Status Approved
First Submitted Date
2021/03/31
Registered Date
2021/04/09
Last Updated Date
2021/03/31
CRIS Required
WHO ICTRP (International Clinical Trial Registry Platform) Required
1. Background
CRIS Registration Number |
KCT0006075 |
---|---|
Unique Protocol ID | SMC-01-026 |
Public/Brief Title | Hypofractionated intensity-modulated radiation therapy with concurrent chemotherapy in muscle-invasive bladder cancer (HIRACOM) |
Scientific Title | Hypofractionated intensity-modulated radiation therapy with concurrent chemotherapy in muscle-invasive bladder cancer: A prospective phase II exploratory trial (HIRACOM) |
Acronym | HIRACOM |
MFDS Regulated Study | No |
IND/IDE Protocol | No |
Registered at Other Registry | No |
Healthcare Benefit Approval Status | Submitted pending |
2. Institutional Review Board / Ethics Committee
Board Approval Status | Submitted approval |
---|---|
Board Approval Number | SMC-2021-01-026 |
Approval Date | 2021-03-25 |
Institutional Review Board Name | Samsung Medical Center IRB |
Institutional Review Board Address | 81, Irwon-ro, Gangnam-gu, Seoul |
Institutional Review Board Telephone | 02-3410-2973 |
Data Monitoring Committee | No |
3. Contact Details
Contact Person for Principal Investigator / Scientific Queries | |
---|---|
Name | Won Park |
Title | Dr |
Telephone | +82-2-3410-2616 |
Affiliation | Samsung Medical Center |
Address | 81 Irwonro, Gangnam-gu, Seoul |
Contact Person for Public Queries | |
Name | Won Park |
Title | Dr |
Telephone | +82-2-3410-2616 |
Affiliation | Samsung Medical Center |
Address | 81 Irwonro, Gangnam-gu, Seoul |
Contact Person for Updating Information | |
Name | Won Park |
Title | Dr |
Telephone | +82-2-3410-2616 |
Affiliation | Samsung Medical Center |
Address | 81 Irwonro, Gangnam-gu, Seoul |
4. Status
Study Site | Multi-center Number of center : 2 | |
---|---|---|
Overall Recruitment Status | Not yet recruiting | |
Date of First Enrollment | 2021-04-19 Anticipated | |
Target Number of Participant | 53 | |
Primary Completion Date | 2024-04-12 , Anticipated | |
Study Completion Date | 2026-12-31 , Anticipated | |
Recruitment Status by Participating Study Site 1 | ||
Name of Study | Samsung Medical Center | |
Recruitment Status | Not yet recruiting | |
Date of First Enrollment | 2021-04-19 , | |
Recruitment Status by Participating Study Site 2 | ||
Name of Study | Asan Medical Center | |
Recruitment Status | Not yet recruiting | |
Date of First Enrollment | 2021-04-19 , |
5. Source of Monetary / Material Support
1. Source of Monetary/Material Support | |
---|---|
Organization Name | Samsung Medical Center |
Organization Type | Medical Institute |
Project ID |
6. Sponsor Organization
1. Sponsor Organization | |
---|---|
Organization Name | Samsung Medical Center |
Organization Type | Medical Institute |
7. Study Summary
Lay Summary | For bladder cancer, conventional concurrent chemoradiotherapy is irradiated with a daily radiation dose of 1.8-2.0 Gy each, a total of 64 Gy or more, and the radiation treatment period takes more than 6 weeks in bladder preserving protocol. Concurrent chemoradiotherapy has the advantage of bladder preservation, but gastrointestinal, genitourinary, and hematologic side effects occur in about 5%. Hypofractionated radiotherapy has the advantage of increasing the radiation-biological effect on tumors by reducing the number of treatments instead of increasing the daily dose, and shortening the overall treatment time. On the other hand, hypofractionated radiotherapy can also increase the risk of side effects related to treatment because the radiologic effects on normal tissues also increase. However, the biological effect of radiation on normal tissues can be reduced by applying intensity-modulated radiation therapy in hypofractional radiation therapy to reduce radiation exposure to normal tissues. Clinical studies of concurrent chemotherapy with hypofractionation radiation therapy are still in its insignificant stage. The purpose of this study is to investigate the side effects, quality of life, and treatment effects of concurrent chemo-hypofractionated intensity-modulated radiation therapy in bladder cancer. The 2-year bladder conserving disease-free survival rate after the existing concurrent chemo-radiation therapy is known to be about 55%, and when concurrent chemo-hyofractionated intensity-modulated radiation therapy is performed in invasive bladder cancer, the 2-year bladder conservation disease-free survival rate is expected about 70%. The number of patients required to verify this was 80% power, a significance level of alpha = 0.1, recruitment of patients for 3 years, and taking into account the follow-up observation for 2 years after recruitment, and setting the dropout rate of 15%, a total of 53 patients was necessary. Twenty fractionation within 4 weeks are performed using hypofractionated intensity-modulated radiation therapy. As for the radiation dose, 2.8-3.2 Gy at a time, total dose 56-64 Gy, to the high-risk target volume, and 2-2.2 Gy at a time, and 40-44 Gy, respectively, to the low-risk target volume. It aims to include more than 97% of the total dose to cover the entire PTV, and the minimum dose in the PTV is not lower than 95% of the prescribed dose, and the maximum dose does not exceed 107% of the prescribed dose. Chemotherapy before and after radiotherapy can be performed depending on the institutional policy. Among radiotherapy, chemotherapy is performed with platinum-based agents (cisplatin, carboplatin, etc.), and is administered once a week for a total of 3 or more. |
---|
8. Study Design
Study Type | Interventional Study |
---|---|
Study Purpose | Treatment |
Phase | Phase2 |
Intervention Model | Single Group |
Blinding/Masking | Open |
Allocation | Not Applicable |
Intervention Type | Radiation |
Intervention Description | Twenty fractionation within 4 weeks are performed using hypofractionated intensity-modulated radiation therapy. As for the radiation dose, 2.8-3.2 Gy at a time, total dose 56-64 Gy, to the high-risk target volume, and 2-2.2 Gy at a time, and 40-44 Gy, respectively, to the low-risk target volume. It aims to include more than 97% of the total dose to cover the entire PTV, and the minimum dose in the PTV is not lower than 95% of the prescribed dose, and the maximum dose does not exceed 107% of the prescribed dose. Chemotherapy before and after radiotherapy can be performed depending on the institutional policy. Among radiotherapy, chemotherapy is performed with platinum-based agents (cisplatin, carboplatin, etc.), and is administered once a week for a total of 3 or more. |
Number of Arms | 1 |
Arm 1 |
Arm Label hypofractionated intensity modulated radiation therapy |
Target Number of Participant 53 |
|
Arm Type Experimental |
|
Arm Description Twenty fractionation within 4 weeks are performed using hypofractionated intensity-modulated radiation therapy. As for the radiation dose, 2.8-3.2 Gy at a time, total dose 56-64 Gy, to the high-risk target volume, and 2-2.2 Gy at a time, and 40-44 Gy, respectively, to the low-risk target volume. It aims to include more than 97% of the total dose to cover the entire PTV, and the minimum dose in the PTV is not lower than 95% of the prescribed dose, and the maximum dose does not exceed 107% of the prescribed dose. Chemotherapy before and after radiotherapy can be performed depending on the institutional policy. Among radiotherapy, chemotherapy is performed with platinum-based agents (cisplatin, carboplatin, etc.), and is administered once a week for a total of 3 or more. |
9. Subject Eligibility
Condition(s)/Problem(s) |
* (C00-D48)Neoplasms (C67.9)Malignant neoplasm of bladder, unspecified pathologically confirmed bladder cancer |
---|---|
Rare Disease | No |
Inclusion Criteria |
Gender Both |
Age 20Year~100Year |
|
Description 1) Patients diagnosed with bladder cancer histologically 2) Patients with muscle layer involvement in transurethral resection (pT2 or higher) 3) Patients without pelvic lymph node metastasis by computed tomography (CT) or magnetic resonance images (MRI) of the pelvis. 4) Patients who want bladder conservation treatment 5) Patients over 20 years old 6) Patients with Zubrod (ECOG) performance status 0-1 within 1 week prior to participation in the study 7) Patients who have signed the consent form with sufficient information by the patient or guardian 8) Patients with hematologic findings capable of concurrent chemoradiotherapy |
|
Exclusion Criteria |
1) Patients with previous pelvic radiotherapy history 2) Pregnant or lactating patients 3) Patients with distant metastasis 4) Patients judged to be difficult to conserve bladder due to extensive non-invasive/invasive bladder cancer 5) Patients who have not been disease-free for more than 5 years after diagnosis of cancer (excluding thyroid cancer, non-melanoma skin cancer, T1a prostate cancer, and intraepithelial cancer of the cervix) 6) Patients with untreated severe acute disease 7) Patients predicted to have a high probability of radiation complications due to connective tissue disease (lupus, scleroderma, etc.) |
Healthy Volunteers | No |
10. Outcome Measure(s)
Type of Primary Outcome | /Safety/Efficacy | |
---|---|---|
Primary Outcome(s) 1 | ||
Outcome | Two-year bladder preservation disease-free survival rate when concurrent chemo-hypofractionated intensity-modulated radiation therapy |
|
Timepoint | 2 years after participation of all subjects |
|
Secondary Outcome(s) 1 | ||
Outcome | acute toxicity when concurrent chemo-hypofractionated intensity-modulated radiation therapy |
|
Timepoint | 3 months after participation |
|
Secondary Outcome(s) 2 | ||
Outcome | late toxicity when concurrent chemo-hypofractionated intensity-modulated radiation therapy |
|
Timepoint | 5 years after participation |
|
Secondary Outcome(s) 3 | ||
Outcome | quality of life when concurrent chemo-hypofractionated intensity-modulated radiation therapy |
|
Timepoint | 5 years after participation |
|
Secondary Outcome(s) 4 | ||
Outcome | 2 year disease-free survival when concurrent chemo-hypofractionated intensity-modulated radiation therapy |
|
Timepoint | 2 years after participation of all subjects |
|
Secondary Outcome(s) 5 | ||
Outcome | ovarall survival when concurrent chemo-hypofractionated intensity-modulated radiation therapy |
|
Timepoint | 5 years after participation of all subjects |
11. Study Results and Publication
Result Registered | No |
---|
12. Sharing of Study Data(Deidentified Individual-Patient Data, IPD)
Sharing Statement | No |
---|
TOP
BOTTOM
화면 최하단으로 이동