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 type | Interventional |
|---|---|
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | St. Jude Children's Research Hospital Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Memphis, Tennessee) |
| Status | Recruiting |
| Started | August 20, 2026 |
| Main results expected | August 2029 |
| Study ends | August 2031 |
| Registry record updated | August 21, 2026 |
| Trial ID | NCT07514819 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
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St. Jude Children's Research Hospital
Memphis, Tennessee, United States Recruiting
Study contacts
- Principal investigator: Ozgur Ates, PhD — St. Jude Children's Research Hospital
- Study coordinator: Ozgur Ates, PhD
- Email: referralinfo@stjude.org
- Phone: 888-226-4343
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.