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Hyperthermia Enhanced Re-irradiation of Loco-regional Recurrent Tumors


2024-05-10


2026-01


2028-01


110

Study Overview

Hyperthermia Enhanced Re-irradiation of Loco-regional Recurrent Tumors

This study investiagates deep-regional or superficial hyperthermia to enhance radiotherapy or chemoradiation in patients that suffer recurrent disease after previous radiotherapy.

patients that present a relapse within the previously irradiated volume can be included in this trial. These patients will receive re-irradiation according to clinical guidelines and hyperthermia as study intervention. According to tumor location hyperthermia can either be performed by microwave or by capacitive devices. The primary endpoint of this study is non-inferiority of re-irradiation compared to the initial course of radiotherapy (calculated as time to local failure).

  • Recurrent Cancer
  • Prostate Cancer
  • Cervical Cancer
  • Anal Cancer
  • Sarcoma
  • Rectal Cancer
  • Neuroendocrine Tumors
  • Esophageal Cancer
  • Pancreas Cancer
  • Squamous Cell Carcinoma
  • DEVICE: loco-regional hyperthermia
  • HETERERO

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2021-05-12  

N/A  

2023-12-19  

2021-05-12  

N/A  

2023-12-26  

2021-05-17  

N/A  

2023-12  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Hyperthermia

Patients will receive 6-8 treatments additional loco-regional hyperthermia concurrent to re-irradiation. Hyperthermia will start on the third day of fractionated radiotherapy and will be given twice per week. According to site of recurrent disease either

DEVICE: loco-regional hyperthermia

  • loco-regional hyperthermia by the use of microwave, capacitive, or superficial hyperthermia devices.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Local tumor recurrenceLocal tumor recurrence of re-irradiated lesions, calculated with the Kaplan-Meier estimates. Local recurrence after hyperthermic re-irradiation will be compared to time-to recurrence after initial treatment.3 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Overall survivalOverall survival after start of re-irradiation3 years
Progression-free survivalProgression-free survival after start of re-irradiation3 years
Freedom from distant metastasesFreedom from distant metastases after start of re-irradiation3 years
Patient reported quality of Lifepatient reported quality of life measured by the EORTC qlq-c30 questionnaire.3 years

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Sebastian Zschaeck, MD

Phone Number: +4930450650764

Email: sebastian.zschaeck@charite.de

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • prior radiotherapy of the treatment side with a treatment dose > 30 Gray (Gy) EQD2 (calculated with alpha/beta value of 9)
  • local/ regional / or oligometastatic tumor recurrence. Maximum number of three macroscopic tumor lesions with at least one of them receiving prior radiotherapy
  • macroscopic tumor recurrence
  • side of recurrence is amenable to hyperthermia (abdomen, pelvis, extremities, spine, cervical lymphnodes)
  • planned re-irradiation dose of at least 40 Gy EQD2 (calculated with alpha/beta value of 9)

  • Exclusion Criteria:

  • >3 macroscopic tumor lesion
  • brain metastases
  • recurrence is amenable to local ablative radiotherapy (brachytherapy or stereotactic radiotherapy)
  • recurrence region is not amenable to hyperthermia (lung, liver, mediastinum)
  • contraindications for hyperthermia (serious cariovascular disease, ICD or larger implants at the treatment site)
  • psychiatric disorders that impede proper informed consent
  • serious comorbidities with very limited prognosis quo ad vitam

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • PRINCIPAL_INVESTIGATOR: Sebastian Zschaeck, MD, Charité

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available