- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01282450
Concurrent and Non-concurrent Chemo-radiotherapy or Radiotherapy Alone for Patients With Oligo-metastatic Stage IV Non-small Cell Lung Cancer (NSCLC)
Concurrent and Non-concurrent Chemo-radiotherapy or Radiotherapy Alone for Patients With Oligo-metastatic Stage IV Non-small Cell Lung Cancer (NSCLC).
Study Overview
Status
Intervention / Treatment
Detailed Description
Eligible patients (see below) will receive radical radiotherapy to the primary tumor and the initially involved mediastinal lymph nodes to an MLD (Mean Lung Dose) of 20 +/- 1Gy, irrespective of lung function and/or to all metastatic sites to a minimal biological equivalent of 60Gy in 30 daily fractions. This may be delivered with hypofractionated stereotactic techniques or with other more protracted fractionation regimen.
Both the primary tumor, the regional N1 lymph nodes and the oligo-metastatic site(s) may be treated with surgery, as long as an R0 resection is deemed possible. Systemic treatment is not required, but should be given according to the local extend of the tumor.
Local radiotherapy will be delivered according to the protocol of MAASTRO clinic for that anatomical site.
Other dose-constraints: spinal cord max: 54Gy, brachial plexus (Dmax): 66Gy The radiation doses will be specified according to ICRU 50. Lung density corrections will be applied, as well as all standard QA procedures. Technical requirements are the same as in standard practice at MAASTRO clinic.
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Limburg
-
Maastricht, Limburg, Netherlands, 6229 ET
- Maastro clinic
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Histological or cytological proven NSCLC
- UICC stage IV, or solitary metastases (< 5), which are amendable for radical local treatment
- Performance status 0-2
- Other malignancy is allowed if controlled at the point of diagnosis
Exclusion Criteria:
- Not NSCLC or mixed NSCLC and other histologies (e.g. small cell carcinoma)
- Stage I-III, except for T4 because of pleural metastases
- Performance status 3 or more
Study Plan
How is the study designed?
Design Details
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Single arm
Eligible patients
|
Radiotherapy
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall survival
Time Frame: 2 years
|
The survival of participating patient two years after entering the study
|
2 years
|
Overall survival
Time Frame: 3 years
|
The survival of participating patients, three years after entering the study.
|
3 years
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Progression free survival
Time Frame: 2 years
|
2 years
|
Progression free survival
Time Frame: 3 years
|
3 years
|
Dyspnea (CTC4.0)
Time Frame: 2 years
|
2 years
|
Dysphagia (CTC 4.0)
Time Frame: 2 years
|
2 years
|
Patterns of recurrence
Time Frame: 2 years
|
2 years
|
Dyspnea (CTC4.0)
Time Frame: 3 years
|
3 years
|
Dysphagia (CTC4.0)
Time Frame: 3 years
|
3 years
|
Patterns of recurrence
Time Frame: 3 years
|
3 years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Dirk De Ruysscher, MD, PhD, MAASTRO clinic, Maastricht Radiation Oncology
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Oligometa's
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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