C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C80.0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Head and neck tumors: squamous cell carcinomas, adenocarcinomas, rare histologies - Age > 18 years - ECOG < 2 - Indication for high-dose primary radiotherapy or radiochemotherapy or for high-dose adjuvant radiotherapy or radiochemotherapy - Treatment (radiation dose, additional systemic therapies) according to current clinical standard possible and planned - Ability to consent and the patient's present written consent
Exclusion criteria
Exclusion criteria: - Lack of possibility of MRI planning (e.g. contraindications to performing an MRI) - Lack of patient compliance - Missing or limited possibility of reproducible positioning (e.g. due to severe limitation of patient mobility) - metals in the region to be irradiated (e.g. internal fixator in the affected section of the cervical spine) if they interfere with dose distribution - Tumors of the skull base or with irradiation area that reaches the skull base in large volume (--> include in Proto-R skull base)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluation of late toxicity of a proton therapy with clinical standard doses and fractionation schemes Primary target: Grade III/ IV Late toxicity (CTCAE 4.0) 2 years after therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of local tumor control after proton therapy with clinical standard doses and fractionation schemes, evaluation of acute toxicity. Secondary targets: Local tumor control rate after 2 years Overall survival after 2 years Acute toxicity > Grade II Late toxicity Grade II | — |
Countries
Germany
Contacts
Universitätsklinikum Dresden, Klinik und Poliklinik für Strahlentherapie und Radioonkologie, Klinisches Studienzentrum