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An Image-guided SBRT for Adrenal Gland Metastasis in Oligometastatic Patients

A Phase II Trial of Image-guided Stereotactic Body Radiation Therapy (SBRT) for Adrenal Gland Metastasis in Oligometastatic Patients

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02848196
Enrollment
40
Registered
2016-07-28
Start date
2016-10-19
Completion date
2023-01-31
Last updated
2022-05-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Adrenal Gland Metastases

Brief summary

The study is designed to to assess the efficacy of ablative SBRT delivered with VMAT technique in oligometastatic patients affected by adrenal gland metastases.

Detailed description

This is a phase II, single arm, trial for testing efficacy of ablative high hypofractionated dose delivered with VMAT technique in oligometastatic patients with adrenal gland metastases. The potential advantages of this approach include the possibility to lead an increased local control in irradiated adrenal gland metastases. Other purpose of this study is to assess acute and late toxicity in terms of maintenance of endocrine mechanisms of hormonal production.

Interventions

RADIATIONStereotactic Body Radiation Therapy

The schedule will be 3 fractions of 15 Gy up to a total dose of 45 Gy delivered every day with VMAT and Flattening filter-free (FFF) beams. Image-guided systems, including CBCT, will be used for all patients.

Sponsors

Istituto Clinico Humanitas
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Age ≥ 18years. * WHO performance status ≤ 1 (ECOG - KPS). * Histologically-proven of primary cancer disease * Metastases at adrenal gland radiologically proven * Written informed consent

Exclusion criteria

* Prior radiation to the interested adrenal gland. * Patients allergic to contrast used in CT scans or who cannot be premedicated for the use of contrast.

Design outcomes

Primary

MeasureTime frameDescription
Control of local disease5 yearsEvaluation of proportion of patients free from progression from starting radiotherapy according to CTCAE v4.03

Secondary

MeasureTime frameDescription
Incidence of acute and late complications5 yearsEvaluation of early and late post treatment complications
Endocrine mechanisms of hormonal production5 yearsAssessment acute and late toxicity in terms of maintenance of endocrine mechanisms of hormonal production according to CTCAE v4.03

Countries

Italy

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026