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Trial registered on ANZCTR
Registration number
ACTRN12624000679583
Ethics application status
Approved
Date submitted
3/04/2024
Date registered
28/05/2024
Date last updated
28/05/2024
Date data sharing statement initially provided
28/05/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Optimising patient positioning for accelerated partial breast radiotherapy with the Integrated Magnetic Resonance Linear Accelerator
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Scientific title
Optimising patient positioning for accelerated partial breast radiotherapy with the Integrated Magnetic Resonance Linear Accelerator
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Secondary ID [1]
310749
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
OPRAH - MRL
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Early Breast Cancer
331705
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Condition category
Condition code
Cancer
328499
328499
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0
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Breast
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
After completing the standard of care planning MRI scans, participants will be asked to complete a short (10-15 mins) anonymous survey on an electronic platform to ask about their experience of the MRI scan and whether they have a preference for the supine or prone position. Participants will be asked to indicate their agreement with a statement on a Likert scale, and have the opportunity to provide answers to open- ended questions, There are no changes to standard treatments for participants.
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Intervention code [1]
327519
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Not applicable
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Quantification of image distortion in both the supine and prone positions to allow comparison and determine whether there is a patient or position specific difference.
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Assessment method [1]
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A geometric distortion phantom will be used to determine the amount of geometric distortion in an image in both the supine and prone scan data the differences will be compared using metric units.
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Timepoint [1]
336731
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Single timepoint post data collection from MRI simulation session.
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Primary outcome [2]
337863
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Measurement of relative distance from the Planning Target Volume (PTV) to the Organs At Risk (OAR) in the supine and prone positions.
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Assessment method [2]
337863
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Hausdorff distance between organs at risk and the planning target volume in metric units will be used to assess the relative positional difference.
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Timepoint [2]
337863
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Single timepoint post data collection on the same dataset from the MRI simulation session.
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Primary outcome [3]
337864
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Assessment of breathing motion for each patient in each position to determine whether this effect is more prominent in either position.
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Assessment method [3]
337864
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MIM Maestro® will be utilised to assess the distance the planning target volume moves over a series of images, this will then be compared to the other position for each participant.
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Timepoint [3]
337864
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Single timepoint post data collection on the data from the MRI simulation session.
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Secondary outcome [1]
433501
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Assessment of dose differences (dose in Gray) to the target, organs at risk and normal tissue for each patient plan between the supine and prone positions on synthetic CTs generated from the MRI scans. This will be assessed as a composite secondary outcome.
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Assessment method [1]
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Variation in dose to the planning targets and organs at risk in Gray between the supine and prone positions.
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Timepoint [1]
433501
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Single timepoint post data collection on the data from the MRI simulation session.
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Secondary outcome [2]
433502
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Analyse survey responses (content analysis) to assess whether there is a patient preference for the supine or prone position.
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Assessment method [2]
433502
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Survey responses on a Likert Scale as well as open ended response opportunities.
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Timepoint [2]
433502
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Single timepoint, one survey will be completed directly after the MRI simulation appointment.
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Eligibility
Key inclusion criteria
1. Eligible for accelerated partial breast radiotherapy as per the ASTRO favorable and Cautionary Guidelines
2. Informed consent
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Contraindications to MRI after screening
2. Patient unable to lay in treatment position for greater than 45 minutes
3. Patient unable to meet physical requirements of supine and prone scans
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
9/01/2024
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Date of last participant enrolment
Anticipated
31/01/2025
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Actual
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Date of last data collection
Anticipated
31/01/2025
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Actual
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Sample size
Target
30
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Accrual to date
4
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
314980
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Other Collaborative groups
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Name [1]
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ASMIRT Research Grant
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Address [1]
314980
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Country [1]
314980
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Australia
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Primary sponsor type
Individual
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Name
Jenna Dean, ONJ Centre, Austin Health
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Address
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Country
Australia
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Secondary sponsor category [1]
318407
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None
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Name [1]
318407
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Address [1]
318407
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Country [1]
318407
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
313953
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Austin Health Human Research Ethics Committee
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Ethics committee address [1]
313953
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https://www.austin.org.au/Office-for-Research/
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Ethics committee country [1]
313953
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Australia
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Date submitted for ethics approval [1]
313953
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07/07/2023
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Approval date [1]
313953
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08/09/2023
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Ethics approval number [1]
313953
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HREC/100893/Austin-2023
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Summary
Brief summary
The aim of this study is to compare the benefits and limitations of different positioning options for early breast cancer patients who are suitable for partial breast treatment on the Magnetic Resonance integrated Linac. Who is it for? You may be eligible for this study if you are a female age 40 or older, with early stage breast cancer and suitable for accelerated partial breast radiotherapy. Study details Participants will receive both a supine (on your back) and prone (on your tummy) scan in the MRI and a CT scan in the ideal treatment position (supine OR prone) as per our usual standard of care. Participants will then be asked to complete a short (10-15 mins) anonymous survey on an electronic platform to ask about their experience of the MRI scan and whether they have a preference for the supine or prone position. There are no changes to standard treatments for participants. It is hoped that the findings from this study will streamline the simulation process for APBI patients and help us to determine who would benefit from which position without needing to complete both scans. It is also hoped that this information can be used across our other treatment machines to benefit patients who may not be able to have an MRI scan to work out the best position for them.
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Trial website
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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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Miss Jenna Dean
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Address
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Olivia Newton-John Cancer Centre, 145 Studley Rd, Heidelberg, Vic, 3084
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Country
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Australia
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Phone
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+613 94962800
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Fax
129906
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Email
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[email protected]
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Contact person for public queries
Name
129907
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Jenna Dean
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Address
129907
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Olivia Newton-John Cancer Centre, 145 Studley Rd, Heidelberg, Vic, 3084
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Country
129907
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Australia
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Phone
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+613 94962800
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Fax
129907
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jenna Dean
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Address
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Olivia Newton-John Cancer Centre, 145 Studley Rd, Heidelberg, Vic, 3084
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Country
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Australia
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Phone
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+613 94962800
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Fax
129908
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Email
129908
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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