Clinical trial Recruiting at 1 site Interventional

Adaptive Proton Therapy for Pediatric Solid Tumors and Hodgkin Lymphoma

Official title: Integration of Adaptive Proton Therapy in Pediatric Solid Tumors and Hodgkin's Lymphoma

Run by St. Jude Children's Research Hospital · NCT07514819 · Data updated 2026-11-12

This study tests a regular imaging approach to see if proton therapy plans for children with solid tumors or Hodgkin lymphoma should be updated during treatment.

Quick facts

Study typeInterventional
SexAll
Enrollment100 (estimated)
SponsorSt. Jude Children's Research Hospital
Academic / other
Drugs / interventionsradiation
Locations1 site (Memphis, Tennessee)
StatusRecruiting
StartedAugust 20, 2026
Main results expectedAugust 2029
Study endsAugust 2031
Registry record updatedAugust 21, 2026
Trial IDNCT07514819 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Children and adolescents receiving proton therapy for solid tumors (including rhabdomyosarcoma, Ewing sarcoma, osteosarcoma, other sarcomas/carcinomas) or Hodgkin lymphoma at St. Jude who and whose guardians consent.

Probably not a fit

Patients whose anatomy remains stable and whose initial plan remains optimal throughout treatment may not experience a direct benefit beyond standard care.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective, single-arm study at St. Jude Children's Research Hospital will image pediatric patients receiving proton therapy for solid tumors or Hodgkin lymphoma to detect anatomical changes during treatment. Weekly or biweekly CT scans, with MRI as appropriate, will assess whether the original plan still provides adequate tumor coverage and protects normal tissues. A plan rework will be performed if tumor coverage drops by more than 5% or if normal-tissue dose increases by 10% or more; otherwise the initial plan remains in use. The goal is to quantify how often replanning is needed and identify disease sites with the most frequent changes.

Why it matters

Potential benefit: If successful, adaptive planning could improve tumor coverage and reduce unnecessary exposure to healthy tissues during pediatric proton therapy.

How similar studies have gone: Prior work in adaptive radiotherapy for pediatric patients has shown feasibility in monitoring anatomical changes, but this specific regular imaging-guided replanning during proton therapy is relatively novel in this population.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants diagnosed with solid tumors, including Rhabdomyosarcoma, Osteosarcoma, Ewing sarcoma, other sarcomas and carcinomas or also Hodgkin's lymphoma.
* Participants who receive proton radiation therapy at St. Jude Children's Research Hospital.
* Research participant or legal guardian/representative gives written informed consent.

Exclusion Criteria:

* Participants who are not diagnosed with solid tumors or Hodgkin's lymphoma.
* Participants who are diagnosed with Wilm's tumor or neuroblastoma
* Participants who do not undergo proton therapy.
* Participants who are prescribed equal or less than 5 fractions of proton therapy.
* Participants with severe comorbid conditions that may impact imaging feasibility.
* Inability to obtain written consent from research participant or legal guardian/representative.
* Females of child-bearing potential cannot be pregnant or breast-feeding. Female participants \>10 years of age or post-menarchal must have a negative serum or urine pregnancy test

All participants receiving proton therapy at St. Jude Children's Research Hospital will be screened for participation on this research protocol based on the Inclusion Criteria and the Exclusion Criteria. Qualified candidates will be selected during the consultation.

Where it's running

  • St. Jude Children's Research Hospital
    Memphis, Tennessee, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.