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Charged Particle RT for Chordomas and Chondrosarcomas of the Base of Skull or Cervical Spine

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Mass General Brigham

Status and phase

Completed
Phase 2
Phase 1

Conditions

Chondrosarcoma
Chordoma

Treatments

Radiation: Charged Particle Radiation Therapy

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

The primary purpose of this study is to determine if the administration of a higher dose would decrease the chance of tumor recurrence, compared to the risk of tumor recurrence with a lower dose. Most of the treatment will be given protons, but participants may receive a small portion of treatment with x-rays, because less radiation is given to the skin with x-rays. This study uses two slightly different doses of radiation It is not clear at this time which of the dose levels is better.

Full description

  • Participants will be assigned to a dose level by random chance, like flipping a coin.
  • A treatment plan will be determined by a treatment planning CT scan and will either involve 40-44 treatments or 37-40 treatments.

Enrollment

381 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Biopsy proven chordoma. Slides must be reviewed prior to randomization by the central review pathologist
  • Sites: Intercranial (sphenoid, clivus, petrous, basio-occiput) or cervical spine
  • Boost target volume less than or equal to 150
  • 18 years of age or older
  • Karnofsky Performance Status > 50
  • Neurologic Function of I or II
  • No evidence of metastases

Exclusion criteria

  • Previous radiation to the head or neck that would compromise the ability to deliver the prescribed treatment
  • Concurrent or prior malignancy unless disease free for 5 or more years
  • Evidence of metastatic disease
  • Diabetes mellitus
  • Major medical illness or psychiatric impairments that in the opinion of the investigator, will prevent administration or completion of the protocol therapy

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

381 participants in 2 patient groups

Group 1
Active Comparator group
Description:
40-44 Treatments
Treatment:
Radiation: Charged Particle Radiation Therapy
Group 2
Active Comparator group
Description:
37-40 Treatments
Treatment:
Radiation: Charged Particle Radiation Therapy

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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