Unique ID issued by UMIN | UMIN000016574 |
---|---|
Receipt number | R000018980 |
Scientific Title | Real-time tumor-tracking proton beam therapy for liver cancer |
Date of disclosure of the study information | 2015/02/26 |
Last modified on | 2017/08/21 14:34:35 |
Real-time tumor-tracking proton beam therapy for liver cancer
Real-time tumor-tracking proton beam therapy for liver cancer
Real-time tumor-tracking proton beam therapy for liver cancer
Real-time tumor-tracking proton beam therapy for liver cancer
Japan |
Primary liver cancer
Hepato-biliary-pancreatic medicine | Hepato-biliary-pancreatic surgery | Radiology |
Malignancy
NO
To confirm the safety and efficacy of real-time tumor-tracking proton beam therapy for hepatocellular carcinoma
Safety,Efficacy
Confirmatory
Pragmatic
Phase I,II
Incidence of proton-induced hepatic insufficiency within 6 months after real-time tumor-tracking proton beam therapy. Development of hepatic insufficiency presented with anicteric ascites and/or asterixis within 6 months after completion of proton beam therapy in the absence of disease progression was defined as proton-induced hepatic insufficiency.
2-year overall survival, local control, progression free survival, recurrence pattern, incidence of adverse effect, incidence of dropout of internal fiducial markers during treatment period
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Device,equipment |
Real-time tumor-tracking proton beam therapy
20 | years-old | <= |
Not applicable |
Male and Female
1) Pathologically proven or Radiologically diagnosed hepatocellular carcinoma (HCC)
2) WBC count >= 2,000/mm3; hemoglobin level >= 7.5 g/dL; platelet count >= 25,000/mm3; total bilirubin <= 3.0 mg/dL; SGOT (AST) and SGPT (ALT) < 5.0 x upper limit of normal
3) Unfeasible, difficult or refusal to undergo surgery or radiofrequency ablation
4) Visible target on CT and/or MRI
5) ECOG-PS 0-2
6) Age 20-yrs old or over at the time of consent form is obtained
7) Explained well and consent to this study
1) With active infections in the irradiated sites
2) With active other cancers
3) With severe uncontrolled diabetes
4) With severe renal failure which needed dialysis
5) With severe heart disease, or some serious complications, i.e., SLE, Scleroderma, interstitial pneumonia
6) With an inflammatory bowel syndrome, i.e., Crohn's disease, ulcerative colitis
7) Previous abdominal irradiation
8) Previous treatment for the tumor within 30 days
9) With ascites of grade 2 or higher (CTCAE ver4.03)
10) Hepatic function characterized by a Child-Pugh score 10 or over
11) Extrahepatic metastasis
12) Multicentric HCCs, except for those with the following two conditions: (1) multinodular aggregating HCC that could be encompassed by single clinical target volume; (2) lesions other than targeted tumor that were judged as controlled with prior surgery and/or local ablation therapy.
13) Maximum tumor diameter on CT and/or MRI over 10 cm
14) Tumor within 2 cm of the gastrointestinal tract
15) Total occlusion of the main trunk and/or major branches of the portal vein (the main left and right portal veins) by tumor thrombus.
16) With implantable cardioverter defibrillator or permanent pacemaker
17) Pregnancy
18) Considered that participation in this trial is difficult because of psychiatric symptoms or psychosis
19) Cannot be held rest for about 30 minutes
20) Weight over 135 kg
21) Cannot be implanted Au marker in the lung
22) Allergic to radiation
23) Unsuitable for enrollment judged by principal investigator
24
1st name | |
Middle name | |
Last name | Hiroki Shirato |
Hokkaido University Graduate School of Medicine
Department of Radiation Medicine
North 15 West 7, Kita-Ku, Sapporo, Hokkaido, Japan
+81-11-706-5977
shirato@med.hokudai.ac.jp
1st name | |
Middle name | |
Last name | Norio Katoh |
Hokkaido University Graduate School of Medicine
Department of Radiation Medicine
North 15 West 7, Kita-Ku, Sapporo, Hokkaido, Japan
+81-11-706-5977
noriwokatoh@med.hokudai.ac.jp
Department of Radiation Medicine, Hokkaido University Graduate School of Medicine
Ministry of Education, Culture, Sports, Science and Technology
Japanese Governmental office
Japan
NO
北海道大学病院(北海道)
2015 | Year | 02 | Month | 26 | Day |
Unpublished
Terminated
2015 | Year | 01 | Month | 14 | Day |
2015 | Year | 02 | Month | 25 | Day |
2015 | Year | 02 | Month | 18 | Day |
2017 | Year | 08 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000018980