Optimization of Fractionation Schedules of Heel Spur Radiotherapy Prospective Randomized Open-label Trial
NCT06104410 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 430
Last updated 2023-10-31
Summary
About 26 000 patients are treated per year with radiotherapy for non-malignant diseases in the Czech Republic, majority of them with heel spur syndrome which prevalence ranges from 8-10% in the general population. Heel spur represents important socioeconomic as well as health care issue. Radiotherapy by orthovoltage X-ray belongs to standard conservative treatment methods with proven antiinflammatory effect. Nevertheless, with increasing incidence of cancer, it may be assumed that availability of radiotherapy service for heel spur patients will be further limited including limitations related to potential pandemic or other emergency situation. This represents upcoming unmet clinical need, where alternative approaches with dramatically abbreviated fractionation schedules are needed in order to keep availability as well as effectivity of heel spur (and other non-malignant disorders) radiotherapy.
The aim to presented single institutional prospective randomized open-lable clinical trial is to evaluate low dose radiotherapy delivered in single fraction manner in the treatment of heel spur syndrome.
The project aims to design a randomized trial that compared fractionated and single fraction radiotherapy (non-inferiority). Patients will be randomized into 6 groups according to the total dose, total of 966 patients will be enrolled. The primary objective is to compare Calcaneodynia sum score at 3 months after radiotherapy between fractionated vs. single fraction radiotherapy.
Conditions
- Heel Spur
Interventions
- RADIATION
-
Standard fractioned dose
Total dose of 6 Gy in 2 or 4 single fractions of 1.5 Gy applied twice weekly.
- RADIATION
-
Experimental single dose
Total dose of 0.5 Gy, 1Gy, 1.5 or 2Gy in 1 single fraction.
Sponsors & Collaborators
-
Masaryk Memorial Cancer Institute
lead OTHER
Principal Investigators
-
Pavel Slampa, prof. MD · Masaryk Memorial Cancer Institute
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-09-01
- Primary Completion
- 2025-05-31
- Completion
- 2025-12-31
Countries
- Czechia
Study Locations
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