New proton therapy spares spine growth in kids with brain cancer
NCT ID NCT07589361
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at a new way to give radiation to children with brain tumors that need whole-brain and whole-spine treatment. The technique, called vertebral body-sparing proton therapy, aims to protect the front of the spine bones to preserve bone marrow and growth. Researchers will check how safe this approach is and how well it controls the tumor over 5 years. About 38 children and teens aged 3 to 18 will take part.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 38 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2033
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
This is a prospective observational study enrolling 38 pediatric patients aged \>3 years and ≤18 years with histologically confirmed central nervous system tumors requiring craniospinal irradiation (CSI). Patients will be assigned to 2 cohorts: low-dose CSI and high-dose CSI. All participants will receive vertebral body-sparing intensity-modulated proton therapy (IMPT) and standard chemotherapy according to clinical guidelines.
- Ages
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4 to 18 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * The patient's legal guardian voluntarily signs the written informed consent form. * Age at diagnosis \> 3 years and ≤ 18 years. * Histopathologically confirmed diagnosis of a central nervous system (CNS) tumor. * Indication for craniospinal irradiation (CSI) confirmed by multidisciplinary team (MDT) discussion. * Karnofsky Performance Score (KPS) ≥ 80. * For postoperative patients, complete healing of the surgical incision with no evidence of wound infection or other complications. * For women of childbearing potential, effective contraception must be used for at least one month prior to screening, and they must commit to continued contraception throughout the study period and for the required time after study completion. Exclusion Criteria: * Previous receipt of any form of spinal radiotherapy. * Previous major spinal surgery for any reason. * Presence of clinically significant and confirmed spinal deformity at enrollment (e.g., Cobb angle \> 10° measured by MRI or X-ray). * Presence of medical contraindications to proton radiotherapy. * Presence of any severe, uncontrolled systemic disease (e.g., active infection, severe cardiac, hepatic, renal, or respiratory insufficiency) that, in the investigator's judgment, makes the subject unsuitable for treatment under this protocol. * Female patients who are pregnant or breastfeeding. * Presence of any severe cognitive or psychiatric disorder that prevents understanding of or cooperation with study assessments.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
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The official record
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