Non-interventional Observational Study of Helical Tomotherapy for Oligometastatic Colorectal Cancer (tomoligo)
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Purpose
Patients with oligometastatic colorectal cancer (5 metastases or less) receive a combination of systemic treatment and often local treatment, such as surgery, radiofrequency ablation and more recently stereotactic body radiotherapy. The aim of this study is to register the results and side effects of stereotactic body radiotherapy (SBRT) by means of helical tomotherapy in the treatment of oligometastatic colorectal cancer.
The trial has two cohorts. Patients in cohort I get consolidation SBRT after best response on first line chemotherapy. Patients in cohort II get SBRT when there is progression under, or no indication for (further) chemotherapy. The primary endpoint is to evaluate the metabolic complete remission rate three months after the start of radiotherapy.
| Condition |
|---|
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Colon Cancer Rectal Cancer Colorectal Cancer |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Non-interventional Observational Study of Helical Tomotherapy for Oligometastatic Colorectal Cancer |
- Metabolic complete remission rate [ Time Frame: Three months ] [ Designated as safety issue: No ]
- Acute toxicity [ Time Frame: Three months ] [ Designated as safety issue: Yes ]
- Progression free survival [ Time Frame: Three to thirty six months ] [ Designated as safety issue: No ]
- Local control [ Time Frame: Three to thirty six months ] [ Designated as safety issue: No ]
- Survival [ Time Frame: Three to thirty six months ] [ Designated as safety issue: No ]
- Late toxicity [ Time Frame: Three to thirty six months ] [ Designated as safety issue: Yes ]
| Enrollment: | 53 |
| Study Start Date: | December 2008 |
| Study Completion Date: | July 2011 |
| Primary Completion Date: | July 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
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At best response
Patients with oligometastatic colorectal cancer, who presents at best response under chemotherapy, will receive stereotactic body radiotherapy on their residual disease
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No indication for chemotherapy
Patients with oligometastatic colorectal cancer, who are progressive under chemotherapy or who are no candidates for (further) chemotherapy, will receive stereotactic body radiotherapy on the sites of disease.
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Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Patients with oligometastatic (5 metastases or less) colorectal cancer
Inclusion Criteria:
- Patients with (residual) oligometastatic CRC: ≤ 5 mets
- Primary tumor treated with curative intention (surgery, radiotherapy, chemoradiotherapy)
- Functional liver volume > 1000cc if livermets, lung DLCO > 30% if lungmets.
- No Child B or C liver cirrhosis
- No contra-indications for radiation of all metastatic CRC (= no violation of constraints of organs at risk (OAR))
- No mets from another carcinoma
- Age > 18 years
- WHO-PS ≤ 2
Contacts and Locations| Belgium | |
| UZ Brussel, Vrije Universiteit Brussel, dienst Radiotherapie | |
| Brussels, Belgium, 1090 | |
| Principal Investigator: | Mark De Ridder, MD, PhD | UZ Brussel, Vrije Universiteit Brussel, dienst Radiotherapie |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Mark De Ridder, Head of Radiotherapy Department, Universitair Ziekenhuis Brussel |
| ClinicalTrials.gov Identifier: | NCT00807313 History of Changes |
| Other Study ID Numbers: | RCT501 |
| Study First Received: | December 10, 2008 |
| Last Updated: | April 29, 2013 |
| Health Authority: | Belgium: Federal Agency for Medicinal Products and Health Products |
Keywords provided by Universitair Ziekenhuis Brussel:
|
Oligometastatic disease Colorectal cancer Stereotactic body radiotherapy |
Tomotherapy Metabolic response Stage IV |
Additional relevant MeSH terms:
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Colonic Neoplasms Rectal Neoplasms Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site |
Neoplasms Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases |
ClinicalTrials.gov processed this record on June 18, 2013