Prophylactic Cranial Irradiation (PCI) vs Observation in Stage III NSCLC
NVALT11
1 other identifier
interventional
315
1 country
9
Brief Summary
For patients with stage III non-small cell lung cancer, which is radically treated, we will investigate whether prophylactic cranial irradiation (PCI) should become standard of care to prevent brain metastases.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Jan 2009
Longer than P75 for phase_3
9 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2009
CompletedFirst Submitted
Initial submission to the registry
January 24, 2011
CompletedFirst Posted
Study publicly available on registry
January 25, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2015
CompletedApril 10, 2015
April 1, 2015
5.7 years
January 24, 2011
April 9, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Proportion of patients developing symptomatic brain metastasis
24 months after randomisation
Secondary Outcomes (3)
Time to develop neurological symptoms (confirmed or unconfirmed by imaging)
24 months after randomisation
Measurement of side effects (CTCAE3.0)
24 months after randomisation
Quality of Life
24 months after randomisation
Study Arms (2)
Prophylactic Cranial Irradiation
EXPERIMENTALObservation
NO INTERVENTIONPatients will not receive PCI, but will be observed and the same items will be measured as in the PCI-arm.
Interventions
* 18 fractions of 2Gy * 12 fractions of 2.5Gy * 10 fractions of 3 Gy
Eligibility Criteria
You may qualify if:
- UICC stage IIIA or IIIB (without malignant pleural of pericardial effusion) non-small cell lung cancer (histology or cytology)
- Whole body FDG-PET-scan before start of therapy available: No distant metastases
- CT or MRI of the brain before the start of radical therapy available: No brain metastases
- Platinum-based chemotherapy is mandatory
- Radical local therapy: concurrent of sequential chemotherapy (platinum-based) and radiotherapy with or without surgery
- Radiotherapy dose without surgery at least a biological equivalent of 60Gy
- No prior cranial irradiation
- Patients must sign a study-specific informed consent at the time of registration
You may not qualify if:
- The opposite of the above
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Maastricht Radiation Oncologylead
- University Medical Center Groningencollaborator
- The Netherlands Cancer Institutecollaborator
Study Sites (9)
VU Medical Center
Amsterdam, Amsterdam, Netherlands
Maastro Clinic
Maastricht, Limburg, 6229 ET, Netherlands
UMCG Groningen
Groningen, Provincie Groningen, Netherlands
UMC Utrecht
Utrecht, Utrecht, Netherlands
The Netherlands Cancer Institute
Amsterdam, Netherlands
RT Insitute Stedendriehoek
Deventer, Netherlands
St. Antonius Ziekenhuis
Nieuwegein, Netherlands
Dr. Bernard Verbeeten Institute
Tilburg, Netherlands
Isala Klinieken
Zwolle, Netherlands
Related Publications (1)
Witlox WJA, Ramaekers BLT, Joore MA, Dingemans AC, Praag J, Belderbos J, Tissing-Tan C, Herder G, Haitjema T, Ubbels JF, Lagerwaard J, El Sharouni SY, Stigt JA, Smit EF, van Tinteren H, van der Noort V, Groen HJM, De Ruysscher DKM. Health-related quality of life after prophylactic cranial irradiation for stage III non-small cell lung cancer patients: Results from the NVALT-11/DLCRG-02 phase III study. Radiother Oncol. 2020 Mar;144:65-71. doi: 10.1016/j.radonc.2019.10.016. Epub 2019 Nov 14.
PMID: 31733490DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dirk De Ruysscher, MD, PhD
NVALT oncology foundation
- PRINCIPAL INVESTIGATOR
Harry Groen, MD, PhD
University Medical Center Groningen
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 24, 2011
First Posted
January 25, 2011
Study Start
January 1, 2009
Primary Completion
September 1, 2014
Study Completion
March 1, 2015
Last Updated
April 10, 2015
Record last verified: 2015-04