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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04075305
Registration number
NCT04075305
Ethics application status
Date submitted
22/03/2019
Date registered
30/08/2019
Date last updated
28/09/2023
Titles & IDs
Public title
The MOMENTUM Study: The Multiple Outcome Evaluation of Radiation Therapy Using the MR-Linac Study
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Scientific title
The Multiple Outcome Evaluation of Radiation Therapy Using the MR-Linac Study
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Secondary ID [1]
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NL66650.041.18
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Universal Trial Number (UTN)
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Trial acronym
MOMENTUM
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Oncology
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0
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Breast Cancer
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Prostate Cancer
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0
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Gynecologic Cancer
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0
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Brain Tumor
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0
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Brain Cancer
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0
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Gynecologic Tumor
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0
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Prostate Tumor
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0
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Prostate Neoplasm
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0
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Breast Tumor
0
0
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Radiation Toxicity
0
0
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Quality of Life
0
0
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Rectal Cancer
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0
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Rectal Tumor
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0
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Rectal Neoplasms
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0
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Lung Cancer
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0
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Lung Tumor
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0
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Lung Neoplasm
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0
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Esophageal Cancer
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0
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Esophagus Cancer
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0
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Esophageal Tumor
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0
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Esophageal Neoplasm
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0
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Esophagus Tumor
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0
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Esophagus Neoplasm
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Pancreatic Cancer
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0
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Pancreatic Tumor
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0
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Pancreatic Neoplasms
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0
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Head and Neck Cancer
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0
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Head and Neck Neoplasms
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0
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Head and Neck Tumor
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0
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Tumor
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0
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Neoplasms
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0
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Bladder Cancer
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0
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Bladder Neoplasm
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0
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Liver Cancer
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0
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Liver Neoplasms
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0
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Liver Metastases
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0
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Oligometastases
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0
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Condition category
Condition code
Cancer
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0
0
0
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Prostate
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Cancer
0
0
0
0
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Pancreatic
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Cancer
0
0
0
0
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Bowel - Back passage (rectum) or large bowel (colon)
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Cancer
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0
0
0
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Head and neck
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Cancer
0
0
0
0
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Bladder - transitional cell cancer
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Cancer
0
0
0
0
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Oesophageal (gullet)
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Cancer
0
0
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0
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Brain
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Cancer
0
0
0
0
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Liver
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Oral and Gastrointestinal
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0
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Cancer
0
0
0
0
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Lung - Mesothelioma
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Cancer
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0
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0
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Lung - Non small cell
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Cancer
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0
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0
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Lung - Small cell
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Cancer
0
0
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0
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Breast
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Cancer
0
0
0
0
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Ovarian and primary peritoneal
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Cancer
0
0
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0
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Womb (Uterine or endometrial cancer)
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Cancer
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0
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0
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Cervical (cervix)
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Intervention/exposure
Study type
Observational [Patient Registry]
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Treatment: Other - Radiation therapy
Brain cancer -
Lung cancer -
Esophageal cancer -
Breast Cancer -
Head and Neck Cancer -
Pancreatic cancer -
Gynecological cancer -
Rectal cancer -
Prostate cancer -
Bladder cancer -
Oligometastases -
Liver cancer -
Other types of cancer -
Treatment: Other: Radiation therapy
Radiation therapy on the CE marked and FDA approved MR-Linac
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Progression-free Survival
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Assessment method [1]
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Progression free survival of participating patients will be obtained from the hospital information systems. Patient follow-up is conducted to local standard of care practices.
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Timepoint [1]
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3 months after MR-Linac treatment
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Primary outcome [2]
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Progression-free Survival
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Assessment method [2]
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Progression free survival of participating patients will be obtained from the hospital information systems. Patient follow-up is conducted to local standard of care practices.
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Timepoint [2]
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6 months after MR-Linac treatment
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Primary outcome [3]
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Progression-free Survival
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Assessment method [3]
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Progression free survival of participating patients will be obtained from the hospital information systems. Patient follow-up is conducted to local standard of care practices.
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Timepoint [3]
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24 months after MR-Linac treatment
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Primary outcome [4]
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Survival
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Assessment method [4]
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Overall survival of participating patients will be obtained from the hospital information systems. Patient follow-up is conducted to local standard of care practices.
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Timepoint [4]
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3 months after MR-Linac treatment
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Primary outcome [5]
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Survival
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Assessment method [5]
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Overall survival of participating patients will be obtained from the hospital information systems. Patient follow-up is conducted to local standard of care practices.
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Timepoint [5]
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6 months after MR-Linac treatment
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Primary outcome [6]
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Survival
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Assessment method [6]
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0
Overall survival of participating patients will be obtained from the hospital information systems. Patient follow-up is conducted to local standard of care practices.
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Timepoint [6]
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24 months after MR-Linac treatment
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Primary outcome [7]
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Disease-free Survival
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Assessment method [7]
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0
Disease-free survival of participating patients will be obtained from the hospital information systems. Patient follow-up is conducted to local standard of care practices.
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Timepoint [7]
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0
3 months after MR-Linac treatment
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Primary outcome [8]
0
0
Disease-free Survival
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Assessment method [8]
0
0
Disease-free survival of participating patients will be obtained from the hospital information systems. Patient follow-up is conducted to local standard of care practices.
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Timepoint [8]
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0
6 months after MR-Linac treatment
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Primary outcome [9]
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0
Disease-free Survival
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Assessment method [9]
0
0
Disease-free survival of participating patients will be obtained from the hospital information systems. Patient follow-up is conducted to local standard of care practices.
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Timepoint [9]
0
0
24 months after MR-Linac treatment
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Primary outcome [10]
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Patient reported Health related quality of life (HRQoL).
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Assessment method [10]
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Patient reported health related quality of life is captured through a questionnaire the Generic European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30. They include 5 functional scales (physical, role, emotional, cognitive and social), three symptom scales, a global health scale, and six single items. All of these scales and items measures range in score from 0 to 100. A high score on functional or global health status scale represents a high/healthy level of functioning. A high score for a symptom scale represents a high level of symptomatology.
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Timepoint [10]
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0
3 months after treatment.
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Primary outcome [11]
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0
Patient reported Health related quality of life (HRQoL).
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Assessment method [11]
0
0
Patient reported health related quality of life is captured through a questionnaire the Generic European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30. They include 5 functional scales (physical, role, emotional, cognitive, and social), three symptom scales, a global health scale, and six single items. All of these scales and items measures range in score from 0 to 100. A high score on functional or global health status scale represents a high/healthy level of functioning. A high score for a symptom scale represents a high level of symptomatology.
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Timepoint [11]
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0
6 months after treatment.
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Primary outcome [12]
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0
Patient reported Health related quality of life (HRQoL).
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Assessment method [12]
0
0
Patient reported health related quality of life is captured through a questionnaire the Generic European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30. They include 5 functional scales (physical, role, emotional, cognitive and social), three symptom scales, a global health scale, and six single items. All of these scales and items measures range in score from 0 to 100. A high score on functional or global health status scale represents a high/healthy level of functioning. A high score for a symptom scale represents a high level of symptomatology.
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Timepoint [12]
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0
12 months after treatment.
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Primary outcome [13]
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0
Patient reported Health related quality of life (HRQoL).
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Assessment method [13]
0
0
Patient reported health related quality of life is captured through a questionnaire the Generic European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30. They include 5 functional scales (physical, role, emotional, cognitive and social), three symptom scales, a global health scale, and six single items. All of these scales and items measures range in score from 0 to 100. A high score on functional or global health status scale represents a high/healthy level of functioning. A high score for a symptom scale represents a high level of symptomatology.
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Timepoint [13]
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0
24 months after treatment.
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Primary outcome [14]
0
0
Patient reported Health related quality of life (HRQoL).
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Assessment method [14]
0
0
Generic patient reported quality of life is captured by The EuroQol (EQ)-5D-5L questionnaire. This includes a descriptive system questionnaire and visual analogue scale (VAS). The descriptive system scores five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) from 1 to 5 where 1 means having no problems, and 5 means extreme problems or unable to participate. The digits can be combined in a 5-digit code to describe the overall health status. For example, 12111. The VAS records the overall current health on a vertical visual analogue scale from 0 to 100, respectively 'the worst health you can imagine' to 'the best health you can imagine'.
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Timepoint [14]
0
0
3 months after treatment.
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Primary outcome [15]
0
0
Patient reported Health related quality of life (HRQoL).
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Assessment method [15]
0
0
Generic patient reported quality of life is captured by The EuroQol (EQ)-5D-5L questionnaire. This includes a descriptive system questionnaire and visual analogue scale (VAS). The descriptive system scores five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) from 1 to 5 where 1 means having no problems, and 5 means extreme problems or unable to participate. The digits can be combined in a 5-digit code to describe the overall health status. For example, 12111. The VAS records the overall current health on a vertical visual analogue scale from 0 to 100, respectively 'the worst health you can imagine' to 'the best health you can imagine'.
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Timepoint [15]
0
0
6 months after treatment.
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Primary outcome [16]
0
0
Patient reported Health related quality of life (HRQoL).
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Assessment method [16]
0
0
Generic patient reported quality of life is captured by The EuroQol (EQ)-5D-5L questionnaire. This includes a descriptive system questionnaire and visual analogue scale (VAS). The descriptive system scores five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) from 1 to 5 where 1 means having no problems, and 5 means extreme problems or unable to participate. The digits can be combined in a 5-digit code to describe the overall health status. For example, 12111. The VAS records the overall current health on a vertical visual analogue scale from 0 to 100, respectively 'the worst health you can imagine' to 'the best health you can imagine'.
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Timepoint [16]
0
0
12 months after treatment.
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Primary outcome [17]
0
0
Patient reported Health related quality of life (HRQoL).
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Assessment method [17]
0
0
Generic patient reported quality of life is captured by The EuroQol (EQ)-5D-5L questionnaire. This includes a descriptive system questionnaire and visual analogue scale (VAS). The descriptive system scores five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) from 1 to 5 where 1 means having no problems, and 5 means extreme problems or unable to participate. The digits can be combined in a 5-digit code to describe the overall health status. For example, 12111. The VAS records the overall current health on a vertical visual analogue scale from 0 to 100, respectively 'the worst health you can imagine' to 'the best health you can imagine'.
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Timepoint [17]
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0
24 months after treatment.
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Primary outcome [18]
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0
Patient reported tumor specific quality of life (QoL).
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Assessment method [18]
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0
Disease-specific patient reported quality of life is captured by a tumor specific EORTC QLQ questionnaire. (Brain-BN20, Breast-BR23, Bladder-BLM30, colorectal-CR29, Gynecological-CX24\&VU34, Head and Neck-HN35, liver-HCC18 (primary) and -LMC21 (metastasis), lung-LC13, esophageal-OES18, prostate-PR2, pancreas-PAN26). They all include a different set of functional scales and symptom scales. All of these scales and items measures range in score from 0 to 100. A high score on functional scale represents a high/healthy level of functioning. A high score for a symptom scale represents a high level of symptomatology.
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Timepoint [18]
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0
3 months after treatment.
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Primary outcome [19]
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0
Patient reported tumor specific quality of life (QoL).
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Assessment method [19]
0
0
Disease-specific patient reported quality of life is captured by a tumor specific EORTC QLQ questionnaire. (Brain-BN20, Breast-BR23, Bladder-BLM30, colorectal-CR29, Gynecological-CX24\&VU34, Head and Neck-HN35, liver-HCC18 (primary) and -LMC21 (metastasis), lung-LC13, esophageal-OES18, prostate-PR2, pancreas-PAN26). They all include a different set of functional scales and symptom scales. All of these scales and items measures range in score from 0 to 100. A high score on functional scale represents a high/healthy level of functioning. A high score for a symptom scale represents a high level of symptomatology.
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Timepoint [19]
0
0
6 months after treatment.
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Primary outcome [20]
0
0
Patient reported tumor specific quality of life (QoL).
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Assessment method [20]
0
0
Disease-specific patient reported quality of life is captured by a tumor specific EORTC QLQ questionnaire. (Brain-BN20, Breast-BR23, Bladder-BLM30, colorectal-CR29, Gynecological-CX24\&VU34, Head and Neck-HN35, liver-HCC18 (primary) and -LMC21 (metastasis), lung-LC13, esophageal-OES18, prostate-PR2, pancreas-PAN26). They all include a different set of functional scales and symptom scales. All of these scales and items measures range in score from 0 to 100. A high score on functional scale represents a high/healthy level of functioning. A high score for a symptom scale represents a high level of symptomatology.
Query!
Timepoint [20]
0
0
12 months after treatment.
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Primary outcome [21]
0
0
Patient reported tumor specific quality of life (QoL).
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Assessment method [21]
0
0
Disease-specific patient reported quality of life is captured by a tumor specific EORTC QLQ questionnaire. (Brain-BN20, Breast-BR23, Bladder-BLM30, colorectal-CR29, Gynecological-CX24\&VU34, Head and Neck-HN35, liver-HCC18 (primary) and -LMC21 (metastasis), lung-LC13, esophageal-OES18, prostate-PR2, pancreas-PAN26). They all include a different set of functional scales and symptom scales. All of these scales and items measures range in score from 0 to 100. A high score on functional scale represents a high/healthy level of functioning. A high score for a symptom scale represents a high level of symptomatology.
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Timepoint [21]
0
0
24 months after treatment.
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Primary outcome [22]
0
0
Acute toxicity in common toxicity criteria for adverse events (CTCAE).
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Assessment method [22]
0
0
Disease-specific toxicity is obtained from the hospital information system. Toxicities are reported according to the Common Terminology Criteria for Adverse Events (CTCAE) dictionary.
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Timepoint [22]
0
0
3 months after treatment.
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Primary outcome [23]
0
0
Acute toxicity in common toxicity criteria for adverse events (CTCAE).
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Assessment method [23]
0
0
Disease-specific toxicity is obtained from the hospital information system. Toxicities are reported according to the Common Terminology Criteria for Adverse Events (CTCAE) dictionary.
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Timepoint [23]
0
0
6 months after treatment.
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Primary outcome [24]
0
0
Acute toxicity in common toxicity criteria for adverse events (CTCAE).
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Assessment method [24]
0
0
Disease-specific toxicity is obtained from the hospital information system. Toxicities are reported according to the Common Terminology Criteria for Adverse Events (CTCAE) dictionary.
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Timepoint [24]
0
0
12 months after treatment.
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Primary outcome [25]
0
0
Acute toxicity in common toxicity criteria for adverse events (CTCAE).
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Assessment method [25]
0
0
Disease-specific toxicity is obtained from the hospital information system. Toxicities are reported according to the Common Terminology Criteria for Adverse Events (CTCAE) dictionary.
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Timepoint [25]
0
0
24 months after treatment.
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Primary outcome [26]
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0
Clinical tumor response.
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Assessment method [26]
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0
Clinical tumor response in participating patients is obtained from hospital information systems. Clinical patient follow-up and re-staging procedures are conducted to local standard of care practices.
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Timepoint [26]
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0
2 year follow up.
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Primary outcome [27]
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0
Pathological tumor response.
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Assessment method [27]
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0
Pathological tumor response in participating patients who undergo surgery are obtained from hospital information systems. Clinical patient follow-up and re-staging procedures are conducted to local standard of care practices.
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Timepoint [27]
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0
2 year follow up.
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Primary outcome [28]
0
0
Toxicity in common toxicity criteria for adverse events (CTCAE).
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Assessment method [28]
0
0
Disease-specific toxicity is obtained from the hospital information system.
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Timepoint [28]
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0
2 years
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Eligibility
Key inclusion criteria
* Patient is to undergo or has completed imaging or treatment procedures on an MR-Linac;
* Patient provides written, informed consent;
* Patient is 18 years old or older.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* MRI exclusion criteria, including
* MRI contraindications as per usual clinical care, such as (possible) pregnancy; claustrophobia and metal or electronic implants not compatible with MRI.
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/02/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/05/2025
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Actual
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Sample size
Target
8000
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Austin Health - Olivia Newton-John Cancer Wellness and Research Centre - Melbourne
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Recruitment postcode(s) [1]
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0
- Melbourne
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Recruitment outside Australia
Country [1]
0
0
United States of America
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State/province [1]
0
0
Pennsylvania
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Country [2]
0
0
United States of America
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State/province [2]
0
0
Texas
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Country [3]
0
0
United States of America
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State/province [3]
0
0
Wisconsin
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Country [4]
0
0
Belgium
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State/province [4]
0
0
Brussel
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Country [5]
0
0
Canada
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State/province [5]
0
0
Ontario
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Country [6]
0
0
Canada
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State/province [6]
0
0
Toronto
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Country [7]
0
0
Denmark
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State/province [7]
0
0
Funen
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Country [8]
0
0
Germany
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State/province [8]
0
0
Tübingen
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Country [9]
0
0
Italy
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State/province [9]
0
0
Brescia
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Country [10]
0
0
Italy
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State/province [10]
0
0
Negrar
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Country [11]
0
0
Netherlands
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State/province [11]
0
0
Amsterdam
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Country [12]
0
0
Netherlands
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State/province [12]
0
0
Deventer
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Country [13]
0
0
Netherlands
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State/province [13]
0
0
Leeuwarden
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Country [14]
0
0
Netherlands
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State/province [14]
0
0
Nijmegen
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Country [15]
0
0
Netherlands
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State/province [15]
0
0
Utrecht
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Country [16]
0
0
United Kingdom
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State/province [16]
0
0
London
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Country [17]
0
0
United Kingdom
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State/province [17]
0
0
Manchester
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Funding & Sponsors
Primary sponsor type
Other
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Name
UMC Utrecht
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Address
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Country
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Other collaborator category [1]
0
0
Other
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Name [1]
0
0
The Netherlands Cancer Institute
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Address [1]
0
0
Query!
Country [1]
0
0
Query!
Other collaborator category [2]
0
0
Other
Query!
Name [2]
0
0
Sunnybrook Health Sciences Centre
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Address [2]
0
0
Query!
Country [2]
0
0
Query!
Other collaborator category [3]
0
0
Other
Query!
Name [3]
0
0
M.D. Anderson Cancer Center
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Address [3]
0
0
Query!
Country [3]
0
0
Query!
Other collaborator category [4]
0
0
Other
Query!
Name [4]
0
0
The Christie NHS Foundation Trust
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Address [4]
0
0
Query!
Country [4]
0
0
Query!
Other collaborator category [5]
0
0
Other
Query!
Name [5]
0
0
Royal Marsden NHS Foundation Trust
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Address [5]
0
0
Query!
Country [5]
0
0
Query!
Other collaborator category [6]
0
0
Other
Query!
Name [6]
0
0
Medical College of Wisconsin
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Address [6]
0
0
Query!
Country [6]
0
0
Query!
Other collaborator category [7]
0
0
Commercial sector/industry
Query!
Name [7]
0
0
Elekta Limited
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Address [7]
0
0
Query!
Country [7]
0
0
Query!
Other collaborator category [8]
0
0
Other
Query!
Name [8]
0
0
Odense University Hospital
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Address [8]
0
0
Query!
Country [8]
0
0
Query!
Other collaborator category [9]
0
0
Other
Query!
Name [9]
0
0
Radboud University Medical Center
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Address [9]
0
0
Query!
Country [9]
0
0
Query!
Other collaborator category [10]
0
0
Other
Query!
Name [10]
0
0
Radiotherapiegroep
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Address [10]
0
0
Query!
Country [10]
0
0
Query!
Other collaborator category [11]
0
0
Other
Query!
Name [11]
0
0
Jules Bordet Institute
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Address [11]
0
0
Query!
Country [11]
0
0
Query!
Other collaborator category [12]
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0
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University Hospital Tuebingen
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Other
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Radiotherapeutic Institute Friesland
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Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute)
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IRCCS Sacro Cuore Don Calabria di Negrar
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Government body
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Austin Health
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Princess Margaret Hospital, Canada
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Università degli Studi di Brescia
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Summary
Brief summary
The Multi-OutcoMe EvaluatioN of radiation Therapy Using the Unity MR-Linac Study (MOMENTUM) is a multi-institutional, international registry facilitating evidenced based implementation of the Unity MR-Linac technology and further technical development of the MR-Linac system with the ultimate purpose to improve patients' survival, local, and regional tumor control and quality of life.
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Trial website
https://clinicaltrials.gov/study/NCT04075305
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Trial related presentations / publications
Tan H, Stewart J, Ruschin M, Wang MH, Myrehaug S, Tseng CL, Detsky J, Husain Z, Chen H, Sahgal A, Soliman H. Inter-fraction dynamics during post-operative 5 fraction cavity hypofractionated stereotactic radiotherapy with a MR LINAC: a prospective serial imaging study. J Neurooncol. 2022 Feb;156(3):569-577. doi: 10.1007/s11060-021-03938-w. Epub 2022 Jan 3. de Mol van Otterloo SR, Christodouleas JP, Blezer ELA, Akhiat H, Brown K, Choudhury A, Eggert D, Erickson BA, Faivre-Finn C, Fuller CD, Goldwein J, Hafeez S, Hall E, Harrington KJ, van der Heide UA, Huddart RA, Intven MPW, Kirby AM, Lalondrelle S, McCann C, Minsky BD, Mook S, Nowee ME, Oelfke U, Orrling K, Sahgal A, Sarmiento JG, Schultz CJ, Tersteeg RJHA, Tijssen RHN, Tree AC, van Triest B, Hall WA, Verkooijen HM. The MOMENTUM Study: An International Registry for the Evidence-Based Introduction of MR-Guided Adaptive Therapy. Front Oncol. 2020 Sep 7;10:1328. doi: 10.3389/fonc.2020.01328. eCollection 2020.
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Public notes
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Contacts
Principal investigator
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Helena M Verkooijen, Prof, Dr
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Universitair Medical Centre Utrecht
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Contact person for public queries
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Tessa Leer
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T +31 (0)88 75 63707
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
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Results not provided in
https://clinicaltrials.gov/study/NCT04075305
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