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Photon Therapy

Proton vs Photon Therapy for Liver Cancer

Phase 3
Recruiting
Led By Theodore Hong
Research Sponsored by NRG Oncology
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Must have Child-Turcotte-Pugh (CTP) A or B7
Pathologically (histologically or cytologically) or radiographically-proven unresectable or locally recurrent hepatocellular cancer
Must not have
Uncontrolled prior invasive malignancy
Prior radiotherapy to study cancer region
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from the date of randomization to the date of death due to any cause or date of last follow-up for alive patients. this analysis occurs after 125 deaths have been observered; estimated to occurs around 5 years.
Awards & highlights
No Placebo-Only Group
Pivotal Trial

Summary

This trial compares proton therapy to photon therapy in treating liver cancer. Proton therapy may cause less damage to healthy organs and result in better survival.

Who is the study for?
This trial is for adults with liver cancer who have up to three tumors, meeting specific size requirements. They must have adequate organ function, may have had previous treatments like chemotherapy or surgery, and need a performance status showing they can carry out daily activities. Pregnant women or those not using contraception are excluded.
What is being tested?
The study compares two types of radiation therapy: photon therapy (high energy x-rays) and proton therapy (proton particles). Proton therapy might cause less damage to healthy organs around the tumor and potentially improve survival rates in liver cancer patients.
What are the potential side effects?
Radiation therapies like photons and protons could lead to fatigue, skin reactions at the treatment site, nausea, potential damage to surrounding healthy tissue resulting in organ dysfunction, but specifics will vary between individuals.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My liver function is classified as CTP A or B7.
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My liver cancer cannot be removed by surgery.
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I have up to 3 tumors that meet the size criteria.
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My cancer stage fits the study requirements based on recent scans.
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My cancer can be measured by tests.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have a history of cancer that is not currently under control.
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I have had radiation therapy on the cancer area being studied.
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I cannot confirm if my insurance covers the treatment.
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I have had a liver transplant.
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My cancer has spread outside the liver.
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I am HIV positive with a CD4 count below 200.
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I haven't had chemotherapy in the last 2 weeks.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from the date of randomization to the date of death due to any cause or date of last follow-up for alive patients. this analysis occurs after 125 deaths have been observered; estimated to occurs around 5 years.
This trial's timeline: 3 weeks for screening, Varies for treatment, and from the date of randomization to the date of death due to any cause or date of last follow-up for alive patients. this analysis occurs after 125 deaths have been observered; estimated to occurs around 5 years. for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Overall Survival (OS)
Secondary study objectives
Correlation of Hepatocyte Growth Factor (HGF) biomarker with OS, PFS and fatigue
Exploratory - Overall Quality of Life (QOL)
Fatigue as measured by the PROMIS fatigue short form version 1.0 8a
+4 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

2Treatment groups
Experimental Treatment
Group I: Proton Therapy (Radiation Therapy)Experimental Treatment1 Intervention
Patients undergo proton therapy over 15-24 days for 5 or 15 fractions.
Group II: Photon Therapy (Radiation Therapy)Experimental Treatment1 Intervention
Patients undergo photon therapy over 15-24 days for 5 or 15 fractions.

Find a Location

Who is running the clinical trial?

NRG OncologyLead Sponsor
238 Previous Clinical Trials
102,909 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,920 Previous Clinical Trials
41,016,940 Total Patients Enrolled
104 Trials studying Liver Cancer
26,538 Patients Enrolled for Liver Cancer
Theodore HongPrincipal InvestigatorNRG Oncology
1 Previous Clinical Trials
1 Total Patients Enrolled

Media Library

Photon Therapy (Photon Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT03186898 — Phase 3
Liver Cancer Research Study Groups: Photon Therapy (Radiation Therapy), Proton Therapy (Radiation Therapy)
Liver Cancer Clinical Trial 2023: Photon Therapy Highlights & Side Effects. Trial Name: NCT03186898 — Phase 3
Photon Therapy (Photon Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03186898 — Phase 3
~51 spots leftby Jun 2027