NCT01604005

Brief Summary

The PIT (Prophylactic Irradiation of Tracts) trial will determine whether or not PIT radiotherapy is effective in preventing or delaying the onset of chest nodules in patients with Mesothelioma.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
375

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Jul 2012

Longer than P75 for phase_3

Geographic Reach
1 country

60 active sites

Status
terminated

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

First Submitted

Initial submission to the registry

May 21, 2012

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 23, 2012

Completed
1 month until next milestone

Study Start

First participant enrolled

July 1, 2012

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 5, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 5, 2017

Completed
Last Updated

January 29, 2018

Status Verified

January 1, 2018

Enrollment Period

4.8 years

First QC Date

May 21, 2012

Last Update Submit

January 26, 2018

Conditions

Keywords

Mesotheliomaradiotherapyprophylactic irradiation of tracts

Outcome Measures

Primary Outcomes (1)

  • Incidence of chest wall tract metastasis 6 months from randomisation

    6 months

Secondary Outcomes (4)

  • Time from randomisation to chest wall tract metastasis

    Weeks

  • Position of chest wall tract metastasis recurrence in relation to radiotherapy field in patients randomised to experimental arm (in field/out-of-field)

    Weeks

  • Acute and late skin radiotherapy toxicity

    Weeks

  • Pain from chest wall tract metastasis

    Weeks

Study Arms (2)

PIT Arm

EXPERIMENTAL
Radiation: Prophylactic Irradiation of Tracts (PIT)

No PIT Arm

NO INTERVENTION

Interventions

21 Gy in 3 fractions

Also known as: Radiation
PIT Arm

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Either sex, age ≥ 18 years
  • Diagnosis of mesothelioma by multi-disciplinary team (MDT). All histological subtypes are eligible for the trial
  • ECOG performance status 0-2 (Appendix C)
  • Inoperable disease or operable disease in patients unsuitable for surgery as decided by a MDT
  • Chest wall intervention with video-assisted thoracoscopy (VATS), open surgical biopsy (mini-thoracotomy), local anaesthetic thoracoscopy or chest drain
  • Able to start radiotherapy within 42 days (6 weeks) of the most recent chest wall procedure
  • Chest wall intervention scar visible at time of randomisation
  • Radiotherapy target volume acceptable by the local radiotherapist
  • Patients enrolled on other clinical trials could be considered after discussion with the chief investigators

You may not qualify if:

  • Patients who underwent a thoracotomy (as large thoracotomy scars may not be adequately covered by this radiotherapy technique)
  • Previous radiotherapy to the region of the chest wall intervention site
  • Indwelling pleural catheter in-situ at the intervention site
  • Patients currently receiving chemotherapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (60)

Tameside General Hospital

Ashton-under-Lyne, OL6 9RW, United Kingdom

Location

Basingstoke & North Hampshire Hospital

Basingstoke, RG24 9NA, United Kingdom

Location

Clatterbridge Cancer Centre

Bebington, CH63 4JY, United Kingdom

Location

Belfast City Hospital

Belfast, BT9 7AB, United Kingdom

Location

University Hospital Birmingham

Birmingham, B152TH, United Kingdom

Location

Royal Blackburn

Blackburn, BB2 3HH, United Kingdom

Location

Blackpool Victoria Hospital

Blackpool, FY3 8NR, United Kingdom

Location

Royal Bolton Hospital

Bolton, BL4 0JR, United Kingdom

Location

Pilgrim Hospital

Boston, PE21 9QS, United Kingdom

Location

Bradford Royal Infirmary

Bradford, BD9 6RJ, United Kingdom

Location

Queen's Hospital

Burton, DE13 0RB, United Kingdom

Location

Addenbrookes

Cambridge, CB23 3RE, United Kingdom

Location

Kent Oncology Centre

Canterbury, CT1 3NG, United Kingdom

Location

University Hospital of North Tees

Cleveland, TS19 8PE, United Kingdom

Location

University Hospital Coventry

Coventry, CV2 2DX, United Kingdom

Location

Leighton Hospital

Crewe, CW1 4QJ, United Kingdom

Location

Royal Derby Hospitals

Derby, DE22 3NE, United Kingdom

Location

Ninewells Hospital

Dundee, DD1 9SY, United Kingdom

Location

Western General Hospital

Edinburgh, EH4 2XU, United Kingdom

Location

Medway Maritime Hospital

Gillingham, ME7 5NY, United Kingdom

Location

The Royal Surrey County Hospital

Guildford, GU2 7XX, United Kingdom

Location

Princess Alexandra Hospital

Harlow, CM20 1QX, United Kingdom

Location

Harrogate District NHS Foundation Trust

Harrogate, HG2 7SX, United Kingdom

Location

Calderdale & Hudderfield NHS Trust

Huddersfield, HD3 3EA, United Kingdom

Location

Ipswich Hospital

Ipswich, IP4 5PD, United Kingdom

Location

St Mary's Hospital

Isle of Wight, PO30 5TG, United Kingdom

Location

Kidderminster General Hospital

Kidderminster, DY11 6RJ, United Kingdom

Location

University Hospitals of Morecambe Bay NHS Foundation Trust

Lancaster, LA1 4RP, United Kingdom

Location

St James University Hospital

Leeds, LS9 7TF, United Kingdom

Location

University Hospital of Leicester

Leicester, LE1 5WW, United Kingdom

Location

United Lincolnshire Hospitals

Lincoln, LN2 5QY, United Kingdom

Location

North Middlesex Hospital

London, N18 1QX, United Kingdom

Location

Macclesfield District General Hospital

Macclesfield, SK10 3BL, United Kingdom

Location

Maidstone Hospital, Kent Oncology Centre

Maidstone, ME16 9QQ, United Kingdom

Location

The Christie NHS Foundation Trust

Manchester, M20 4BX, United Kingdom

Location

Wythenshawe Hospital

Manchester, M23 9LT, United Kingdom

Location

James Cook University Hospital

Middlesbrough, TS4 3BW, United Kingdom

Location

Mount Vernon Cancer Centre

Middlesex, HA6 2RN, United Kingdom

Location

The Queen Elizabeth hospital

Norfolk, PE30 4ET, United Kingdom

Location

Northampton General Hospital

Northampton, NN1 5BD, United Kingdom

Location

Kings Mill Hospital

Nottingham, NG17 4JL, United Kingdom

Location

Nottingham University Hospitals

Nottingham, NG5 1PB, United Kingdom

Location

George Eliot Hospital

Nuneaton, CV10 7DJ, United Kingdom

Location

Royal Oldham Hospital

Oldham, OL1 2JH, United Kingdom

Location

Peterborough City Hospital

Peterborough, PE3 9GZ, United Kingdom

Location

Dorset Cancer Centre

Poole, BH15 2JB, United Kingdom

Location

Royal Preston Hospital

Preston, PR2 9HT, United Kingdom

Location

Glan Clwyd Hospital

Rhyl, LL18 5UJ, United Kingdom

Location

Salford Royal Hospital

Salford, M6 8HD, United Kingdom

Location

Salisbury District Hospital

Salisbury, SP2 8BJ, United Kingdom

Location

Sheffield Teaching Hospital

Sheffield, S10 2SJ, United Kingdom

Location

Southampton General Hospital

Southampton, SO16 6YD, United Kingdom

Location

University Hospital of North Midlands

Stoke-on-Trent, ST4 6QG, United Kingdom

Location

Llandough Hospital

Vale of Glamorgan, CF64 2XX, United Kingdom

Location

Manor Hospital

Walsall, WS2 9PS, United Kingdom

Location

Warwick Hospital

Warwick, CV34 5BW, United Kingdom

Location

Wigan & Leigh NHS Foundation Trust

Wigan, WN1 2NN, United Kingdom

Location

New Cross Hospital

Wolverhampton, WV10 0QP, United Kingdom

Location

Alexandra Hospital

Worcestershire, B98 7UB, United Kingdom

Location

York Teaching Hospital

York, YO31 8HE, United Kingdom

Location

Related Publications (2)

  • Bayman N, Appel W, Ashcroft L, Baldwin DR, Bates A, Darlison L, Edwards JG, Ezhil V, Gilligan D, Hatton M, Jegannathen A, Mansy T, Peake MD, Pemberton L, Rintoul RC, Snee M, Ryder WD, Taylor P, Faivre-Finn C. Prophylactic Irradiation of Tracts in Patients With Malignant Pleural Mesothelioma: An Open-Label, Multicenter, Phase III Randomized Trial. J Clin Oncol. 2019 May 10;37(14):1200-1208. doi: 10.1200/JCO.18.01678. Epub 2019 Mar 28.

  • Bayman N, Ardron D, Ashcroft L, Baldwin DR, Booton R, Darlison L, Edwards JG, Lang-Lazdunski L, Lester JF, Peake M, Rintoul RC, Snee M, Taylor P, Lunt C, Faivre-Finn C. Protocol for PIT: a phase III trial of prophylactic irradiation of tracts in patients with malignant pleural mesothelioma following invasive chest wall intervention. BMJ Open. 2016 Jan 27;6(1):e010589. doi: 10.1136/bmjopen-2015-010589.

Related Links

MeSH Terms

Conditions

Mesothelioma

Interventions

Radiation

Condition Hierarchy (Ancestors)

AdenomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsNeoplasms, Mesothelial

Intervention Hierarchy (Ancestors)

Physical Phenomena

Study Officials

  • Corinne Faivre-Finn

    The Christie NHS Foundation Trust

    STUDY CHAIR
  • Neil Bayman

    The Christie NHS Foundation Trust

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Clinical Trials Project Manager

Study Record Dates

First Submitted

May 21, 2012

First Posted

May 23, 2012

Study Start

July 1, 2012

Primary Completion

April 5, 2017

Study Completion

April 5, 2017

Last Updated

January 29, 2018

Record last verified: 2018-01

Locations