTV1rx (area at high risk of relapse) up to at least 70 Gy [RBE] in 2-3 Gy [RBE] per fractions for 8-15 total fractions.

PTV2 rx (area at low or intermediate risk of relapse) will be irradiated with photon IMRT up to a total dose of 50-60 Gy [RBE].

Secondary endpoints of the trial are local control, relapse free survival, overall survival, tumor specific survival, intermediate and long term toxicity.

02

Conditions studied

  • Epithelial Tumor, Malignant
  • Neuroendocrine Tumors
03

In context

Neoplasms

9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.

This study's enrollment of 20 is below the median of 50 across 7,253 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

CNAO National Center of Oncological Hadrontherapy is the lead sponsor of 11 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologic/cytologic diagnosis of primary epithelial malignant or neuroendocrine tumour
  • Inoperable tumour, locally advanced stage
  • Seated in rhinopharynx, nasal and paranasal sinuses, hypopharynx, larynx, oral cavity and oropharynx
  • At least one lesion measured according to the RECIST criteria
  • Enrollment for irradiation with IMRT up to 50-60 Gy RBE] on the PTV1rx and PTV2 rx to be followed at CNAO with irradiation with proton boost on thePTV1rx.

Exclusion criteria

Exclusion Criteria:

  • Metastasis
  • Previous radiotherapy
  • Any metallic implants or other conditions such to prevent an adequate imaging of target volume
  • Unavailability of previous IMRT first phase radiotherapy plans
05

Study design

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

Study arms

  • Experimental
    Experimental: External beam radiotherapy

    A total of 20 patients will be irradiated with protons after photon IMRT

    Radiation: external beam proton radiation therapy.

Interventions

  • Radiationexternal beam proton radiation therapy.

    Treatment of irradiation with protons beam The patients will be enrolled either at the Centro Nazionale di Adroterapia Oncologica (CNAO), Pavia, Italy, or at referral Hospitals enrolling head and neck patients for treatment with photon IMRT.

06

What researchers measure

Primary outcomes

  1. Local response

    RECIST criteria

    Time frame: 90 days

  2. Acute toxicity

    According to CTCAE v4.0

    Time frame: 90 days

Secondary outcomes

  1. Local control

    RECIST criteria on MRI evaluation

    Time frame: 5 years

  2. Disease free survival

    RECIST criteria on MRI evaluation - months from RT treatment to documented local relapse

    Time frame: 5 years

  3. Overall survival

    On MRI and total body CT evaluation - months from RT treatment to death

    Time frame: 5 years

  4. Late toxicity

    According to CTCAE v4.0 registered during follow up visits

    Time frame: 5 years

07

Study locations

1 site
  • CNAO
    Pavia, 27100, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 14, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03183271
Lead sponsor
CNAO National Center of Oncological Hadrontherapy
Responsible party
Sponsor
First posted
Jun 12, 2017
Start date
Jul 16, 2012
Primary completion
Mar 30, 2015
Completion
Sep 30, 2016
Last update
Jun 14, 2017

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2017. You cannot join it, but the record below documents what was studied.

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