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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02613819
Registration number
NCT02613819
Ethics application status
Date submitted
4/11/2015
Date registered
25/11/2015
Date last updated
18/11/2022
Titles & IDs
Public title
Focal Ablative STereotactic Radiosurgery for Cancers of the Kidney
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Scientific title
Focal Ablative STereotactic Radiosurgery for Cancers of the Kidney, a Phase II Clinical Trial (FASTRACK II)
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Secondary ID [1]
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TROG 15.03
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Universal Trial Number (UTN)
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Trial acronym
FASTRACK II
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Renal Cell Carcinoma
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Condition category
Condition code
Cancer
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Kidney
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - SABR
Experimental: Stereotactic Ablative Body Radiotherapy - Stereotactic Ablative Body Radiotherapy (SABR)
Treatment schedule 1: 26 Gray (Gy) in 1 fraction, for tumours of less than or equal to 4cm in size.
Treatment schedule 2: 42 Gray (Gy) in 3 fractions, for tumours of greater than 4cm in size
Treatment: Other: SABR
Renal cell carcinoma (RCC) is conventionally considered "radioresistant" to fully fractionated EBRT. In an effort to overcome the perceived "radioresistance" of RCC, severely hypofractionated External beam radiation therapy (EBRT) in the form of stereotactic radiotherapy will be used in the management of renal cell carcinoma with radiotherapy.
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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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Activity and efficacy of SABR measured by Freedom from local progression assessed by RECIST Criteria
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Assessment method [1]
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Responsive Evaluation Criteria in Solid Tumors (RECIST)
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Timepoint [1]
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12mths post treatment
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Secondary outcome [1]
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Tolerability of SABR Assessed as cummulative incedents of severe toxicity by CTCAE v4
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Assessment method [1]
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Common Terminology Criteria for Adverse Events (CTCAE)
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Timepoint [1]
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From date of treatment commencement until first documented progression or date of death from any cause, whichever came first, assessed from 4wks, 3 mths, 6 mths, 9mths, 12 mths, 18 mths, 24 mths, 33 mths, 42 mths, 51 mths, and 60 mth post treatment
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Secondary outcome [2]
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Estimated Survival after SABR assessed by clinincal assessment
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Assessment method [2]
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Stereotactic Ablative Radiotherapy (SABR)
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Timepoint [2]
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assessed up to 60 months
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Secondary outcome [3]
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Estimated Distant Failure Rate after SABR assessed by CT scan and clinical assessment
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Assessment method [3]
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Timepoint [3]
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From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed from 6 mths, 9 mths, 12 mths, 18mths, 33 mths, 42 mths, 51 mths, and 60 mths post treatment
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Secondary outcome [4]
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Renal Function Change after SABR assessed by split renal function and GFR
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Assessment method [4]
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Calculated Glomular Filtration Rate (GFR)
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Timepoint [4]
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Baseline, 12mths post treatment, and 24 mths post treatment
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Secondary outcome [5]
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Renal Function Change after SABR assessed by using eGFR
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Assessment method [5]
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Estimated Glomular Filtration Rate (eGFR)
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Timepoint [5]
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Baseline,3 mths, 6 mths, 9mths, 12 mths, 18 mths, 24 mths, 33 mths, 42 mths, 51 mths, and 60 mths
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Eligibility
Key inclusion criteria
* Age > 18 years old
* All patients must have a biopsy confirmed diagnosis of renal cell carcinoma with a single lesion within a kidney
* Eastern Cooperative Oncology Group (ECOG) performance of 0-2 inclusive.
* Life expectancy > 9 months
* Either medically inoperable, technically high risk for surgery or decline surgery.
* Multidisciplinary decision for active treatment
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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
* Pre-treatment estimated glomerular filtration rate < 30 mls/min
* Cytotoxic chemotherapy within 3 weeks of commencement of treatment, or concurrently with treatment. Delivery of targeted agents (such as sunitinib) are allowable only when at least 7 days separate the delivery of the proposed agent and the delivery of the stereotactic radiotherapy.
* Previous high-dose radiotherapy to an overlapping region
* Tumours of larger than 8cm is size
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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
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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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
1/07/2016
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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
1/04/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
71
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Peter MacCallum Cancer Centre - East Melbourne
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Recruitment postcode(s) [1]
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3000 - East Melbourne
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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
This study is evaluating the activity and efficacy of Stereotactic Ablative Body Radiotherapy (SABR) for the treatment of kidney cancers.
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Trial website
https://clinicaltrials.gov/study/NCT02613819
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Trial related presentations / publications
Siva S, Chesson B, Bressel M, Pryor D, Higgs B, Reynolds HM, Hardcastle N, Montgomery R, Vanneste B, Khoo V, Ruben J, Lau E, Hofman MS, De Abreu Lourenco R, Sridharan S, Brook NR, Martin J, Lawrentschuk N, Kron T, Foroudi F. TROG 15.03 phase II clinical trial of Focal Ablative STereotactic Radiosurgery for Cancers of the Kidney - FASTRACK II. BMC Cancer. 2018 Oct 23;18(1):1030. doi: 10.1186/s12885-018-4916-2.
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Public notes
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Contacts
Principal investigator
Name
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Shankar Siva, A/Prof
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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/NCT02613819
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