Status:

RECRUITING

MR-Adaptive Radiation Therapy for Anal Cancer With EScalated-Treatment in a Risk-Optimized Approach

Lead Sponsor:

University Health Network, Toronto

Collaborating Sponsors:

Medical College of Wisconsin

Conditions:

Anal Squamous Cell Carcinoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The proposed study is a phase II, single arm, open-label trial of MR-guided radiation therapy (RT) with risk stratified RT dose selection in patients with anal cancer. Based on previous data, a risk a...

Detailed Description

After being informed about the study and potential risks, all patients giving written informed consent will undergo a risk-stratified dose of treatment (radiation dose and chemotherapy number of cycle...

Eligibility Criteria

Inclusion

  • Patients with pathologically proven diagnosis of anal SCC. This may include tumors of non-keratinizing histology such as basoloid or cloacogenic histology. Individuals with squamous cell carcinoma of the anal margin are eligible.
  • Clinical stage T1-4 N0-1 M0 (the Union for International Cancer Control (UICC) / the American Joint Committee on Cancer (AJCC) 8th Ed)
  • Patients must be eligible for definitive RT or CRT
  • Must be ≥ 18 years of age
  • Must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0-2

Exclusion

  • Previous chemotherapy, RT or curative-intent surgical treatment (i.e. APR) for anal cancer.
  • Any previous RT to the abdomino-pelvic region that would result in overlap of RT volume for the current study.
  • Individuals with a history of a different malignancy except if they have been disease-free for at least 2 years and are deemed by the investigator to be at low risk for recurrence. Individuals with the following cancers are eligible if diagnosed and treated within the past 5 years: cervical cancer in situ, and basal cell or squamous cell carcinoma of the skin.

Key Trial Info

Start Date :

September 29 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2028

Estimated Enrollment :

80 Patients enrolled

Trial Details

Trial ID

NCT06050707

Start Date

September 29 2023

End Date

September 1 2028

Last Update

June 13 2024

Active Locations (4)

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Page 1 of 1 (4 locations)

1

Allegheny Health Network

Pittsburgh, Pennsylvania, United States, 15212

2

Medical College of Wisconsin Cancer Center

Milwaukee, Wisconsin, United States, 53226

3

Austin Health

Heidelberg, Victoria, Australia, 3084

4

Princess Margaret Cancer Centre

Toronto, Ontario, Canada, M5G 2C1