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TerminatedNCT04199754Updated May 31, 2024

IV Contrast-Enhanced Cone Beam Computed Tomography (CBCT) in Radiotherapy

An Early Phase 1 interventional study of Omnipaque 300mg/mL Solution for Injection and Cone Beam CT in Pelvic Cancer and Abdominal Cancer, sponsored by Columbia University. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-31.

Sponsored by Columbia University · Early Phase 1, Interventional, and Diagnostic

Why this study was terminated
Slow accrual rate due to national contrast shortage

From the registry’s dates

  • Primary completion was May 2021, 5 years 4 months ago, and no results have been posted to the registry.
Phase
Early Phase 1
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to find out if giving intravenous (IV) contrast (a liquid that helps with the visibility of organs and blood vessels that is given through the vein with the use of a hollow needle) during a Cone Beam Computed Tomography (CBCT- a type of computerized X-ray) can help people who have image guided radiation therapy (IGRT) for the treatment of abdominal and pelvic tumors.

Read the detailed description

The goal of this pilot study is to determine the feasibility and utility of administering IV contrast during a Cone Beam Computed Tomography (CBCT) in subjects who have image guided radiation therapy (IGRT) for the treatment of abdominal and pelvic tumors. Participant duration is one visit.

Subjects will be required to fast for at least 2 hours prior to study procedures, as determined by the treating physician based on the site to be irradiated. An 18- to 22-gauge peripheral IV will be placed in the subject's arm prior to being brought to clinical treatment room. The patient will be placed in position for radiotherapy as per standard of care and will be connected to IV contrast injector. Standard of care IGRT techniques will be performed to confirm correct positioning. Iodinated IV contrast will be administered and the contrast enhance cone beam CT will be initiated. Treatment will then be administered with the patient in the position determined by non-contrast cone beam CT, as per standard of care. Immediately after completion of treatment of the subject, the study physician will complete physician survey of attitude about the utility of contrast-enhanced cone beam CT.

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Conditions studied

  • Pelvic Cancer
  • Abdominal Cancer

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Keywords

  • CBCT- Cone Beam CT
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In context

Pelvic Neoplasms

99 studies on the registry are indexed under Pelvic Neoplasms; 27 are open to participants now.

This study's enrollment of 6 is below the median of 42 across 64 interventional studies indexed under Pelvic Neoplasms.

Browse Pelvic Neoplasms studies →

Lead sponsor

Columbia University is the lead sponsor of 1,135 studies on the registry; 195 are open to participants now.

Of its 179 completed or terminated interventional studies of FDA-regulated products, 146 (82%) have results posted.

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

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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

  1. Subject must be greater than or equal to 18 years of age.
  2. Subject must be able and willing to sign a written informed consent document.
  3. Subject requiring image-guided external beam radiotherapy to abdominal or pelvic tumor with cone beam CT deemed clinically necessary by the treating physician.
  4. No history of prior allergic reaction to intravenous CT contrast medium.
  5. Creatinine of less than 1.9 mg/dL measured within one month prior to enrollment on the study.
  6. No administration of intravenous contrast within 24 hours of administration of intravenous contrast on protocol.
  7. Ability to complete New York Presbyterian Hospital iodinated contrast media administration questionnaire.
  8. Negative pregnancy test for females of childbearing potential, in accordance to institutional guidelines.
  9. Ability to fast for at least 2 hours prior to study procedures.
  10. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-3.

Exclusion criteria

Exclusion Criteria:

  1. Known allergy to iohexol or any iodinated intravenous contrast medium.
  2. Fluid overload that would contraindicate bolus administration of intravenous contrast.
  3. Pregnant or nursing subjects.
  4. Presence of single kidney or transplanted kidney
  5. Acute renal failure
  6. Chronic renal insufficiency, stage IV or V.
  7. Administration of iodinated intravenous CT contrast medium within 24 hours of study procedures.
  8. Inability to fast for at least 2 hours prior to study procedures.
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Study design

Phase
Early Phase 1
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Contrast Enhanced Cone Beam CT

    60 seconds after the start of the administration of IV contrast, cone beam CT will be initiated.

    Drug: Omnipaque 300mg/mL Solution for Injection · Radiation: Cone Beam CT · Radiation: Radiation Therapy · Drug: 0.9% Saline

Interventions

  • DrugOmnipaque 300mg/mL Solution for Injection

    Drug page: Iohexol

    Prior to the contrast enhanced Cone Beam CT, 100mL of Omnipaque will be administered by IV at a rate of 2mL per second, followed by administration of 50mL of 0.9% saline.

    Also known as: Iohexol

  • RadiationCone Beam CT

    60 seconds after contrast administration, a Cone Beam CT will be performed.

  • RadiationRadiation Therapy

    Standard of Care Radiation Therapy will be administered, dosage depends on the type of tumor being treated.

  • 50 ML of 0.9% Saline will be administered immediately after Omnipaque administration

    Also known as: Saline Solution

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What researchers measure

Primary outcomes

  1. Physician Survey of attitude about the utility of contrast-enhanced cone beam CT

    The Radiation Oncologist treating physician will complete a physician survey using a Likert scale regarding attitude about the utility of contrast enhanced cone beam CT.

    Time frame: Up to 18 Months

  2. Blinded Match between contrast and non-contrast enhanced CBCT

    After completion of study procedures of all enrolled subjects, images from both contrast-enhanced and non-contrast cone beam CT will undergo blinded matching by two additional study physicians. The magnitude of proposed shifts (measured in millimeters in x-, y- and z- axes) for each cone beam CT will be recorded and interrater reliability will be assessed for concordance.

    Time frame: Up to 18 Months

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Study locations

1 site
  • Columbia University Irving Medical Center/Department of Radiation Oncology
    New York, New York 10032, United States
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References and documents

Publications

  • Katz MHG, Ou FS, Herman JM, Ahmad SA, Wolpin B, Marsh R, Behr S, Shi Q, Chuong M, Schwartz LH, Frankel W, Collisson E, Koay EJ, Hubbard JM, Leenstra JL, Meyerhardt J, O'Reilly E; Alliance for Clinical Trials on Oncology. Alliance for clinical trials in oncology (ALLIANCE) trial A021501: preoperative extended chemotherapy vs. chemotherapy plus hypofractionated radiation therapy for borderline resectable adenocarcinoma of the head of the pancreas. BMC Cancer. 2017 Jul 27;17(1):505. doi: 10.1186/s12885-017-3441-z. PubMed 28750659 ↗
  • Murphy JD, Adusumilli S, Griffith KA, Ray ME, Zalupski MM, Lawrence TS, Ben-Josef E. Full-dose gemcitabine and concurrent radiotherapy for unresectable pancreatic cancer. Int J Radiat Oncol Biol Phys. 2007 Jul 1;68(3):801-8. doi: 10.1016/j.ijrobp.2006.12.053. Epub 2007 Mar 26. PubMed 17379445 ↗
  • Krishnan S, Chadha AS, Suh Y, Chen HC, Rao A, Das P, Minsky BD, Mahmood U, Delclos ME, Sawakuchi GO, Beddar S, Katz MH, Fleming JB, Javle MM, Varadhachary GR, Wolff RA, Crane CH. Focal Radiation Therapy Dose Escalation Improves Overall Survival in Locally Advanced Pancreatic Cancer Patients Receiving Induction Chemotherapy and Consolidative Chemoradiation. Int J Radiat Oncol Biol Phys. 2016 Mar 15;94(4):755-65. doi: 10.1016/j.ijrobp.2015.12.003. Epub 2015 Dec 11. PubMed 26972648 ↗
  • Crane CH. Hypofractionated ablative radiotherapy for locally advanced pancreatic cancer. J Radiat Res. 2016 Aug;57 Suppl 1(Suppl 1):i53-i57. doi: 10.1093/jrr/rrw016. Epub 2016 Mar 29. PubMed 27029741 ↗
  • Jones B, Altunbas C, Kavanagh B, Miften M. WE-G-217BCD-08: Image Quality Effects of Dynamic Iodine Concentrations for Contrast-Enhanced Cone-Beam CT. Med Phys. 2012 Jun;39(6Part28):3974. doi: 10.1118/1.4736216. PubMed 28519608 ↗
  • Klostranec JM, Ehtiati T, Rao S, Radvany MG. Comparison of aortic arch and intravenous contrast injection techniques for C-arm cone beam CT: implications for cerebral perfusion imaging in the angiography suite. Acad Radiol. 2013 Apr;20(4):509-18. doi: 10.1016/j.acra.2012.10.008. PubMed 23498995 ↗
  • Eccles CL, Tse RV, Hawkins MA, Lee MT, Moseley DJ, Dawson LA. Intravenous contrast-enhanced cone beam computed tomography (IVCBCT) of intrahepatic tumors and vessels. Adv Radiat Oncol. 2016 Jan 26;1(1):43-50. doi: 10.1016/j.adro.2016.01.001. eCollection 2016 Jan-Mar. PubMed 28740872 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 31, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04199754
Responsible party
David P. Horowitz, M.D. (Assistant Professor of Radiation Oncology, Columbia University) — Principal investigator
First posted
Dec 16, 2019
Start date
Oct 1, 2020
Primary completion
May 28, 2021
Completion
May 28, 2021
Last update
May 31, 2024

Study contacts

David Horowitz, MD
principal investigator · Assistant Professor of Radiation Oncology at Columbia University Medical Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Iohexol · Saline Solution

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