Clinical trial Recruiting at 2 sites Observational Ages 50 and up

Using imaging to improve proton therapy for chordomas and chondrosarcomas

Official title: Defining Optimal Imaging Strategies for Diagnosis, Treatment, and Treatment Evaluation of Chordomas and Chondrosarcomas of the Axial Skeleton

Run by Leiden University Medical Center · NCT04832620 · Data updated 2026-11-12

This study is testing if using advanced imaging techniques can help improve proton therapy for patients with aggressive bone tumors called chordomas and chondrosarcomas by better targeting the tumors and protecting healthy tissue.

Quick facts

Study typeObservational
Ages50 Years and up
SexAll
Enrollment40 (estimated)
SponsorLeiden University Medical Center
Academic / other
Locations2 sites (Delft, South Holland and 1 other locations)
StatusRecruiting
StartedFebruary 2, 2021
Main results expectedDecember 2025
Study endsDecember 2027
Registry record updatedNovember 18, 2023
Trial IDNCT04832620 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults diagnosed with primary or recurrent chordoma or chondrosarcoma in the axial skeleton who are eligible for proton beam therapy.

Probably not a fit

Patients with other diagnoses, those under 50 years of age, or those with lesions smaller than 1cm may not benefit from this study.

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

What this trial studies

This study focuses on patients with chordomas and chondrosarcomas located in the axial skeleton, which are aggressive bone tumors. It aims to optimize proton radiation therapy by utilizing advanced imaging techniques, such as MRI and PET-CT, to identify viable tumor components. The study will include patients who are histologically diagnosed with these tumors and are accepted for standard proton beam therapy. The goal is to enhance treatment outcomes by better targeting the tumor while minimizing damage to surrounding critical structures.

Why it matters

Potential benefit: If successful, this approach could lead to improved treatment efficacy and reduced morbidity for patients with aggressive bone tumors.

How similar studies have gone: Other studies have shown promise in using imaging to guide proton therapy, indicating that this approach is supported by prior research.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histologically diagnosed with primary or recurrent chordoma or chondrosarcoma in the axial skeleton (clivus, spine and sacrum)
* Accepted for standard proton beam therapy

Exclusion Criteria:

* Diagnosis other than chordoma or chondrosarcoma is made.
* Patient refuses (parts) of the standard treatment protocol.
* Patient refuses MRI due to claustrophobia.
* Patient not suitable for MRI due to the presence of MRI incompatible implants.
* Incapacitated patients.
* Patient doesn't allow coded data to be used for analysis.
* Patient is under 50 years of age.
* Lesion size less than 1cm.
* Patients with WHO 3 and higher.

Where it's running

  • HollandPTC
    Delft, South Holland, Netherlands
    Recruiting
  • Lumc
    Leiden, South Holland, Netherlands
    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.