Using HyperSight imaging and Ethos adaptive planning during radiation therapy for children
Official title: Hypersight and Ethos In Pediatric Radiotherapy (Peds Ethos)
Run by University Health Network, Toronto · NCT07528547 · Data updated 2026-11-12
This pilot will test whether adding twice-weekly HyperSight CBCT scans and Ethos adaptive planning can help tailor radiation treatment for children and teenagers with non-cranial cancers.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | Any age to 18 Years |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | University Health Network, Toronto Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Toronto, Ontario) |
| Status | Recruiting |
| Started | April 14, 2026 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | April 15, 2026 |
| Trial ID | NCT07528547 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children and adolescents (18 years old or younger) receiving at least five days of non-cranial radiation therapy with an ECOG performance status of 0–3 are ideal candidates.
✕Probably not a fit
Patients with primary cranial (brain) tumors are excluded and are unlikely to benefit because non-contrast CT scans have limited value for delineating brain substructures, and very short treatment courses may offer little opportunity for adaptation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This single-center prospective pilot will enroll 20 patients age 18 or under who are receiving at least five days of non-cranial radiation therapy. Participants will receive standard-of-care radiation with the addition of twice-weekly HyperSight cone-beam CT scans to document anatomical changes. The scans will be used to generate adapted plans on the Ethos platform, and radiation oncologists and therapists will independently judge the need for adaptation. Adapted plans will be compared to scheduled plans using dosimetric and anatomical similarity metrics, and an optional anonymized data-sharing sub-study with the vendor is offered.
Why it matters
Potential benefit: If successful, this approach could improve how accurately radiation targets tumors while reducing dose to nearby healthy tissues in pediatric patients.
How similar studies have gone: Adaptive planning with frequent CBCT has shown promise in adult radiotherapy, but application in pediatric non-cranial cases is novel and not yet well established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient (paediatric or adolescent) age 18 or under receiving at least 5 days of radiation therapy * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 3 Exclusion Criteria: \- Patients with primary cranial tumours will be excluded due to the low expected utility of non-contrast CT scans in the delineation of brain edema and brain substructures.
Where it's running
-
Princess Margaret Cancer Centre
Toronto, Ontario, Canada Recruiting
Study contacts
- Study coordinator: Dana Keilty, MD
- Email: dana.keilty@uhn.ca
- Phone: 416-946-4501
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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.