ClinicalTrials.gg
RecruitingNCT05943119SinocaRTUpdated Jul 2, 2026

Phase II Study of Intensity Modulated Radiotherapy in Dose Painting for Sinus Carcinomas After Endoscopic Surgery

A Phase 2 interventional study of Radiotherapy in painting dose on histoscannographic mapping and Standard pan-sinusal Radiotherapy in Tumor, Solid, sponsored by Centre Francois Baclesse. Recruiting at 3 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-02.

Sponsored by Centre Francois Baclesse · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2024; still recruiting 2 years 8 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The patient is randomized to one of the following groups:

  • Experimental group: Radiotherapy in painting dose on histoscannographic mapping
  • Control group: standard pan-sinus radiotherapy
02

Conditions studied

  • Tumor, Solid

Keywords

  • IMRT
  • sinus
  • nasal
  • Mucosal toxicity
03

In context

Neoplasms

10,818 studies on the registry are indexed under Neoplasms; 2,324 are open to participants now.

This study's planned enrollment of 52 is below the median of 60 across 7,703 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Centre Francois Baclesse is the lead sponsor of 110 studies on the registry; 26 are open to participants now.

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 >18 years of age
  • Patient with a confirmed malignant tumor of the sinuses, any histological type except melanoma, lymphoma, mesenchymal tumors (sarcoma)
  • Patient treated by endoscopic sinonasal surgery with histosurgical mapping within 2 months prior to radiotherapy
  • Indication for radiotherapy treatment (photontherapy or protontherapy), without chemotherapy (concomitant chemotherapy is permitted)
  • Signature of prior to any specific study procedure
  • Subject affiliated to a social security system

Exclusion criteria

Exclusion Criteria:

  • Patient with not operated in place tumor
  • Patient with distant
  • Patient treated with chemotherapy
  • Pregnant or breast-feeding woman or absence of during genital activity
  • History of any other malignant disease in the last 3 years, except basal cell skin cancer, carcinoma in situ or superficial bladder tumor. Any other solid tumor or lymphoma (without bone marrow involvement) must have been treated and show no sign of recurrence for at least 3 years.
  • Simultaneous participation in another therapeutic clinical trial
  • Patients deprived of their liberty, under guardianship, under curatorship, or subject to a legal protection measure, or unable to express their consent.
  • Patients unable to undergo trial monitoring for geographical, social or psychopathological reasons
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
52 participants (estimated)

Study arms

  • Experimental
    Experimental group: Radiotherapy in painting dose on histoscannographic mapping

    Radiation: Radiotherapy in painting dose on histoscannographic mapping

  • Active comparator
    Control group: standard pan-sinus Radiotherapy

    Radiation: Standard pan-sinusal Radiotherapy

Interventions

  • RadiationRadiotherapy in painting dose on histoscannographic mapping

    The target volumes to be delineated are as follows: * High-risk CTV (Clinical Target Volume), corresponding to all initially invaded areas, as identified by comparison between the operative report and the anatomo-pathological report (ideally with histo-surgical mapping). * Low-risk CTV, corresponding to naso-sinusal structures not initially invaded but at risk of recurrence, and located close to the high-risk target volume, including at least 5 mm around the high-risk volume and excluding non-risk areas (muscle, bone).

  • RadiationStandard pan-sinusal Radiotherapy

    The target volumes to be delineated are as follows: * High-risk CTV, including the entire post-operative cavity, * Low-risk CTV, adapted from the recommendations described by Lapeyre (Cancer/Radiotherapy 2005), and including at least 5 mm around the high-risk volume, excluding non-risk areas (muscle, bone).

06

What researchers measure

Primary outcomes

  1. Occurrence of radiation-induced nasal, ocular, auditory, endocrine and cerebral mucosal toxicities

    Proportion of patients who do not develop radiation-induced mucosal, ocular, auditory, endocrine and/or nervous system toxicity grade ≥ 2 according to NCI-CTCAE V5.0 within 3 months of the end of IMRT.

    Time frame: Toxicity grade ≥ 2 according to NCI-CTCAE V5.0 within 3 months of the end of IMRT.

Secondary outcomes

  1. Tumor response

    Tumor response according to RECIST 1.1 criteria (Response Evaluation Criteria in Solid Tumors)

    Time frame: measured at 6 months after radiotherapy

  2. Tumor response

    Tumor response according to RECIST 1.1 criteria (Response Evaluation Criteria in Solid Tumors)

    Time frame: measured at 12 months after radiotherapy

  3. Tumor response

    Tumor response according to RECIST 1.1 criteria (Response Evaluation Criteria in Solid Tumors)

    Time frame: measured at 18 months after radiotherapy

  4. Quality of life evaluation

    Quality of life measured using the standardized self-administered questionnaire Quality of Life Questionnaire-Core 30 items QLQ-C30 score (min:0; max 100)

    Time frame: from the start of the study and up to 18 months after radiotherapy

  5. Description of acute and late clinical toxicities

    Description of acute and late clinical toxicities according to CTCAE terminology, as well as specific medical questionnaires and self-report questionnaires from the NCI-PRO-CTCAE (covering visual, auditory, and cognitive symptoms, as well as fatigue).

    Time frame: From the start of the study and up to 18 months after radiotherapy

  6. Dosimetry to healthy organs

    Standard dosimetric criteria specific to each healthy organ (pituitary gland, optic nerves, eyes, lenses, middle and inner ears, nasal mucosa, etc.): maximum dose in 2% of the volume, average dose, etc., using NTCP (normal tissue complication probability) models on dose-volume histograms and 3D dose maps

    Time frame: During radiotherapy

  7. Tissue changes

    Tissue changes observed on imaging and their correlation with the toxicities observed

    Time frame: from the start of the study and up to 18 months after radiotherapy

  8. Quality of life evaluation

    Quality of life measured using the standardized self-administered questionnaire Head and Neck QLQ-HN43 score (min:0; max 100)

    Time frame: from the start of the study and up to 18 months after radiotherapy

  9. Quality of life evaluation

    Quality of life measured using the standardized self-administered questionnaire : SNOT-22 (Sino-Nasal Outcome Test) (nasal symptoms score:min:0; max 5)

    Time frame: from the start of the study and up to 18 months after radiotherapy

Other outcomes

  1. Assessment of molecular and cellular changes following radiation therapy in order to study potential toxicities affecting the mucous membranes and the surface of flaps, using an innovative, non-invasive surface analysis method.

    Change in the molecular profile with spidermass technology of nasal swabs and plasma

    Time frame: Before, during, and 3 months after radiation therapy

07

Study locations

1 of 3 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Final trial results will be published in peer-reviewed journals and adhere to International Committee of Medical Journal Editors (ICMJE) guidelines. De-identified individual participant data will be available from the corresponding author on reasonable request after publication of the study results.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2024 (actual). Primary completion is estimated for Jan 2028, 46 months after the start.

Of 335 non-industry phase 2 interventional studies under Neoplasms, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 36 and three quarters within 99. This study's planned 46 months is below that.

Counting every sponsor, half of 514 studies reached it within 52 months; a quarter within 33 and three quarters within 92.

Neoplasms covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.

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

Registered
Jul 5, 2023
First posted
Jul 13, 2023
StartActual
Mar 11, 2024
Primary completionEst.
Jan 2028
CompletionEst.
Mar 2029
Last update
Jul 2, 2026
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 Jul 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05943119
Responsible party
Sponsor
First posted
Jul 13, 2023
Start date
Mar 11, 2024
Primary completion
Jan 2028 (estimated)
Completion
Mar 2029 (estimated)
Last update
Jul 2, 2026

Study contacts

Vincent PATRON, MD
Contact
patron-v@chu-caen.fr
+33231063106
Juliette THARIAT, Prof
Contact
j.thariat@baclesse.unicancer.fr
33231455050

Oversight

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

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