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RecruitingNCT06384053SAHARAUpdated Jun 15, 2025

Skin Cancer and Hyperthermia and Radiotherapy

An interventional study of Water-filtered infrared-A-hyperthermia (wIRA) hyperthermia combined and Radiotherapy (RT) in Basal Cell Carcinoma, Squamous Cell Carcinoma Skin and Non-melanoma Skin Cancer, sponsored by Kantonsspital Winterthur KSW. Recruiting at 4 sites in Switzerland. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2025-06-15.

Sponsored by Kantonsspital Winterthur KSW · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2026, 4 months ago, but the record still lists the study as recruiting.
  • Started Jan 2025; still recruiting 1 year 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study summary

The SAHARA trial assesses wether combining ultrahypofractionated accelerated radiotherapy (RT) with hyperthermia is as effective as standard hypofractionated high-dose radiation in treating non-melanoma skin cancer (NMSC).

Read the detailed description

The SAHARA Trial is investigating if adding hyperthermia to radiotherapy (RT) can enhance treatment outcomes by making cancer cells more sensitive to radiation, thus requiring lower doses and potentially reducing side effects. The trial compares high-dose RT alone with de-escalated RT plus hyperthermia. The aim is to demonstrate that the combination is non-inferior to standard RT in treating non-melanoma skin cancer (NMSC). The trial is designed for elderly people of 65 years or older.

02

Conditions studied

  • Basal Cell Carcinoma
  • Squamous Cell Carcinoma Skin
  • Non-melanoma Skin Cancer

Keywords

  • BCC
  • SCC skin
  • w-IRA hyperthermia
  • radiotherapy for non-melanoma skin cancer
  • non-melanoma Skin cancer
  • w-IRA combined with RT
  • hyperthermia
03

In context

Carcinoma, Basal Cell

389 studies on the registry are indexed under Carcinoma, Basal Cell; 69 are open to participants now.

This study's planned enrollment of 100 is above the median of 50 across 272 interventional studies indexed under Carcinoma, Basal Cell.

Browse Carcinoma, Basal Cell studies →

Lead sponsor

Kantonsspital Winterthur KSW is the lead sponsor of 34 studies on the registry; 10 are open to participants now.

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

04

Who can participate

Ages eligible
65 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

  • Personally signed and dated written
  • confirmed invasive non-melanoma skin cancer (NMSC), including basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) of any differentiation
  • ≥ T2 (TNM Classification 8th Edition)
  • Tumor thickness up to 2cm (Maximum Depth invasion and/or exophytic growth, measured on pathology report or imaging)
  • Local recurrence allowed, if primary treatment longer ago than 6 months (after primary treatment other than radiotherapy (RT))
  • Age ≥ 65 years
  • (ECOG) performance status 0-2, with a of more than 6 months
  • Presentation at the Swiss Hyperthermia Network (SHN) tumor conference mandatory

Exclusion criteria

Exclusion Criteria:

  • Other histology than BCC or SCC
  • T1 tumor and/or N+ (according to TNM classification 8th edition)
  • Tumors after resection (R1 or R2 as well as adjuvant indication)
  • Tumor invasion into critical areas
  • Several lesions exceeding the capacity of one treatment/radiation field (multiple lesions within one treatment field are acceptable)
  • Previous (one month) or concurrent Chemo- or Immunotherapy
  • Patients with connective tissue disorders (e.g. Sclerodermia, Lupus erythematodes)
  • Lesions inside or in proximity (within 3cm) previously irradiated area
  • Medical
  • wIRA-specific exclusion criteria

    • Tattoos in irradiated area
    • Increased photosensitivity (either due to simultaneous treatment with photosensitivity-enhancing medications or conditions such as porphyria)
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.

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.

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

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

Study arms

  • Experimental
    Hyperthermia -Experimental Group A

    The study arm in which hyperthermia and radiotherapy are administered. The RT Dose: 6 fractions of 5 Gy each, delivered twice per week and with a minimum interval of 48 hours, preferably 72 hours, between each fraction over three weeks.

    Combination Product: Water-filtered infrared-A-hyperthermia (wIRA) hyperthermia combined · Radiation: Radiotherapy (RT)

  • Active comparator
    Radiotherapy - Control Group

    The study arm in which only radiotherapy is administered. RT Dose: 12 fractions of 4 Gy each, delivered 3 times per week, with sessions scheduled every other day (exceptions can be made in weeks with holidays) over four weeks.

    Radiation: Radiotherapy (RT)

Interventions

  • Combination productWater-filtered infrared-A-hyperthermia (wIRA) hyperthermia combined

    The wIRA device applies hyperthermia by heating the treatment area (with maximum surface temperature set to 43° C), aiming to make cancer cells more sensitive to radiation therapy for non-melanoma skin cancer combined with radiotherapy.

  • RadiationRadiotherapy (RT)

    Radiotherapy is applied.

06

What researchers measure

Primary outcomes

  1. Local control

    The primary outcome is local control, defined as the absence of of recurrence or need for subsequent intervention.

    Time frame: Within two years post-treatment initiation.

Secondary outcomes

  1. Analysis

    Radiation is applied assessed immediately post-treatment, at six weeks, and three months post-treatment using Common Terminology Criteria for Adverse events (CTCAE 5.0).

    Time frame: Immediately (within 24 hours post-treatment), at six weeks post-treatment and at three months post-treatment.

  2. Late toxicities

    Monitoring late toxicities, specifically noted at six months, one year, and two years after completion of treatment using Common Terminology Criteria for Adverse events (CTCAE 5.0).

    Time frame: at 6months, one year and two years post-treatment

  3. Quality of life assessment

    Evaluations are carried out at time of inclusion, immediately post-treatment, at three months, 6months, one year and two years post-treatment utilizing the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire for Elderly (QLQ-ELD14) questionnaire.

    Time frame: at three months, 6months, one year and two years post-treatment

07

Study locations

4 of 4 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06384053
Lead sponsor
Kantonsspital Winterthur KSW
Collaborators
Luzerner Kantonsspital, Lindenhofgruppe AG, Kantonsspital Aarau
Responsible party
Sponsor
First posted
Apr 25, 2024
Start date
Jan 1, 2025
Primary completion
Jul 1, 2026 (estimated)
Completion
Jul 1, 2028 (estimated)
Last update
Jun 15, 2025

Study contacts

Nidar Batifi, MSc
Contact
sahara-team@ksw.ch
+41522665361
Daniel Zwahlen, Prof. Dr. med.
Contact
radioonkologie@ksw.ch
+4152 266 26 53
Winfried Arnold, Dr.med.univ.(A)
principal investigator · Luzerner Kantonsspital
Maximilian Sturz, Dr.med.
principal investigator · Luzerner Kantonsspital

Oversight

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

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