皮肤癌和高热和放射治疗 - SAHARA:多中心,双臂,开放标签,随机控制的II期非劣势性试验的研究方案
Winfried Arnold1,2, Maximilian Sturz3, Nidar Batifi4
1Department of Radiation Oncology, Cantonal Hospital Lucerne, Luzern, Switzerland. winfried.arnold@luks.ch.
Trials
|December 22, 2025
概括
这项研究调查了与水过红外A (wIRA) 过热的降级放射治疗 (RT) 是否可以与非黑色素瘤皮肤癌 (NMSC) 治疗的标准RT相匹配. 目标是减少老年患者的副作用和治疗时间.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
- 辐射瘤学 辐射瘤学
背景情况:
- 非黑色素瘤皮肤癌 (NMSC) 的发病率正在上升,特别是在老年白人中.
- 标准治疗包括手术和放射治疗 (RT),RT往往更喜欢老年患者的伴随性疾病.
- 过分分的RT可能会引起副作用;水过的红外A (wIRA) 过热可能会增加辐射敏感性,可能会减少RT剂量和副作用.
研究的目的:
- 为了比较标准RT和减级RT与NMSC的wiRA-hyperthermia相结合的局部控制结果.
- 为了确定新方法是否实现了标准RT的非劣等性,并具有-10%的利率.
- 评估二次终点,包括毒性和生活质量 (QoL).
主要方法:
- 一个前性,随机控制的第二阶段非劣势性试验,招募了100名65岁或以上的侵袭性NMSC (阶段≥T2) 的患者.
- 干预组:wiRA-高温 + RT (5 Gy 的 6 分). 控制组:标准RT (12个4Gy的分数).
- 主要终点:在两年内进行本地控制. 二级终点:急性/晚期毒性和高质量 (QLQ-ELD14)
主要成果:
- 本部分应在研究结果可用后填写.
结论:
- 这项试验将确定与wiRA-hyperthermia降级RT是否为NMSC提供与标准RT相比较的局部控制.
- 这项研究旨在建立一种潜在的更少毒性和更短的治疗方案.
- 成功的结局可能会改善NMSC治疗方案的老年患者,提高QoL.
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