RecruitingPhase 2NCT06778408

Hybrid Arc Palliative Radiation Therapy (HART): A Single Arm Phase II Trial


Sponsor

University of Vermont Medical Center

Enrollment

103 participants

Start Date

Apr 28, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a prospective single-center single-arm Phase II trial of HART for patients with metastatic cancer. The primary objective is to assess the incidence of acute GI toxicity following HART. PRO-CTCAE GI scores observed in the study patients will be compared to historical rates. Secondary outcomes include measuring changes in health-related quality of life, esophageal quality of life, toxicity, dosimetric outcomes, and pain.


Eligibility

Min Age: 18 Years

Inclusion Criteria12

  • Histological confirmation of cancer with radiographic (CT, MRI or PET) evidence of metastatic disease
  • Palliative radiotherapy indicated for bone or soft tissue metastases, or primary targets, located in the thorax, abdomen, or pelvis as part of their standard of care treatment plan
  • Age ≥ 18 years.
  • Women of child-bearing potential and men must agree to use adequate contraception prior to study entry, for the duration of study participation, and for 90 days following completion of therapy. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
  • In lieu of a pregnancy test, participants may sign the Pregnancy Attestation Form, a standard form routinely used in clinical practice at UVMCC.
  • Recommended methods of birth control are:
  • The consistent use of an approved hormonal contraception (birth control pill/patches, rings), An intrauterine device (IUD), Contraceptive injection (Depo-Provera), Double barrier methods (Diaphragm with spermicidal gel or condoms with contraceptive foam), Sexual abstinence (no sexual intercourse) or Sterilization.
  • Men must agree to use a condom and not father a child or donate sperm for the duration of the study and for 90 days after completion of therapy.
  • A female of child-bearing potential is any woman (regardless of sexual orientation, having undergone a tubal ligation, or remaining celibate by choice) who meets the following criteria:
  • Has not undergone a hysterectomy or bilateral oophorectomy; or
  • Has not been naturally postmenopausal for at least 12 consecutive months (i.e., has had menses at any time in the preceding 12 consecutive months).
  • Ability to understand and the willingness to sign a written informed consent.

Exclusion Criteria3

  • Patients receiving any other investigational agents or concurrent cytotoxic chemotherapy
  • Patients who are pregnant or nursing due to the potential for congenital abnormalities and the potential of this regimen to harm nursing infants.
  • Serious medical comorbidities, which in the opinion of the radiation oncologist preclude the delivery of RT

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Interventions

RADIATIONHybrid Palliative Radiation Therapy

Hybrid Palliative Radiation Therapy will be administered to all patients.


Locations(1)

University of Vermont Medical Center

Burlington, Vermont, United States

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NCT06778408


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