Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

Using MRI to guide radiation therapy for various cancers

Official title: A Master Protocol of Stereotactic Magnetic Resonance Guided Adaptive Radiation Therapy (SMART)

Run by Dana-Farber Cancer Institute · NCT04115254 · Data updated 2026-11-12

This study is testing if using MRI scans to adjust radiation therapy can help people with different types of cancer, like pancreatic and lung cancer, feel better and control their tumors more effectively.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment397 (estimated)
SponsorDana-Farber Cancer Institute
Academic / other
Drugs / interventionsradiation
Locations2 sites (Boston, Massachusetts and 1 other locations)
StatusRecruiting
StartedOctober 22, 2019
Main results expectedJune 2028
Study endsJune 2028
Registry record updatedNovember 13, 2025
Trial IDNCT04115254 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older with confirmed malignancies requiring stereotactic body radiation therapy and tumor sizes of 7cm or less.

Probably not a fit

Patients with severe claustrophobia, anxiety, or those unable to undergo an MRI will 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 clinical trial evaluates the feasibility and efficacy of stereotactic magnetic resonance (MR) guided adaptive radiation therapy (SMART) in patients with various cancers, including pancreatic, lung, renal, and prostate cancers. The study is divided into two phases: the first phase assesses the safety and feasibility of the treatment, while the second phase focuses on its effectiveness in controlling tumors and improving patient-reported outcomes. The approach involves adjusting radiation treatments based on daily MRI scans to enhance precision in targeting tumors.

Why it matters

Potential benefit: If successful, this treatment could provide a more effective and personalized radiation therapy option for patients with specific types of cancer.

How similar studies have gone: While this approach is novel in its specific application, other studies have shown promise with MR-guided radiation therapy in treating various cancers.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants must have a confirmed malignancy requiring stereotactic body radiation therapy. See specific disease site cohorts for more details.
* Tumor size ≤ 7cm
* Age 18 years of older.
* ECOG performance status ≤2 (Karnofsky ≥60%, see Appendix A)
* Ability to understand and the willingness to sign a written informed consent document.
* Specific eligibility requirements for each disease site with be covered in each specific cohort.

Exclusion Criteria:

* Specific exclusion requirements for each disease site with be covered in each specific cohort
* History of allergic reactions attributed to gadolinium-based IV contrast.

  \-- Note: If a patient will not receive contrast, this is not applicable
* Pregnant women are excluded from this study.
* Severe claustrophobia or anxiety
* Participants who cannot undergo an MRI

Where it's running

  • Brigham & Women's Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Dana Farber Cancer Institute
    Boston, Massachusetts, 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.