A Study of Radiation Therapy to Treat Solid Tumor Cancer That Has Spread to Soft Tissue
A Pilot Study of Spatially Fractionated Radiation Therapy in Patients With Extra-Cranial Soft Tissue Metastases
Study Overview
Status
Status
Conditions
Conditions
- Melanoma
- Sarcoma
- Renal Cell Carcinoma
- Pancreatic Cancer
- NSCLC
- Non Small Cell Lung Cancer
- Bladder Cancer
- Metastatic Solid Tumor
- Gastrointestinal Cancer
- Lobular Breast Carcinoma
- Invasive Ductal Breast Carcinoma
- Gastrointestinal Adenocarcinoma
- Invasive Ductal Breast Carcinoma Stage IV
- Lobular Breast Carcinoma Stage IV
- Gastrointestinal Squamous Cell Cancer
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Christopher Barker, MD
- Phone Number: 212-639-8168
- Email: barkerc@mskcc.org
Study Contact Backup
- Name: Atif Khan, MD
- Phone Number: 848-225-6334
- Email: khana7@mskcc.org
Study Locations
-
-
New Jersey
-
Basking Ridge, New Jersey, United States, 07920
- Recruiting
- Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities)
-
Contact:
- Atif Khan, MD
- Phone Number: 848-225-6334
-
Middletown, New Jersey, United States, 07748
- Recruiting
- Memorial Sloan Kettering Monmouth (Limited Protocol Activities)
-
Contact:
- Atif Khan, MD
- Phone Number: 848-225-6334
-
Montvale, New Jersey, United States, 07645
- Recruiting
- Memorial Sloan Kettering Bergen (Limited Protocol Activities)
-
Contact:
- Atif Khan, MD
- Phone Number: 848-225-6334
-
-
New York
-
Commack, New York, United States, 11725
- Recruiting
- Memorial Sloan Kettering Suffolk- Commack (Limited Protocol Activities)
-
Contact:
- Atif Khan, MD
- Phone Number: 848-225-6334
-
Harrison, New York, United States, 10604
- Recruiting
- Memorial Sloan Kettering Westchester (All Protocol Activities)
-
Contact:
- Atif Khan, MD
- Phone Number: 848-225-6334
-
New York, New York, United States, 10065
- Recruiting
- Memorial Sloan Kettering Cancer Center (All Protocol Activities)
-
Contact:
- Atif Khan, MD
- Phone Number: 848-225-6334
-
Rockville Centre, New York, United States, 11553
- Recruiting
- Memorial Sloan Kettering Nassau (Limited Protocol Activities)
-
Contact:
- Atif Khan, MD
- Phone Number: 848-225-6334
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with biopsy confirmed advanced/metastatic solid tumors of the following types: invasive ductal or lobular breast carcinoma (all histological and intrinsic subtypes), non-small cell lung cancer (NSCLC, all subtypes), gastrointestinal squamous cell or adenocarcinomas (including pancreatic cancer), bladder cancer, renal cell carcinoma, melanoma, and soft tissue sarcoma (all subtypes), who require and are being planned for palliative radiation therapy to at least one site of extracranial metastatic disease measuring at least 5 cm in a single axis. If a patient, requires palliative radiotherapy to additional sites, these can be treated with standard of care SBRT per departmental guidelines.
- Age ≥ 18 years
- ECOG Performance Status of 0 or 1.
Exclusion Criteria:
- Patients who are pregnant or breastfeeding
- Prior radiation therapy to the candidate metastatic sites under consideration for treatment ("re-irradiation" is disallowed).
- Medical condition such as uncontrolled infection (including HIV), uncontrolled diabetes mellitus, or connective tissue diseases (lupus, systemic sclerosis, or other collagen vascular diseases) that, in the opinion of the treating physician, would make this protocol unreasonably hazardous for the patient.
- Patients with a "currently active" metastatic second malignancy.
- Patients on oral or parental corticosteroids. Physiological doses of steroids are permitted (eg for patients with adrenal insufficiency). If patients are on supraphysiological doses of steroids, these must be discontinued and held during the period of the study.
- Concomitant anti-neoplastic treatment is not allowed during the days of radiation treatment delivery and should be completed or held for 3 days prior to commencement of protocol treatment and for 3 days following completion of radiotherapy, or with resolution of associated acute toxicities.
- Unwilling or unable to participate in all required study evaluations and procedures.
- Unable to understand the purpose and risks of the study and to provide a signed and dated informed consent form (ICF) and authorization to use protected health information (in accordance with national and local patient privacy regulations).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Participants with metastatic solid tumors
Participants will have metastatic solid tumors and at least two sites of measurable extra-cranial disease
|
Palliative radiotherapy (RT) will be performed using external beam ionizing radiation in accordance with standard practice
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Response Rate (ORR)
Time Frame: 12 weeks from baseline
|
The primary endpoint is ORR in the LRT-treated lesion, as defined by RECIST v.1.1 criteria, at 12 weeks on a standard-of-care response assessment CT or F-18-FDG PET/CT scan after LRT.
|
12 weeks from baseline
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Atif Khan, MD, Memorial Sloan Kettering Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
- NSCLC
- Non Small Cell Lung Cancer
- Pancreatic Cancer
- Melanoma
- Memorial Sloan Kettering Cancer Center
- SBRT
- Sarcoma
- Bladder Cancer
- Metastatic Solid Tumor
- Gastrointestinal Cancer
- Renal Cell Carcinoma
- stereotactic body radiation therapy
- Invasive Ductal Breast Carcinoma
- Lobular Breast Carcinoma
- Gastrointestinal Squamous Cell Cancer
- extra-cranial disease
- lattice radiation therapy
- LRT
- spatially fractionated radiation therapy
- SFRT
- 22-207
Additional Relevant MeSH Terms
- Urogenital Diseases
- Endocrine System Diseases
- Pathologic Processes
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Respiratory Tract Diseases
- Neoplasms by Histologic Type
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Lung Diseases
- Endocrine Gland Neoplasms
- Pancreatic Diseases
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Neoplastic Processes
- Lung Neoplasms
- Skin Diseases
- Breast Diseases
- Urologic Neoplasms
- Carcinoma
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Kidney Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Neuroendocrine Tumors
- Neoplasms, Connective and Soft Tissue
- Nevi and Melanomas
- Skin Neoplasms
- Urinary Bladder Diseases
- Neoplasms, Ductal, Lobular, and Medullary
- Breast Neoplasms
- Carcinoma, Ductal
- Pathological Conditions, Signs and Symptoms
- Skin and Connective Tissue Diseases
- Neoplasm Metastasis
- Pancreatic Neoplasms
- Gastrointestinal Neoplasms
- Carcinoma, Renal Cell
- Carcinoma, Non-Small-Cell Lung
- Melanoma
- Sarcoma
- Urinary Bladder Neoplasms
- Carcinoma, Ductal, Breast
- Carcinoma, Lobular
Other Study ID Numbers
Other Study ID Numbers
- 22-207
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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