Меню
Идёт набор NCT06714630

The PROSECCA Study, Answering New Questions in Prostate Cancer

— Наблюдательное Prostate Cancer

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
Это наблюдательное исследование: исследуемое лечение участникам по протоколу не назначают.
Кому может быть актуально
Состояния в реестре: Prostate Cancer. Базовые параметры: Без ограничений · Мужчины.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Великобритания
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

Не всё понятно в терминах? Прочитайте наш гид для пациентов →

Официальное название

Improving Radiotherapy in PROState Cancer Using EleCtronic Population-based healthCAre Data: The PROSECCA Study, Answering New Questions in Prostate Cancer

Обзор

Nearly half of all cancer patients receive radiotherapy as part of their treatment and although it is effective at destroying cancerous lesions deep within the body, this comes at the cost of damaging healthy, or normal, tissues. With 50% of cancer patients surviving for 10 years or more, these patients can be left with life-changing side effects from their radiotherapy. It is clear that more must be done to limit damage to normal healthy tissue without compromising annihilation of the tumour and curing patients. The key to this is personalising an individual's radiotherapy treatment, in other words rather than assuming that all tumours respond similarly to radiotherapy, the treatment is optimised for an individual. To date, approaches to do this have been restricted to small numbers of carefully selected patients, are inordinately expensive, and not suitable for rolling out into everyday practice across the NHS. There is however another way, namely using Artificial Intelligence (AI) combined with an individual's healthcare record. By linking together large numbers of healthcare records at a national level, combined with the power of AI, the PROSECCA project will transform radiotherapy and cancer care.

Подробное описание

As an example of how this technology is beginning to emerge, proof of concept data from the team has shown that using AI it is possible to identify patients at increased risk of damage from radiotherapy long before they receive any radiation as part of their treatment. However, to move these AI-based approaches from the research domain into the clinic requires significant effort, which is the aim of PROSECCA study.

The project will use AI to analyse healthcare records from up to 15,000 prostate cancer patients who underwent radiotherapy in Scotland. Through linkage of data obtained specifically for radiotherapy and data held within each patient's unique healthcare history it will be possible to establish new relationships between a patient's medical history and how well a patient responds to radiotherapy. By establishing what factors or information in a patient's complex healthcare record indicate that an individual may have a poor response to treatment, or an increased risk of side effects from radiation, it will be possible to identify these patients earlier than is currently possible and adapt treatment accordingly. Furthermore, identifying these important factors would improve radiotherapy treatment for prostate cancer patients in the future.

Первичные конечные точки

  • PSA relapse free survival [Срок оценки: Plus/minus 10 years from date of radiotherapy treatment]
  • Overall Survival [Срок оценки: Plus/minus 10 years from date of radiotherapy treatment]
  • Radiotherapy Toxicity [Срок оценки: Plus/minus 10 years from date of radiotherapy treatment]

Критерии участия

Критерии включения

  • External beam radiotherapy delivered by a linear accelerator
  • Prostate Specific Antigen (PSA) recorded at regular intervals after radiotherapy
  • Minimum of 10 year survival post-radiotherapy
  • Diagnostic Computerised Tomography (CT) acquired
  • Radiotherapy planning CT acquired
  • Radiotherapy treatment planning data available
  • Corresponding healthcare data available to infer toxicity events (ref previous work by Lemanska et al)

Критерии исключения

  • Incomplete course of radiotherapy
  • No PSA data
  • No follow-up corresponding healthcare data available
  • No imaging data available

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения
Когортное

Центры проведения

Великобритания · 1 центр
  • University of Edinburgh — Edinburgh

Публикации

  • Nailon WH, Noble DJ, Harrison E, Yang Z, Elliot S, MacNair A, Beckett G, Hallam A, Sheikh A, Mills N, Halliday R, Morrison D, Chalmers A, Cameron D, Gourley C, Hall P, Lilley C, Carruthers LJ, Trainer M, Burns D, Dee F, Andiappa S, Lonsdale A, Couper M, Farnan K, McLellan J, Miller A, Ogg J, Moses J, Colligan S, MacDonald G, McPhail N, Niblock P, MacLeod N, Davies ME, Laurenson DI, Hopgood JR, Boy PMID 41628931

Идентификаторы

NCT: NCT06714630 · 2022/0221

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗