Chondrosarcoma, Chordoma
Conditions
Keywords
charged particle radiation therapy
Brief summary
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.
Detailed 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.
Interventions
Radiation doses will be determined by planning CT
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acute Toxicity | 90 days |
Secondary
| Measure | Time frame |
|---|---|
| Establish local control rates for both dose schedules. | 5 years |
| To provide date to be used as the basis for choosing the dose of charged particle radiation for chordomas of the base of skull and the cervical spine. | 5 years |
| Late Toxicity | 5 Years |
Countries
United States