Radiation Cystitis MedDRA version: 14.1 Level: PT Classification code 10057480 Term: Hyperbaric oxygen therapy System Organ Class: 10042613 - Surgical and medical procedures
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Provision of informed consent prior to any study specific procedures - Female or male aged 18-80 years - Intended curative radiation of the pelvic region as a treatment for cancer - End of radiation therapy more than 6 months ago - Radiation cystitis with Urological EPIC =65 years) no F.1.3.1 Number of subjects for this age range 30
Exclusion criteria
Exclusion criteria: - Patients with major and ongoing bleedings from the bladder (requiring more than 0.5L blood-transfusion within the last four weeks) - Refractory incontinence requiring catheter or surgical intervention - Urine bladder capacity < 100ml - Fistula in the urine bladder - Contraindications for HBO therapy according to the local centres routines - Pregnancy - Mechanical ventilator support - Unable to follow and understand simple commands - Not oriented to person, place and time
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective of this study is to assess the relief of symptoms after HBO therapy in patients with late radiation cystitis by having EPIC symptom estimation scale as primary variable;Secondary Objective: •To investigate the mucosa with respect to functionality by assessment of inflammation activity, quantification of fibrosis, vascular density and the presence of stems cells having histological analysis from biopsies as variable •To assess the severity of radiation injury having the RTOG-scale as variable •To assess health-related quality of life before and after HBO therapy having SF-36 as the variable ;Primary end point(s): The primary endoint is symptom rating after HBO therapy using the self-administrated EPIC-questionnaire original score as the primary variable;Timepoint(s) of evaluation of this end point: At baseline and at Visit 4, 6-8 weeks after finalized treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • Severity of radiation injury having the RTOG as the variable at baseline and visit 4 • Histological analysis of inflammation activity, degree of fibrosis, vascular density and the presence of stems cells at baseline and visit 4. • Health-related quality of life (SF36) at baseline visit 3, 4 and 5 • Post-study long-term follow-up follow up with Symptom rating (EPIC) and Health-related quality of life (SF36);Timepoint(s) of evaluation of this end point: Baseline (visit 1) and 6-8 months (visit 4). SF-36 also immediately after finalized HBOT (visit 3 and 5) Long-term follow-up: 5 years after finalized study | — |
Countries
Denmark, Norway, Sweden