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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01142102
Registration number
NCT01142102
Ethics application status
Date submitted
27/05/2010
Date registered
11/06/2010
Date last updated
24/01/2017
Titles & IDs
Public title
Feasibility of Online Adaptive Radiotherapy for Muscle Invasive Bladder Cancer
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Scientific title
A Multicentre Feasibility Study of Online Adaptive Image Guided Radiotherapy for Muscle Invasive Bladder Cancer
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Secondary ID [1]
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ACTRN12610000711011
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Secondary ID [2]
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TROG 10.01
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Universal Trial Number (UTN)
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Trial acronym
BOLART
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bladder Cancer
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Condition category
Condition code
Cancer
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Bladder - transitional cell cancer
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Radiation Therapy
Experimental: Arm 1 - Radiation Therapy
Treatment: Other: Radiation Therapy
A radical dose of radiotherapy to be delivered to the entire bladder volume: 64Gy in 32 fractions over 6 weeks and 2 treatment days.
* Conventional plan is used to deliver treatment for fractions 1 to 7 using a standard planning approach and a CTV to PTV margin of 1.5cm.
* Adaptive plan is used to deliver treatment for fractions 8 through 32 using the same standard techniques as for fractions 1 to 7 but using one of three specific CTV volumes,namely: small, average or large. In all these cases the CTV to PTV margin is 0.7cm. Image guidance using a treatment unit based verification CT unit (Cone Beam CT or CT on Rails)based on soft tissue delineation is used to position the treatment fields and select the plan to best cover the CTV.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Compliance with Online Adaptive Radiation Therapy process
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Assessment method [1]
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A patient is considered to be compliant if that patient completes treatment without experiencing a major protocol deviation
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Timepoint [1]
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From the start date of radiotherapy to the last day of radiotherapy treatment (approxiamately 6 weeks and 2 days)
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Secondary outcome [1]
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Pattern of failure and competing risks analysis
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Assessment method [1]
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Patients will be assessed at baseline, weekly durning radiotherapy, 1 month post radiotherapy, then every three months until two years post radiotherapy.
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Timepoint [1]
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From date of enrolment, every three months after RT untill 24 months, then 6 monthly until the end of the trial
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Secondary outcome [2]
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Disease Free survival
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Assessment method [2]
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Patients will be assessed at baseline, weekly durning radiotherapy, 1 month post radiotherapy, then every three months until two years post radiotherapy.
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Timepoint [2]
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From date of enrolment, every three months after RT untill 24 months, then 6 monthly until the end of the trial
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Secondary outcome [3]
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Acute Toxicity of >/= grade 3 (NCI CTCAE version 4.0) of gastointestinal, diarrhoea, nausea, vomiting, colitis, proctitis, renal/genitourinary, cyctitis non-infective, haematuria, uinary frequency, urinary urgency and urinary retension.
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Assessment method [3]
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Patients will be assesed at baseline, weekly durning radiotherapy, then at one month and three months post radiotherapy.
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Timepoint [3]
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From start date of radiotherapy and within 3 months of completion of radiation treatment
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Secondary outcome [4]
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Quality of Life
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Assessment method [4]
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Patients will be assessed at baseline, on the last day of radiotherapy, at one month post radiotherapy, then at 18 months follow up.
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Timepoint [4]
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Within 2 weeks prior to commencement of treatment, during the last week of treatment, 1 and 18 months after the completion of treatment.
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Secondary outcome [5]
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Late normal tissue effects
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Assessment method [5]
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Patients will be assessed at 3 monts post radiotherapy, then every 3 months until 2 years post radiotherapy.
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Timepoint [5]
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Between 3 months and 3 years after the completion of radiation treatment
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Secondary outcome [6]
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Time to Local Bladder Failure
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Assessment method [6]
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Patients will be assessed at baseline, weekly durning radiotherapy, 1 month post radiotherapy, then every three months until two years post radiotherapy.
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Timepoint [6]
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From date of enrolment to date of local bladder failure
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Eligibility
Key inclusion criteria
* Aged 18 years or older
* Has provided written Informed Consent for participation in this trial
* Histologically confirmed muscle invasive bladder cancer.
* Transitional cell, squamous cell, adenocarcinoma or mixed histology. Stage T2-4 N0 M0.
* An ECOG performance status score of 2 or less (see appendices).
* Life expectancy greater than 6 months.
* Considered suitable for radical radiotherapy.
* Participants capable of childbearing are using adequate contraception.
* Radiotherapy must be able to be commenced within 12 weeks of surgery.
* Available for follow up.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Women who are pregnant or lactating.
* Previous pelvic radiotherapy
* Previous cystectomy
* A small contracted bladder
* Unilateral or bilateral hip replacement
* Small cell histology
* Clinical or radiological evidence of nodal or distant metastases
* Presence of indwelling urinary catheter
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2010
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/06/2015
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,TAS,VIC
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [2]
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Calvary Mater Newcastle - Newcastle
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Recruitment hospital [3]
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Westmead Hospital - Westmead
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Recruitment hospital [4]
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Mater Hospital - Brisbane
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Recruitment hospital [5]
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Townsville Hospital - Douglas
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Recruitment hospital [6]
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [7]
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Royal Hobart Hospital - Hobart
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Recruitment hospital [8]
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Peter MacCallum Cancer Centre - Box Hill - Melbourne
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Recruitment hospital [9]
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Peter MacCallum Cancer Centre - Morrabbin - Melbourne
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Recruitment hospital [10]
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Alfred Hospital - Prahran
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Recruitment postcode(s) [1]
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2050 - Camperdown
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Recruitment postcode(s) [2]
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2298 - Newcastle
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Recruitment postcode(s) [3]
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2145 - Westmead
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Recruitment postcode(s) [4]
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4101 - Brisbane
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Recruitment postcode(s) [5]
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4814 - Douglas
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Recruitment postcode(s) [6]
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4102 - Woolloongabba
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Recruitment postcode(s) [7]
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7000 - Hobart
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Recruitment postcode(s) [8]
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3128 - Melbourne
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Recruitment postcode(s) [9]
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3165 - Melbourne
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Recruitment postcode(s) [10]
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3181 - Prahran
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Christchurch
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Country [2]
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New Zealand
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State/province [2]
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Waikato
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Funding & Sponsors
Primary sponsor type
Other
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Name
Trans Tasman Radiation Oncology Group
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The principal objective of the trial is to test the hypothesis that Online Adaptive Radiotherapy for Muscle Invasive Bladder Cancer is feasible across multiple Radiation Oncology departments.
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Trial website
https://clinicaltrials.gov/study/NCT01142102
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Farshad Foroudi
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Address
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Peter MacCallum Cancer Centre, Australia
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01142102
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