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RecruitingNCT06029218P1V2Updated Sep 25, 2024

Analysis of the Toxicity and Efficacy of Daily 1 vs 2 Beam Proton Therapy

An interventional study of Proteus ONE one daily beam and Proteus ONE two daily beam in Chordoma, Chondrosarcoma and Ewing Sarcoma, sponsored by Centre Antoine Lacassagne. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-09-25.

Sponsored by Centre Antoine Lacassagne · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2023; still recruiting 3 years 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
106
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Thanks to the intrinsic qualities of the proton beam, proton therapy will reduce adverse effects of irradiation. The Proteus®One is the latest generation of proton therapy equipment, enabling the Centre Antoine Lacassagne to expand its range of treatments by carrying out new proton therapy treatments. It has an innovative compact isocentric rotating head (Gantry) that allows the radiation beam to be directed at different angles around the patient. In some cases, two beams are used to treat tumours, and by convention, both beams are delivered during the same session. However, it is necessary to position the patient before each beam, which is time-consuming because 2 beams have to be positioned very precisely each day. The aim of this study is therefore to assess the toxicity of proton therapy delivered by a single daily beam compared with proton therapy delivered by two daily beams, which is the conventional technique.

02

Conditions studied

  • Chordoma
  • Chondrosarcoma
  • Ewing Sarcoma
  • Osteosarcoma

Keywords

  • protontherapy
03

In context

Chordoma

68 studies on the registry are indexed under Chordoma; 15 are open to participants now.

This study's planned enrollment of 106 is above the median of 38 across 50 interventional studies indexed under Chordoma.

Browse Chordoma studies →

Lead sponsor

Centre Antoine Lacassagne is the lead sponsor of 66 studies on the registry; 16 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

  • Chordoma, chondrosarcoma of the skull base and spine, Ewing's sarcoma, and osteosarcoma meeting the criteria for treatment by proton therapy
  • Tumour requiring 2 beams
  • MRI less than one month old
  • PS 0-2.
  • Patient who has read the patient information note and signed the consent form.
  • Patient with healthcare insurance cover.
  • Age over 18 years.
  • For women of childbearing age, negative urine pregnancy test and effective in place for the duration of treatment and for six months following the end of treatment.

Exclusion criteria

Exclusion Criteria:

  • Persons deprived of their liberty or under guardianship.
  • Unable to undergo the medical follow-up of the clinical investigation for geographical, social or psychological reasons.
  • Patient eligible for symptom reduction surgery Vulnerable populations and participants defined in Articles 64 to 68 of Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017.
Terms in these criteria, in plain language(1)

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.

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
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
106 participants (estimated)

Study arms

  • Experimental
    1DB

    One daily Beam treatment

    Radiation: Proteus ONE one daily beam

  • Active comparator
    2DB

    Two daily beam goldstandard

    Radiation: Proteus ONE two daily beam

Interventions

  • RadiationProteus ONE one daily beam

    A single daily beam is used, doubling the dose delivered for this treatment incidence.

  • RadiationProteus ONE two daily beam

    two daily beams are used, in accordance with the initial treatment plan and the patient's standard of care

06

What researchers measure

Primary outcomes

  1. To evaluate the frequency of occurrence of toxicities in the group of patients treated with two daily beams (2DB) and in the group of patients treated with one daily beams (1DB).

    Assessment of the incidence of grade ≥2 medical device-related toxicities assessed according to CTCAE version 5.0 in each of the two treatment arms.

    Time frame: During 2 to 7 weeks of protontherapy treatment and during 5 years follow-up

Secondary outcomes

  1. Determining the effectiveness of proton therapy

    Efficacy will be assessed in terms of relapse rate

    Time frame: 5-year follow-up visits

  2. Determining the effectiveness of proton therapy

    Efficacy will be assessed in terms of local control by MRI assessment

    Time frame: 5-year follow-up visits

  3. Determining the effectiveness of proton therapy

    Efficacy will be assessed in terms of overall survival

    Time frame: 5 years follow-up

  4. Quality of life assessment

    Quality of life will be assessed using the EORTC QLQ-C30 scale (Appendix 2), version 3 at the inclusion assessment, at the end-of-treatment visit and at each assessment visit for five years. Version 3.0 of the QLQ-C30 has four-point scales for the items 1 to 28 namely : 1 : "Not a tall", 2 : "A little", 3 : "Quite a bit" and 4 : "Very much." Higher score mean worse outcome. Item 29 and 30 has seven-point scales from 1 : " very bad " to 7 "Excellent". Lower score mean worse outcome.

    Time frame: During 2-7 weeks of protontherapy treatment and during 5 years follow-up

  5. Evaluate the time saving between the two arms 1DB and 2DB

    Time savings will be assessed by measuring the time taken for door-to-door proton therapy treatment sessions.

    Time frame: 2-7 weeks of protontherapy treatment

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2023 (actual). Primary completion is estimated for Sep 2026, 35 months after the start.

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

Registered
Jul 25, 2023
First posted
Sep 8, 2023
StartActual
Sep 13, 2023
Primary completionEst.
Sep 1, 2026
CompletionEst.
Oct 1, 2031
Last update
Sep 25, 2024
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 Sep 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06029218
Lead sponsor
Centre Antoine Lacassagne
Responsible party
Sponsor
First posted
Sep 8, 2023
Start date
Sep 13, 2023
Primary completion
Sep 1, 2026 (estimated)
Completion
Oct 1, 2031 (estimated)
Last update
Sep 25, 2024

Study contacts

Clement DEVIC, PhD
Contact
clement.devic@nice.unicancer.fr
0492031511

Oversight

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

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