Research and clinical trials

Our research into finding new applications for proton therapy to treat cancer continues

Proton therapy research association

The medical community continues to conduct proton therapy research studies. Leading cancer treatment institutions such as the Mayo Clinic, St. Jude Children’s Research Hospital, the MD Anderson Cancer Center and John Hopkins form a research association that our Proton Therapy Unit also belongs to, with multiple prospective clinical trials underway to help find improvements in cancer treatment using this therapy.

Given the academic nature of the Universidad de Navarra Hospital, research is one of our strategic pillars. We take part in clinical trials and generate clinical and translational research projects in conjunction with the Center for Applied Medical Research (CIMA).

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Proton therapy research projects

The Proton Therapy Unit is currently running a number of research projects. They all share the same goal: to provide a more precise, effective and safer treatment for every patient.

European Projects

Official name: Right-time Adaptive Particle Therapy of Cancer — RAPTOR Plus

It combines advanced radiobiological models of cellular response with medical imaging and radiomics to predict how each patient will respond to proton therapy and adapt the treatment accordingly, maximising its benefit. It is part of a consortium of 34 partners, including leading European research and treatment centres and companies in the sector. It includes a full-time doctoral researcher.

Funding
European Commission
Marie Skłodowska-Curie International Training Network (MSCA ITN)
Duration
2026 – 2029
Principal investigators
Juan Diego Azcona · Javier Burguete
Consortium
34 European partners

Official name: Metrological framework for the practical use of luminescence thermometry in healthcare — LUMETH

It is developing a nanoparticle-based temperature measurement system for use in cellular systems. It can measure properties of the cell after exposure to radiation, helping to explain the processes triggered within it and to better understand the effectiveness of proton therapy and its synergy with other biological processes. A European consortium has been formed with hospitals, metrology centres and research centres.

Funding
European Commission
EURAMET
Duration
2026 – 2029
Researchers
Jesús García-Ovejero · Ana García Sanz · Juan Diego Azcona
Consortium
European hospitals, metrology centres and research centres

National projects

Official name: Determination of the temporal structure and spatial microdosimetric distribution of actively scanned proton beams and their influence on the biological efficacy of proton therapy

It studies the structure of the ionisations produced by therapeutic proton beams at the micro- and nanometre scale, as well as the temporal structure of the beam, in order to understand and quantify more accurately how healthy tissue responds to proton therapy. It relies on Monte Carlo simulations and includes a full-time doctoral researcher.

Funding
Spanish State Research Agency · Ministry of Science, Innovation and Universities
Generación del Conocimiento 2024 · Ref. PID2024-162860OB-I00
Duration
2025 – 2028
Principal investigator
Juan Diego Azcona

Official name: Competition between time scales in biologically relevant flows (application to blood irradiation)

It is developing tools to quantify the dose absorbed in the fluids circulating through the body. This is useful for assessing biological damage in the blood and its impact on treatment response and on patients' quality of life after radiotherapy, both conventional and proton therapy. It includes a full-time doctoral researcher.

Funding
Spanish State Research Agency · Ministry of Science, Innovation and Universities
Generación del Conocimiento 2023 · Ref. PID2023-148853OB-I00
Duration
2024 – 2027
Principal investigator
Javier Burguete

Official name: Assessment of neutron dose at a proton therapy facility: implications for paediatric patients and staff

It assesses the neutron dose received during proton therapy treatments by paediatric patients and by the staff operating the unit, with the aim of improving safety for both.

Funding
Carlos III Health Institute · Ministry of Science, Innovation and Universities
Ref. PI23/00157
Duration
2023 – 2027
Principal investigator
Josep Martí

Official name: Metrological capability of neutron dosimetry equipment in proton therapy facilities

It assesses the operating conditions of various neutron detectors in therapeutic proton beams, to ensure that the measurements underpinning treatment are reliable.

Funding
Nuclear Safety Council
Ref. SUBV-5-2024
Duration
2024 – 2027
Principal investigator
Josep Martí

National collaborative projects

Official name: Towards improving the therapeutic index of proton therapy for the treatment of medulloblastoma

Medulloblastoma is a brain tumour that is common in childhood.

Funding
Spanish Association Against Cancer
Duration
2025 – 2028
Principal investigator
Yolanda Prezado

Official name: Innovative proton therapy for the treatment of poor-prognosis cancers

Funding
Spanish State Research Agency · Ministry of Science, Innovation and Universities
Generación del Conocimiento 2024 · Ref. PID2024-155901OB-I00
Duration
2025 – 2029
Principal investigator
Yolanda Prezado

Official name: Development of a dose–effect calibration curve for protons, its validation in radiotherapy patients and updating of the neutron curve

Funding
Nuclear Safety Council
Ref. SUBV-3-2024
Duration
2024 – 2027
Principal investigator
María Jesús Prieto

Official name: Monte Carlo simulations for accurate dose calculations and clinical studies of biological damage in proton therapy

Funding
Spanish State Research Agency · Ministry of Science, Innovation and Universities
Generación del Conocimiento 2021 · Ref. POD2021-104558RB-I00
Duration
2022 – 2026
Principal investigator
Pedro Arce