Can tracking tumor movement during radiation make treatment more precise?
NCT ID NCT05844761
First seen Jul 28, 2026 · Last updated Jul 29, 2026 · Updated 1 time
Summary
This trial investigates whether real-time motion management techniques—like triggered imaging and MLC tracking—can safely reduce the target margins used during radiotherapy for prostate and lung cancer. By adjusting the radiation beam to follow tumor movement, researchers aim to maintain or improve dose accuracy while potentially sparing healthy tissue. The study enrolls patients with localized prostate cancer or lung tumors and assesses both dosimetric and geometric accuracy from treatment data.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- radiotherapy with real-time motion management (triggered imaging or MLC tracking)
- What this could lead to
- If successful, this approach could make radiotherapy more precise, potentially reducing side effects by targeting tumors more accurately during movement.
- What could go wrong
- The trial is early-stage and focuses on technical accuracy rather than patient outcomes. The motion management techniques may not improve treatment in practice or could introduce new errors.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 132 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2023
- Expected to finish
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Dec 2027
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.
- Ages
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18 years and older
- 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: For prostate cancer patients: * Patients histologically proven prostate adenocarcinoma * Prostate specific antigen (PSA) obtained within three months prior to enrollment * Localised prostate cancer at any stage eligible for radiotherapy: i.e. any T- or Gleason stage, but no pelvic lymph nodes can be included within the target to be treated * Eastern Cooperative Oncology Group (ECOG) performance status 0-2 * Ability to understand and the willingness to sign a written informed consent document. * Hypofractionated radiation therapy (HYPO) fractionated patients with a prescribed dose of 42.7Gy in 7 fractions. * MRIOnly workflow meaning synthetic generated CT based on Magnetic resonance imaging (MRI) * Patients over 40 years old For lung cancer patients: * Lung cancer or localised metastatic disease from other cancer diagnoses, accepted for stereotactic radiotherapy to 45Gy in 3 fractions * Lesion distinguishable on Computer Tomography and where the majority of adjacent tissue is the lung. * Ability to understand and the willingness to sign a written informed consent document. * Is able to perform treatment simulation Exclusion Criteria: For prostate cancer patients: * Patient must have three gold fiducial markers inserted in the prostate * Patients with artificial Hip(s), lumbar spinal surgical rods or other large metallic pelvic implants * Patients with overlapping implanted gold fiducials in X-ray imaging * Unfeasible to track fiducials with kv imaging/existing online imaging systems For lung cancer patients: * Previous treatment with radiotherapy for lung cancer or lung metastasis * Idiopathic lung fibrosis
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Skåne University Hospital
Lund, Skåne County, 21185, Sweden
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