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INTERTECC Trial: Multi-centric International Study

• Phase II/III Trial of IMRT (45-50.4 Gy) with Cisplatin CT

• Stage I-IVA, Post-op or Intact

• Primary Endpoint: Acute G3 Heme + G2 GI Toxicity

• Target Accrual: 91 (Phase II) + 334 (Phase III) = 425

• Phase II: Single Arm (Lead-In)

• Translational Sub-Studies:

– Phase II Trial of Image-Guided BM-Sparing IMRT

– Validation of High-Dimensional Model of BM Toxicity

– Validation of Shape Model using Daily kV CBCT

• Phase III: Randomized Trial of BM sparing IMRT Vs. IMRT/ 3D CRT

• Central IMRT QA (MDA and Wash U.)