Ignite Creation Date:
2025-12-26 @ 2:41 PM
Ignite Modification Date:
2025-12-26 @ 2:41 PM
Study NCT ID:
NCT01360606
Status:
COMPLETED
Last Update Posted:
2024-10-10
First Post:
2011-05-24
Is NOT Gene Therapy:
False
Has Adverse Events:
True
Brief Title:
Stereotactic Body Radiation Therapy (SBRT) for Liver Mets
Sponsor:
Organization:
Raw JSON
{'hasResults': True, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'interventionBrowseModule': {'meshes': [{'id': 'D016634', 'term': 'Radiosurgery'}], 'ancestors': [{'id': 'D011878', 'term': 'Radiotherapy'}, {'id': 'D013812', 'term': 'Therapeutics'}, {'id': 'D013238', 'term': 'Stereotaxic Techniques'}, {'id': 'D019635', 'term': 'Neurosurgical Procedures'}, {'id': 'D013514', 'term': 'Surgical Procedures, Operative'}, {'id': 'D008919', 'term': 'Investigative Techniques'}]}}, 'resultsSection': {'moreInfoModule': {'pointOfContact': {'email': 'stadtermanbm@upmc.edu', 'phone': '4126475554', 'title': 'Barbara Stadterman, MPH, CCRP, Clinical Research Manager', 'organization': 'UPMC Hillman Cancer Center'}, 'certainAgreement': {'piSponsorEmployee': True}}, 'adverseEventsModule': {'timeFrame': 'Adverse event data were collected for a period of up to 5 years.', 'eventGroups': [{'id': 'EG000', 'title': 'SBRT - 50 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 50 Gy in 5 fractions (10 Gy/fx) delivered over a 2-week period.', 'otherNumAtRisk': 3, 'deathsNumAtRisk': 3, 'otherNumAffected': 2, 'seriousNumAtRisk': 3, 'deathsNumAffected': 0, 'seriousNumAffected': 0}, {'id': 'EG001', 'title': 'SBRT - 60 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.', 'otherNumAtRisk': 6, 'deathsNumAtRisk': 6, 'otherNumAffected': 5, 'seriousNumAtRisk': 6, 'deathsNumAffected': 0, 'seriousNumAffected': 0}], 'otherEvents': [{'term': 'Anemia', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 2}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 0}], 'organSystem': 'Blood and lymphatic system disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Abdominal distension', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Abdominal pain', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Dry mouth', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Nausea', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Gastrointestinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Fatigue', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 4}], 'organSystem': 'General disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Hepatobiliary disorders - Other, specifyLDH increased', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 0}], 'organSystem': 'Hepatobiliary disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Alkaline phosphatase increased', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 0}], 'organSystem': 'Investigations', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Aspartate aminotransferase increased', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 0}], 'organSystem': 'Investigations', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Investigations - Other, specifyedema in lower extremities', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 0}], 'organSystem': 'Investigations', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Investigations - Other, specifyLDH increased', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Investigations', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Investigations - Other, specifyRib pain', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Investigations', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Lymphocyte count decreased', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 2}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Investigations', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Neutrophil count decreased', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 0}], 'organSystem': 'Investigations', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Platelet count decreased', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Investigations', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'White blood cell decreased', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Investigations', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Hypermagnesemia', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 0}], 'organSystem': 'Metabolism and nutrition disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Hypocalcemia', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Metabolism and nutrition disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Hypokalemia', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 0}], 'organSystem': 'Metabolism and nutrition disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Hypomagnesemia', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Metabolism and nutrition disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Hyponatremia', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Metabolism and nutrition disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Back pain', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Musculoskeletal and connective tissue disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Chest wall pain', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Musculoskeletal and connective tissue disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Generalized muscle weakness', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Musculoskeletal and connective tissue disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Pelvic pain', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Reproductive system and breast disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Cough', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 2}], 'organSystem': 'Respiratory, thoracic and mediastinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Hoarseness', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Respiratory, thoracic and mediastinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}, {'term': 'Skin and subcutaneous tissue disorders - Other, specifyErythema-right breast', 'stats': [{'groupId': 'EG000', 'numAtRisk': 3, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 6, 'numAffected': 1}], 'organSystem': 'Skin and subcutaneous tissue disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'CTCAE v4'}], 'frequencyThreshold': '0'}, 'outcomeMeasuresModule': {'outcomeMeasures': [{'type': 'PRIMARY', 'title': 'Maximum Tolerated Dose (MTD)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '9', 'groupId': 'OG000'}]}], 'groups': [{'id': 'OG000', 'title': 'All Participants', 'description': 'Stereotactic Body Radiation Therapy (SBRT) Patients that received at least one dose of either 50 Gy or 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.'}], 'classes': [{'categories': [{'measurements': [{'value': '60', 'groupId': 'OG000'}]}]}], 'paramType': 'NUMBER', 'timeFrame': 'Up to 16 Months', 'description': 'MTD as determined by dose limiting toxicities (DLT), defined as any grade III stomach, bowel, liver, or spinal cord toxicity, or any grade IV toxicity per RTOG criteria. Only toxicities observed prior to 7 months after the last fraction of radiation were considered. The MTD is the highest dose level at which no more than 1 of 6 treated patients experiences a DLT.', 'unitOfMeasure': 'Gy', 'reportingStatus': 'POSTED', 'populationDescription': 'All patients that received study treatment.'}, {'type': 'PRIMARY', 'title': 'Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '3', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'SBRT - 50 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 50 Gy in 5 fractions (10 Gy/fx) delivered over a 2-week period.'}, {'id': 'OG001', 'title': 'SBRT - 60 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.'}], 'classes': [{'categories': [{'measurements': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': 'Up to 16 Months', 'description': 'Dose limiting toxicity (DLT) will be defined as any grade III stomach, bowel, liver, or spinal cord toxicity, or any grade IV toxicity as defined by the Radiation Therapy Oncology Group (RTOG).', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'All patients that received study treatment.'}, {'type': 'SECONDARY', 'title': 'Local Control', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'SBRT - 50 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 50 Gy in 5 fractions (10 Gy/fx) delivered over a 2-week period.'}, {'id': 'OG001', 'title': 'SBRT - 60 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.'}], 'classes': [{'title': 'Complete Response', 'categories': [{'measurements': [{'value': '1', 'groupId': 'OG000'}, {'value': '1', 'groupId': 'OG001'}]}]}, {'title': 'Partial Response', 'categories': [{'measurements': [{'value': '0', 'groupId': 'OG000'}, {'value': '3', 'groupId': 'OG001'}]}]}, {'title': 'Stable Disease', 'categories': [{'measurements': [{'value': '1', 'groupId': 'OG000'}, {'value': '1', 'groupId': 'OG001'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': 'Up to 6 years and 4 months (study population)', 'description': 'Proportion of treated patients with stable disease (SD), partial response (PR), or complete response (CR) in the target lesion(s) per Response Evaluation Criteria in Solid Tumors (RECIST) in the target lesion(s) at one-year post-treatment. Per RECIST v1.1, CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \\<10 mm. All lymph nodes must be non-pathological in size (\\<10mm short axis); PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'All patients treated per protocol and radiologically evaluable.'}, {'type': 'SECONDARY', 'title': 'Local Response Rate', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'SBRT - 50 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 50 Gy in 5 fractions (10 Gy/fx) delivered over a 2-week period.'}, {'id': 'OG001', 'title': 'SBRT - 60 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.'}], 'classes': [{'title': 'Complete Response', 'categories': [{'measurements': [{'value': '1', 'groupId': 'OG000'}, {'value': '1', 'groupId': 'OG001'}]}]}, {'title': 'Partial Response', 'categories': [{'measurements': [{'value': '0', 'groupId': 'OG000'}, {'value': '3', 'groupId': 'OG001'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': 'Up to 6 years and 4 months (study population)', 'description': 'Proportion of patients who experience local partial response (PR), or complete response (CR) in the target lesion(s) per Response Evaluation Criteria in Solid Tumors (RECIST) at any point in the first year of follow-up. Per RECIST v1.1, CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \\<10 mm. For non-target lesions: Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (\\<10mm short axis); PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'All patients treated per protocol and radiologically evaluable.'}, {'type': 'SECONDARY', 'title': 'FACT-G - Health Related Quality of Life (HRQL) Over Time', 'denoms': [{'units': 'Participants', 'counts': [{'value': '3', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'SBRT - 50 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 50 Gy in 5 fractions (10 Gy/fx) delivered over a 2-week period.'}, {'id': 'OG001', 'title': 'SBRT - 60 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.'}], 'classes': [{'title': 'Screening', 'denoms': [{'units': 'Participants', 'counts': [{'value': '3', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '90.3', 'spread': '15.0', 'groupId': 'OG000'}, {'value': '88.0', 'spread': '16.3', 'groupId': 'OG001'}]}]}, {'title': 'Initial Rx Therapy', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '82.6', 'spread': '35.9', 'groupId': 'OG000'}, {'value': '82.5', 'spread': '23.0', 'groupId': 'OG001'}]}]}, {'title': 'Post completion of RX Therapy', 'denoms': [{'units': 'Participants', 'counts': [{'value': '1', 'groupId': 'OG000'}, {'value': '3', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '107.0', 'groupId': 'OG000'}, {'value': '91.0', 'spread': '14.7', 'groupId': 'OG001'}]}]}, {'title': '1-2 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '5', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '69.0', 'spread': '5.7', 'groupId': 'OG000'}, {'value': '78.0', 'spread': '20.9', 'groupId': 'OG001'}]}]}, {'title': '3-5 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '86.5', 'spread': '6.4', 'groupId': 'OG000'}, {'value': '83.1', 'spread': '17.4', 'groupId': 'OG001'}]}]}, {'title': '6-8 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '1', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '87.0', 'groupId': 'OG000'}, {'value': '85.1', 'spread': '17.0', 'groupId': 'OG001'}]}]}, {'title': '9-11 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '80.4', 'spread': '21.7', 'groupId': 'OG001'}]}]}, {'title': '12-14 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '84.7', 'spread': '16.1', 'groupId': 'OG001'}]}]}, {'title': '15-17 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '1', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '71.0', 'groupId': 'OG001'}]}]}, {'title': '18-20 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '2', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '78.0', 'spread': '0.0', 'groupId': 'OG000'}, {'value': '74.5', 'spread': '17.7', 'groupId': 'OG001'}]}]}, {'title': '21-23 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '2', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '69.0', 'spread': '9.9', 'groupId': 'OG001'}]}]}, {'title': '24-26 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '1', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '69.0', 'groupId': 'OG001'}]}]}], 'paramType': 'MEAN', 'timeFrame': '1-2 months, 3-5 months, 6-8 months, 9-11 months,12-14 months,15-17 months, 18-20 months, 21-23 months, 24-26 months', 'description': 'Health related quality of life associated with this SBRT will be assessed over time using the FACT-G assessment tool, a self-administered questionnaire that measures quality of life within the prior 7 days in patients being treated for cancer. The tool has 27 items with a 5-point Likert-type scale, (0 = Not at all to 5 = Very Much). Subscales include Physical Well-Being max score=28), Social/Family Well-Being (max score=28), Emotional Well-Being (max score=24), Functional Well-Being (max score=28). Total scores range from 0 to 108. Questions are phrased so that higher numbers indicate a better health state, with some items reverse-scored.', 'unitOfMeasure': 'score on a scale', 'dispersionType': 'Standard Deviation', 'reportingStatus': 'POSTED', 'populationDescription': 'All treated patients that completed QoL surveys.'}, {'type': 'SECONDARY', 'title': 'Functional Assessment of Cancer Therapy-Hepatobiliary Index (FSHI) Over Time', 'denoms': [{'units': 'Participants', 'counts': [{'value': '3', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'SBRT - 50 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 50 Gy in 5 fractions (10 Gy/fx) delivered over a 2-week period.'}, {'id': 'OG001', 'title': 'SBRT - 60 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.'}], 'classes': [{'title': 'Screening', 'denoms': [{'units': 'Participants', 'counts': [{'value': '3', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '27.0', 'spread': '5.0', 'groupId': 'OG000'}, {'value': '27.2', 'spread': '4.6', 'groupId': 'OG001'}]}]}, {'title': 'Initial Rx Therapy', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '29.5', 'spread': '3.5', 'groupId': 'OG000'}, {'value': '24.5', 'spread': '8.2', 'groupId': 'OG001'}]}]}, {'title': 'Post completion of RX Therapy', 'denoms': [{'units': 'Participants', 'counts': [{'value': '1', 'groupId': 'OG000'}, {'value': '3', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '31.0', 'groupId': 'OG000'}, {'value': '25.3', 'spread': '5.8', 'groupId': 'OG001'}]}]}, {'title': '1-2 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '5', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '24.5', 'spread': '2.1', 'groupId': 'OG000'}, {'value': '21.2', 'spread': '7.7', 'groupId': 'OG001'}]}]}, {'title': '3-5 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '25.0', 'spread': '0.0', 'groupId': 'OG000'}, {'value': '24.3', 'spread': '5.8', 'groupId': 'OG001'}]}]}, {'title': '6-8 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '1', 'groupId': 'OG000'}, {'value': '3', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '29.0', 'groupId': 'OG000'}, {'value': '26.7', 'spread': '4.6', 'groupId': 'OG001'}]}]}, {'title': '9-11 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '24.2', 'spread': '5.7', 'groupId': 'OG001'}]}]}, {'title': '12-14 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '24.2', 'spread': '4.6', 'groupId': 'OG001'}]}]}, {'title': '15-17 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '1', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '18.0', 'groupId': 'OG001'}]}]}, {'title': '18-20 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '1', 'groupId': 'OG000'}, {'value': '2', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '23.0', 'groupId': 'OG000'}, {'value': '22.0', 'spread': '4.2', 'groupId': 'OG001'}]}]}, {'title': '21-23 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '2', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '22.5', 'spread': '0.7', 'groupId': 'OG001'}]}]}, {'title': '24-26 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '1', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '21.0', 'groupId': 'OG001'}]}]}], 'paramType': 'MEAN', 'timeFrame': '1-2 months, 3-5 months, 6-8 months, 9-11 months,12-14 months,15-17 months, 18-20 months, 21-23 months, 24-26 months', 'description': 'Functional Assessment of Cancer Therapy-Hepatobiliary Index (FSHI) subscale was used to assess health-related quality of life associated with SBRT. The FACT-Hep is part of the Functional Assessment of Chronic Illness Therapy (FACIT; 13) measurement system and includes the FACT-General (FACT-G) and an 8-item module specifically designed for patients diagnosed with hepatobiliary carcinomas.\n\nFACT-Hep questions are scored using a 5-point Likert scale ranging from 0 (Not at all) to 4 (Very much), with overall scores ranging from 0-32.\n\nQuestions are phrased so that higher numbers indicate a better health state, with some items reverse-scored.', 'unitOfMeasure': 'score on a scale', 'dispersionType': 'Standard Deviation', 'reportingStatus': 'POSTED', 'populationDescription': 'All patients on study that completed QoL surveys'}, {'type': 'SECONDARY', 'title': 'FACT-Hep-Trial Outcome Index (TOI)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '3', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'SBRT - 50 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 50 Gy in 5 fractions (10 Gy/fx) delivered over a 2-week period.'}, {'id': 'OG001', 'title': 'SBRT - 60 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.'}], 'classes': [{'title': 'Screening', 'denoms': [{'units': 'Participants', 'counts': [{'value': '3', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '108.3', 'spread': '13.7', 'groupId': 'OG000'}, {'value': '106.0', 'spread': '17.6', 'groupId': 'OG001'}]}]}, {'title': 'Initial Rx therapy session', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '107.0', 'spread': '25.5', 'groupId': 'OG000'}, {'value': '98.5', 'spread': '29.0', 'groupId': 'OG001'}]}]}, {'title': 'After completion of final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '1', 'groupId': 'OG000'}, {'value': '3', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '126.0', 'groupId': 'OG000'}, {'value': '104.0', 'spread': '21.4', 'groupId': 'OG001'}]}]}, {'title': '01-02 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '5', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '92.5', 'spread': '10.6', 'groupId': 'OG000'}, {'value': '90.4', 'spread': '27.2', 'groupId': 'OG001'}]}]}, {'title': '03-05 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '2', 'groupId': 'OG000'}, {'value': '6', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '101.0', 'spread': '4.2', 'groupId': 'OG000'}, {'value': '92.5', 'spread': '16.3', 'groupId': 'OG001'}]}]}, {'title': '06-08 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '1', 'groupId': 'OG000'}, {'value': '3', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '117.0', 'groupId': 'OG000'}, {'value': '106.0', 'spread': '14.8', 'groupId': 'OG001'}]}]}, {'title': '09-11 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '94.0', 'spread': '24.8', 'groupId': 'OG001'}]}]}, {'title': '12-14 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '4', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '99.8', 'spread': '20.1', 'groupId': 'OG001'}]}]}, {'title': '15-17 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '1', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '73.5', 'groupId': 'OG001'}]}]}, {'title': '18-20 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '1', 'groupId': 'OG000'}, {'value': '2', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '103.0', 'groupId': 'OG000'}, {'value': '85.0', 'spread': '18.4', 'groupId': 'OG001'}]}]}, {'title': '21-23 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '2', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '83.5', 'spread': '6.4', 'groupId': 'OG001'}]}]}, {'title': '24-26 months post final Rx', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '1', 'groupId': 'OG001'}]}], 'categories': [{'measurements': [{'value': '83.0', 'groupId': 'OG001'}]}]}], 'paramType': 'MEAN', 'timeFrame': '1-2 months, 3-5 months, 6-8 months, 9-11 months,12-14 months,15-17 months, 18-20 months, 21-23 months, 24-26 months', 'description': 'Trial Outcome Index (TOI), the sum of the physical and functional well-being subscales and the additional concerns subscale is calculated. The TOI is a commonly used endpoint in clinical trials because it is responsive to change, whereas the social/family and emotional well-being subscale scores do not change as quickly over time or have as great of change subsequent to pharmacological treatment. The FACT-Hep is part of the Functional Assessment of Chronic Illness Therapy (FACIT 13) measurement system and includes the FACT-General (FACT-G) and an 18-item module specifically designed for patients diagnosed with hepatobiliary carcinomas with domain scores ranging from 0-32. FACT-Hep questions are scored using a 5-point Likert scale ranging from 0 (Not at all) to 4 (Very much). Total Index scores range from 0 to 128. Higher scores are associated with better QoL or fewer symptoms.', 'unitOfMeasure': 'score on a scale', 'dispersionType': 'Standard Deviation', 'reportingStatus': 'POSTED', 'populationDescription': 'All patients on study that completed QoL surveys'}]}, 'participantFlowModule': {'groups': [{'id': 'FG000', 'title': 'SBRT - 50 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 50 Gy in 5 fractions (10 Gy/fx) delivered over a 2-week period.'}, {'id': 'FG001', 'title': 'SBRT - 60 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.'}], 'periods': [{'title': '50 Gy', 'milestones': [{'type': 'STARTED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '3'}, {'groupId': 'FG001', 'numSubjects': '0'}]}, {'type': 'COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '3'}, {'groupId': 'FG001', 'numSubjects': '0'}]}, {'type': 'NOT COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '0'}, {'groupId': 'FG001', 'numSubjects': '0'}]}]}, {'title': '60 Gy', 'milestones': [{'type': 'STARTED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '0'}, {'groupId': 'FG001', 'numSubjects': '6'}]}, {'type': 'COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '0'}, {'groupId': 'FG001', 'numSubjects': '6'}]}, {'type': 'NOT COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '0'}, {'groupId': 'FG001', 'numSubjects': '0'}]}]}]}, 'baselineCharacteristicsModule': {'denoms': [{'units': 'Participants', 'counts': [{'value': '3', 'groupId': 'BG000'}, {'value': '6', 'groupId': 'BG001'}, {'value': '9', 'groupId': 'BG002'}]}], 'groups': [{'id': 'BG000', 'title': 'SBRT - 50 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 50 Gy in 5 fractions (10 Gy/fx) delivered over a 2-week period.'}, {'id': 'BG001', 'title': 'SBRT - 60 Gy', 'description': 'Stereotactic Body Radiation Therapy: SBRT:\n\nPatients received 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.'}, {'id': 'BG002', 'title': 'Total', 'description': 'Total of all reporting groups'}], 'measures': [{'title': 'Age, Continuous', 'classes': [{'categories': [{'measurements': [{'value': '66.0', 'groupId': 'BG000', 'lowerLimit': '56.0', 'upperLimit': '75.0'}, {'value': '68.0', 'groupId': 'BG001', 'lowerLimit': '53.0', 'upperLimit': '81.0'}, {'value': '66.0', 'groupId': 'BG002', 'lowerLimit': '53.0', 'upperLimit': '81.0'}]}]}], 'paramType': 'MEDIAN', 'unitOfMeasure': 'years', 'dispersionType': 'FULL_RANGE'}, {'title': 'Sex: Female, Male', 'classes': [{'categories': [{'title': 'Female', 'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '1', 'groupId': 'BG002'}]}, {'title': 'Male', 'measurements': [{'value': '2', 'groupId': 'BG000'}, {'value': '6', 'groupId': 'BG001'}, {'value': '8', 'groupId': 'BG002'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Ethnicity (NIH/OMB)', 'classes': [{'categories': [{'title': 'Hispanic or Latino', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}, {'title': 'Not Hispanic or Latino', 'measurements': [{'value': '3', 'groupId': 'BG000'}, {'value': '6', 'groupId': 'BG001'}, {'value': '9', 'groupId': 'BG002'}]}, {'title': 'Unknown or Not Reported', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Race (NIH/OMB)', 'classes': [{'categories': [{'title': 'American Indian or Alaska Native', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}, {'title': 'Asian', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}, {'title': 'Native Hawaiian or Other Pacific Islander', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}, {'title': 'Black or African American', 'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '1', 'groupId': 'BG002'}]}, {'title': 'White', 'measurements': [{'value': '2', 'groupId': 'BG000'}, {'value': '6', 'groupId': 'BG001'}, {'value': '8', 'groupId': 'BG002'}]}, {'title': 'More than one race', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}, {'title': 'Unknown or Not Reported', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'ECOG Performance Score', 'classes': [{'title': 'ECOG = 1', 'categories': [{'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '1', 'groupId': 'BG002'}]}]}, {'title': 'Unknown', 'categories': [{'measurements': [{'value': '2', 'groupId': 'BG000'}, {'value': '6', 'groupId': 'BG001'}, {'value': '8', 'groupId': 'BG002'}]}]}], 'paramType': 'NUMBER', 'description': '0 = Asymptomatic (Fully active, able to carry on all predisease activities without restriction)\n\n1 = Symptomatic but completely ambulatory (Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature). 2 = Symptomatic, \\<50% in bed during the day (Ambulatory and capable of all self care but unable to carry out any work activities) 3 = Symptomatic, \\>50% in bed, but not bedbound (Limited self-care) 4 = Bedbound (Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair) 5 = Death', 'unitOfMeasure': 'participants'}, {'title': 'Karnofsky Score of Performance Status', 'classes': [{'title': 'Karnofsky Score = 70', 'categories': [{'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '1', 'groupId': 'BG001'}, {'value': '2', 'groupId': 'BG002'}]}]}, {'title': 'Karnofsky Score = 90', 'categories': [{'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '5', 'groupId': 'BG001'}, {'value': '5', 'groupId': 'BG002'}]}]}, {'title': 'Karnofsky Score = 100', 'categories': [{'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '1', 'groupId': 'BG002'}]}]}, {'title': 'Unknown', 'categories': [{'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '1', 'groupId': 'BG002'}]}]}], 'paramType': 'NUMBER', 'description': '100% Normal; no complaints or evidence of disease. 90% Can do normal activity; minor signs of disease.80% Normal activity with effort; some signs of disease.70% Cares for self. Unable to do normal activity / active work.60% Needs occasional assistance, but able to care for most needs.50% Requires considerable assistance/frequent medical care. 40% Disabled; requires special care/assistance.30% Severely disabled; hospitalization indicated although death not imminent. 20% Very sick; hospitalization needed; active supportive necessary. 10% Moribund; fatal processes progressing rapidly. 0% Dead.', 'unitOfMeasure': 'participants'}], 'populationDescription': 'All patients that received treatment.'}}, 'documentSection': {'largeDocumentModule': {'largeDocs': [{'date': '2023-05-04', 'size': 8490240, 'label': 'Study Protocol and Statistical Analysis Plan', 'hasIcf': False, 'hasSap': True, 'filename': 'Prot_SAP_000.pdf', 'typeAbbrev': 'Prot_SAP', 'uploadDate': '2024-09-08T19:16', 'hasProtocol': True}]}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'NA', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'SINGLE_GROUP'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 9}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2012-03-23', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2024-10', 'completionDateStruct': {'date': '2021-02-04', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2024-10-08', 'studyFirstSubmitDate': '2011-05-24', 'resultsFirstSubmitDate': '2024-07-17', 'studyFirstSubmitQcDate': '2011-05-24', 'lastUpdatePostDateStruct': {'date': '2024-10-10', 'type': 'ACTUAL'}, 'resultsFirstSubmitQcDate': '2024-10-08', 'studyFirstPostDateStruct': {'date': '2011-05-25', 'type': 'ESTIMATED'}, 'resultsFirstPostDateStruct': {'date': '2024-10-10', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2018-07-25', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Maximum Tolerated Dose (MTD)', 'timeFrame': 'Up to 16 Months', 'description': 'MTD as determined by dose limiting toxicities (DLT), defined as any grade III stomach, bowel, liver, or spinal cord toxicity, or any grade IV toxicity per RTOG criteria. Only toxicities observed prior to 7 months after the last fraction of radiation were considered. The MTD is the highest dose level at which no more than 1 of 6 treated patients experiences a DLT.'}, {'measure': 'Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)', 'timeFrame': 'Up to 16 Months', 'description': 'Dose limiting toxicity (DLT) will be defined as any grade III stomach, bowel, liver, or spinal cord toxicity, or any grade IV toxicity as defined by the Radiation Therapy Oncology Group (RTOG).'}], 'secondaryOutcomes': [{'measure': 'Local Control', 'timeFrame': 'Up to 6 years and 4 months (study population)', 'description': 'Proportion of treated patients with stable disease (SD), partial response (PR), or complete response (CR) in the target lesion(s) per Response Evaluation Criteria in Solid Tumors (RECIST) in the target lesion(s) at one-year post-treatment. Per RECIST v1.1, CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \\<10 mm. All lymph nodes must be non-pathological in size (\\<10mm short axis); PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.'}, {'measure': 'Local Response Rate', 'timeFrame': 'Up to 6 years and 4 months (study population)', 'description': 'Proportion of patients who experience local partial response (PR), or complete response (CR) in the target lesion(s) per Response Evaluation Criteria in Solid Tumors (RECIST) at any point in the first year of follow-up. Per RECIST v1.1, CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \\<10 mm. For non-target lesions: Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (\\<10mm short axis); PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.'}, {'measure': 'FACT-G - Health Related Quality of Life (HRQL) Over Time', 'timeFrame': '1-2 months, 3-5 months, 6-8 months, 9-11 months,12-14 months,15-17 months, 18-20 months, 21-23 months, 24-26 months', 'description': 'Health related quality of life associated with this SBRT will be assessed over time using the FACT-G assessment tool, a self-administered questionnaire that measures quality of life within the prior 7 days in patients being treated for cancer. The tool has 27 items with a 5-point Likert-type scale, (0 = Not at all to 5 = Very Much). Subscales include Physical Well-Being max score=28), Social/Family Well-Being (max score=28), Emotional Well-Being (max score=24), Functional Well-Being (max score=28). Total scores range from 0 to 108. Questions are phrased so that higher numbers indicate a better health state, with some items reverse-scored.'}, {'measure': 'Functional Assessment of Cancer Therapy-Hepatobiliary Index (FSHI) Over Time', 'timeFrame': '1-2 months, 3-5 months, 6-8 months, 9-11 months,12-14 months,15-17 months, 18-20 months, 21-23 months, 24-26 months', 'description': 'Functional Assessment of Cancer Therapy-Hepatobiliary Index (FSHI) subscale was used to assess health-related quality of life associated with SBRT. The FACT-Hep is part of the Functional Assessment of Chronic Illness Therapy (FACIT; 13) measurement system and includes the FACT-General (FACT-G) and an 8-item module specifically designed for patients diagnosed with hepatobiliary carcinomas.\n\nFACT-Hep questions are scored using a 5-point Likert scale ranging from 0 (Not at all) to 4 (Very much), with overall scores ranging from 0-32.\n\nQuestions are phrased so that higher numbers indicate a better health state, with some items reverse-scored.'}, {'measure': 'FACT-Hep-Trial Outcome Index (TOI)', 'timeFrame': '1-2 months, 3-5 months, 6-8 months, 9-11 months,12-14 months,15-17 months, 18-20 months, 21-23 months, 24-26 months', 'description': 'Trial Outcome Index (TOI), the sum of the physical and functional well-being subscales and the additional concerns subscale is calculated. The TOI is a commonly used endpoint in clinical trials because it is responsive to change, whereas the social/family and emotional well-being subscale scores do not change as quickly over time or have as great of change subsequent to pharmacological treatment. The FACT-Hep is part of the Functional Assessment of Chronic Illness Therapy (FACIT 13) measurement system and includes the FACT-General (FACT-G) and an 18-item module specifically designed for patients diagnosed with hepatobiliary carcinomas with domain scores ranging from 0-32. FACT-Hep questions are scored using a 5-point Likert scale ranging from 0 (Not at all) to 4 (Very much). Total Index scores range from 0 to 128. Higher scores are associated with better QoL or fewer symptoms.'}]}, 'oversightModule': {'isUsExport': False, 'oversightHasDmc': True, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': True}, 'conditionsModule': {'keywords': ['Stereotactic Body Radiation Therapy (SBRT)', 'standard uptake value (SUV)'], 'conditions': ['Liver Metastases']}, 'descriptionModule': {'briefSummary': 'This is a phase I dose escalation study. Dose escalation will be via the traditional "up and down" scheme. SBRT:\n\nPatients will receive one of the following radiation regimens:\n\n* 50 Gy in 5 fractions (10 Gy/fx) delivered over a 2-week period.\n* 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.\n* 75 Gy in 5 fractions (15 Gy/fx) delivered over a 2-week period.', 'detailedDescription': 'Prior to enrollment all patients will be evaluated with a physical exam, review of pathology and laboratory values to confirm diagnosis, and baseline imaging studies.\n\nAccelerator\n\nPhysicians will treat with a stereotactic radiosurgery system using 6MV photons to deliver stereotactic body radiotherapy.\n\nDoses\n\nPatients will receive a total dose ranging from 50-75 Gy in 5 fractions (10-15 Gy/fx). Dose escalation will be via the traditional "up and down" scheme.\n\nIn determining the radiation dose and fractionation scheme for this protocol, we used the linear-quadratic formalism for radiation cell killing to "equate" schemes that vary the dose/fraction and number of fractions. This concept of biologically equivalent dose (BED) states that the total effect is given by:\n\nnd x (1 + d/(alpha-beta ratio))\n\nwhere n is the # of fractions and d is the dose/fraction. The "alpha-beta ratio" characterizes the radiation response of a particular tissue; a higher value is indicative of a tissue that responds acutely to the effects of radiation. Due to their highly proliferative nature, most tumors fall into this category.\n\nThis final dose scheme (total dose 75 Gy) is biologically equivalent to the previously studied doses in the literature (60 Gy in 3 fractions), meaning the first two sets of patients will be treated to a radiobiologically smaller (and likely safer) dose. We would favor treating in five fractions, as opposed to three, to allow more repair of normal tissue, reoxygenation of tumor cells, and redistribution of tumor cells to more radiosensitive parts of the cell cycle. Using a smaller fraction size, 10-15 Gy compared to 20 Gy, will also help reduce late effects of radiation therapy. SBRT treatment will be given on an every other day schedule, excluding weekends. The prescription dose will be prescribed to the isodose line best encompassing the planning target volume (PTV) depending on the volume of tumor (HCC).\n\nLocalization, immobilization, and simulation\n\nWithin 5 - 10 days after fiducial placement, pPatients will undergo 4D FDG-PET/CT simulation with the goal of evaluating tumor motion to allow for gated treatment when indicated. This goal will be accomplished by using the Real-time Position Management (RPM) system (Varian Medical Systems, Palo Alto, CA) to create a retrospective 4D CT scan. Following the institutional protocol, a helical CT scan and a 4D positron emission tomography (PET) scan with a patient with body immobilization device will be acquired. A patient will not eat or drink anything for four hours before the PET scan. Before the PET scan, blood sample will be taken from either a finger stick or a vein in the arm to check the sugar level. An injection of a small amount of a radioactive drug called FDG ( \\[F18\\] fluorodeoxyglucose) which is a chemical similar to sugar will be administered into a vein in the arm or hand. Approximately 45 to 60 minutes after the injection of FDG, the patient will be asked to urinate (to empty the bladder).\n\nThe patient will be set up in the PET/CT scanner using a vacuum cushion for immobilization in the supine position with feet tied and hands across the chest or above the head. There will also be a respiration-monitoring device called a marker block placed 5cm below the patient\'s xyphoid process. An infrared camera at the foot of the CT table will capture the images of the marker block and relay them to the RPM computer, which in turn will translate the images into a respiratory pattern. The audio coach (which instructs the patient in regulating breathing) will be calibrated to both patient comfort and time of expiration, inspiration, and full breathing cycle. The placing of the patient in a body immobilization device will take about 10-15 minutes. The patient will need to lie still for about 30 minutes before the completion of the 4D PET scan. The PET/CT scanner will then be programmed to acquire a retrospective 4D CT scan with a set of images for each phase of the breathing cycle. This scan will take place immediately after the PET scan. It will take around 5-10 minutes. The physician or physicist will then select the number of breathing phases to use while the software program selects the best image for each selected breathing phase.\n\nThe entire FDG-PET/CT scan procedure is expected to take about 2 hours.\n\nTreatment Planning\n\nTreatment planning will be carried out using the planning station for the radiosurgery equipment being used for treatment. The gross tumor volume (GTV) will be contoured on the fused image set. Two GTV volumes will be contoured; the gross tumor as seen on CT alone and the gross tumor corresponding to FDG avidity. No margins will be added for clinical target volume (CTV), but custom margins will be added for the planning target volume (PTV) based on the findings of the 4D FDG-PET/CT motion study assessment. The treatment will be prescribed to the isodose line that best covers the planning target volume, which will typically be the 80% isodose line.\n\nTreatment Delivery\n\nSBRT will take place within 14 days of the treatment planning scan. The planning data containing the coordinates of tumor isocenter, the external infrared markers, and the implanted markers are transferred to the appropriate platform depending on the treating machine. If the patient meets the criteria of gating technique then treatment delivery will be accomplished using the appropriate gating technology. Depending on the technology used external infrared markers attached to the patient\'s skin or a marker block placed on the patient\'s chest is used to determine the breathing pattern. The size of beam-on window will be determined based on the target motion as detected by the 4D FDG-PET/CT scan. The threshold for gated treatment delivery is determined based upon the target motion due to respiration.\n\nThe daily initial positioning during treatment delivery will be performed using lasers and skin marks and infrared optical markers as appropriate. The target isocenter will be verified using daily imaging. Depending on the platform used, the moving target will be positioned within the beam under infrared and/or image guidance'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': "Inclusion Criteria:\n\n* Male or female patients ≥ 18 years of age\n* A life expectancy of at least 6 months with a Karnofsky performance status of at least 70\n* The target lesion(s) can be accurately measured in at least one dimension according to RECIST and must have a maximum tumor volume of ≤ 100 cm3\n* No prior radiotherapy to the upper abdomen\n* Previous systemic chemotherapy or non-radiation local therapy (such as surgery, hepatic arterial therapy, chemoembolization, radiofrequency ablation, percutaneous ethanol injection or cryoablation) is allowed. The lesion must however have shown criteria of progression based on RECIST. Local therapy must be completed at least 4 weeks prior to the baseline scan. This is to create a safer treatment environment and to help determine the effect of treatment by SBRT alone. Patients will be allowed to go onto appropriate systemic therapy, as determined by their medical oncologist, 2 weeks following delivery of SBRT\n* Patients with resectable disease will be eligible for participation if they have comorbidities precluding surgery or refuse to undergo an operation\n* Cirrhotic status of Child-Pugh class A or B\n* Patients can have extra-hepatic disease, provided the hepatic disease is the highest burden, the extra-hepatic disease is low burden and potentially treatable with surgery, ablative radiation therapy, or US Food and Drug Administration-approved first- or second-line systemic therapy regimens\n* Patient's will have no evidence of gross vascular invasion.\n* Patients will have no more than 3 distinct lesions, all being ≤ 3cm in greatest dimension, OR 1 lesion ≤ 6cm in greatest dimension\n* Platelet count ≥ 60 x 109/L, Hemoglobin ≥ 8.5 g/dL, WBC ≥ 2000/μL International normalized ratio (INR) must be ≤ 2.3. Patients who are being therapeutically anticoagulated with an agent such as Coumadin or heparin will be allowed to participate provided that no prior evidence of underlying abnormality in these parameters exists\n* Other baseline labs must meet the following criteria: total bilirubin \\< 3mg/dl, albumin\\> 2.5mg/dl, and liver enzymes less than three times the upper limit of normal. Creatinine must also be \\< 1.8mg/dl or a creatinine clearance \\> 50ml/min\n* Must be aware of the neoplastic nature of his/her disease and willingly provide written, informed consent after being informed of the procedure to be followed, the experimental nature of the therapy, alternatives, potential benefits, side-effects, risks and discomforts\n\nExclusion Criteria:\n\n* Renal failure requiring hemo- or peritoneal dialysis\n* Uncontrolled inter-current illness including, but not limited to ongoing or active infection (\\> grade 2 National Cancer Institute \\[NCI\\]-Common Terminology Criteria for Adverse Events \\[CTCAE\\] version 4.0), congestive heart failure (\\> New York Heart Association (NYHA) class 2), active coronary artery disease (CAD), cardiac arrhythmias requiring anti-arrhythmic therapy other than beta blockers or digoxin), uncontrolled hypertension and any condition which could jeopardize the safety of the patient and his/her compliance in the study . Myocardial infarction more than 6 months prior to study entry is permitted\n* A history of variceal bleeding where the varices have not been eradicated or decompressed by shunt placement\n* History of an active connective tissue disorder\n* Substance abuse, medical, psychological or social conditions that may interfere with the patient's participation in the study or evaluation of the study results\n* Pregnant or breast-feeding patients are excluded from this study because abdominal radiation therapy has potential for teratogenic and/or abortifacient effects\n* Portal vein occlusion\n* Extensive liver tumor burden, defined as more than 75% of the liver.\n* Patients with primary tumor histology of lymphoma, leukemia, or germ cell tumor\n* Patients with hepatocellular carcinoma will be excluded from this study"}, 'identificationModule': {'nctId': 'NCT01360606', 'briefTitle': 'Stereotactic Body Radiation Therapy (SBRT) for Liver Mets', 'organization': {'class': 'OTHER', 'fullName': 'University of Pittsburgh'}, 'officialTitle': 'A Phase I Study of Stereotactic Body Radiation Therapy (SBRT) for Liver Metastases', 'orgStudyIdInfo': {'id': 'HCC 09-051'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'OTHER', 'label': 'SBRT', 'interventionNames': ['Radiation: Stereotactic Body Radiation Therapy']}], 'interventions': [{'name': 'Stereotactic Body Radiation Therapy', 'type': 'RADIATION', 'otherNames': ['CyberKnife', 'Trilogy', 'True Beam', 'Radiosurgery'], 'description': 'SBRT:\n\nPatients will receive one of the following radiation regimens:\n\n* 50 Gy in 5 fractions (10 Gy/fx) delivered over a 2-week period.\n* 60 Gy in 5 fractions (12 Gy/fx) delivered over a 2-week period.\n* 75 Gy in 5 fractions (15 Gy/fx) delivered over a 2-week period.', 'armGroupLabels': ['SBRT']}]}, 'contactsLocationsModule': {'locations': [{'zip': '15232', 'city': 'Pittsburgh', 'state': 'Pennsylvania', 'country': 'United States', 'facility': 'UPMC Hillman Cancer Center - Radiation Oncology', 'geoPoint': {'lat': 40.44062, 'lon': -79.99589}}], 'overallOfficials': [{'name': 'Susannah Ellsworth, MD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'UPMC Hillman Cancer Center'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Susannah Ellsworth', 'class': 'OTHER'}, 'responsibleParty': {'type': 'SPONSOR_INVESTIGATOR', 'investigatorTitle': 'Clinical Associate Professor', 'investigatorFullName': 'Susannah Ellsworth', 'investigatorAffiliation': 'University of Pittsburgh'}}}}