- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02076477
The Optimal Intervention Time of Radiotherapy for Oligometastatic Stage IV Non-small Cell Lung Cancer(NSCLC) (OITROLC)
The Prospective,Multicenter,Randomized Controlled Clinical Study of the Optimal Intervention Time of Radiotherapy for Oligometastatic Stage IV Non-small Cell Lung Cancer(NSCLC)
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: TAO LI, MD, PhD
- Phone Number: 86-18908178818
- Email: litaoxmf@126.com
Study Locations
-
-
Sichuan
-
Chengdu, Sichuan, China, 610041
- Recruiting
- Sichuan Cancer Hospital & Institute
-
Sub-Investigator:
- XIAOHU WANG, MD, PhD
-
Sub-Investigator:
- XIAOBO DU, MD, PhD
-
Sub-Investigator:
- BING LU, MD, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18 to 75 years old , male or female
- Pathologically or cytologically proven oligometastatic stage IV NSCLC non-small cell lung cancer(NSCLC)
- Primary tumors can be measured
- Distant organ metastases number ≤ 5
- Karnofsky score >70,Zubrod performance status 0-1
- Estimated life expectancy of at least 12 weeks
- reproductive age women should ensure that before entering the study period contraception
- Hemoglobin≥10.0g/dL,WBC≥ 4000 cells/mm³,Platelet count≥100,000 cells/mm³
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) < 2.5 times upper limit of normal,bilirubin normal
- Creatinine normal OR creatinine clearance ≥ 60 mL/min
- Patients have good compliance to treatment and follow-up of acceptance.
Exclusion Criteria:
- Allergic to pemetrexed, cisplatin, docetaxel and contrast medium
- Distant metastases organs > 5
- The primary tumor or lymph node already received surgical treatment (except for biopsy)
- Patient who received radiotherapy for primary tumor or lymph node
- Patient who received the the epidermal growth factor targeted therapy
- Patient who received chemotherapy or immunotherapy
- Patient who suffered from other malignant tumor
- Patient who have taken other drug test within 1 month
- Pregnant woman or Lactating Women and Women in productive age who refuse to take contraception in observation period
- Subject with a severe allergic history or idiosyncratic
- Subject with severe pulmonary and cardiopathic disease history
- Refuse or incapable to sign the informed consent form of participating this trial
- Drug abuse or alcohol addicted
- Subject with a Personality or psychiatric diseases, people with no legal capacity or people with limited capacity for civil conduct
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Arm A
Patients receive concurrent chemoradiotherapy at first。Patients also receive chemotherapy every 3-4 weeks for two cycles after concurrent chemoradiotherapy. chemotherapy:(1) squamous cell carcinoma:Docetaxel 60mg/m2 d1+Cisplatin 25mg/m2 d1-3.(2)non squamous cell carcinoma: pemetrexed 500mg/m2 d1+Cisplatin 25mg/m2 d1-3. |
Radiation(image-guided radiotherapy):(1)primary tumors≤3cm,Hypofractionated radiation therapy,accumulated dose BED ≥80Gy (central lung cancer),BED ≥100Gy(Peripheral lung cancer).(2)primary
tumors>3cm,conventional fractionated radiotherapy,accumulated dose BED=60-66Gy/30-33f.(3)
regional lymph node:conventional fractionated radiotherapy,accumulated dose BED=60-66Gy/30-33f.(4)
Brain metastases: whole brain radiation therapy,36Gy/12f,Intracranial metastases,48Gy/12f.(5) bone metastasis:36 Gy/12f.
Docetaxel:60mg/m2 d1,Given IV
pemetrexed: 500mg/m2 d1,Given IV
Cisplatin:25mg/m2 d1-3,Given IV
|
ACTIVE_COMPARATOR: Arm B
Patients receive neoadjuvant chemotherapy every 3-4 weeks for two cycles at first.Patients then receive concurrent chemoradiotherapy after neoadjuvant chemotherapy. chemotherapy:(1) squamous cell carcinoma:Docetaxel 60mg/m2 d1+Cisplatin 25mg/m2 d1-3.(2)non squamous cell carcinoma: pemetrexed 500mg/m2 d1+Cisplatin 25mg/m2 d1-3. |
Radiation(image-guided radiotherapy):(1)primary tumors≤3cm,Hypofractionated radiation therapy,accumulated dose BED ≥80Gy (central lung cancer),BED ≥100Gy(Peripheral lung cancer).(2)primary
tumors>3cm,conventional fractionated radiotherapy,accumulated dose BED=60-66Gy/30-33f.(3)
regional lymph node:conventional fractionated radiotherapy,accumulated dose BED=60-66Gy/30-33f.(4)
Brain metastases: whole brain radiation therapy,36Gy/12f,Intracranial metastases,48Gy/12f.(5) bone metastasis:36 Gy/12f.
Docetaxel:60mg/m2 d1,Given IV
pemetrexed: 500mg/m2 d1,Given IV
Cisplatin:25mg/m2 d1-3,Given IV
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
short-term effects(The response rate,RR)
Time Frame: 3 months after the end of the treatment
|
Response Evaluation Criteria In Solid Tumors (RECIST)
|
3 months after the end of the treatment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
PFS(progression-free survival)
Time Frame: up to 3 years
|
up to 3 years
|
|
Quality of life (QOL)
Time Frame: up to 3 years
|
Quality of life (QOL) as measured by the Functional Assessment of Cancer Therapy-Trial Outcome Index (FACT-TOI) and lung cancer subscale (LCS)
|
up to 3 years
|
esophagitis and pneumonitis
Time Frame: up to 3 years
|
Grade 3-5 esophagitis and pneumonitis adverse events as assessed by NCI Common Toxicity Criteria for Adverse Effects (CTCAE) v3.0
|
up to 3 years
|
Other grade 3-5 adverse events
Time Frame: up to 3 years
|
Other grade 3-5 adverse events as assessed by NCI CTCAE v3.0
|
up to 3 years
|
Collaborators and Investigators
Investigators
- Principal Investigator: JIAHUA LV, MD, Sichuan Cancer Hospital & Institute
- Principal Investigator: XIAOHU WANG, MD, PhD, Gansu Cancer Hospital
- Principal Investigator: XIAOBO DU, MD, PhD, Mianyang Central Hospital
- Principal Investigator: BING LU, MD.PhD, Cancer Hospital of Guizhou Province
Study record dates
Study Major Dates
Study Start
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Neoplasms
- Lung Diseases
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Lung Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Molecular Mechanisms of Pharmacological Action
- Nucleic Acid Synthesis Inhibitors
- Enzyme Inhibitors
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Folic Acid Antagonists
- Docetaxel
- Cisplatin
- Pemetrexed
Other Study ID Numbers
- scch201402
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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