Clinical trial Recruiting at 1 site Interventional Ages Any age to 18

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 typeInterventional
AgesAny age to 18 Years
SexAll
Enrollment20 (estimated)
SponsorUniversity Health Network, Toronto
Academic / other
Drugs / interventionsradiation
Locations1 site (Toronto, Ontario)
StatusRecruiting
StartedApril 14, 2026
Main results expectedDecember 31, 2027
Study endsDecember 31, 2027
Registry record updatedApril 15, 2026
Trial IDNCT07528547 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

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.