Intensity-modulated Radiotherapy (IMRT) With Simultaneous Integrated Boost (SIB) for Inoperable Non-small-cell Lung Cancer
1 other identifier
interventional
40
1 country
1
Brief Summary
Lung cancer is one of the most common cancer and the leading causes of cancer death in worldwide. Approximately 80% of NSCLC were inoperable. The prognosis of patients with LA-NSCLC remains disappointing. Investigators hypothesized that use of simultaneous integrated boost intensity modulated radiotherapy (SIB-IMRT) technology can safety increasing the radiation dose and benefit for inoperable NSCLC patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2 nonsmall-cell-lung-cancer
Started Nov 2015
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2015
CompletedFirst Submitted
Initial submission to the registry
July 5, 2016
CompletedFirst Posted
Study publicly available on registry
July 22, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2018
CompletedJuly 22, 2016
July 1, 2016
2 years
July 5, 2016
July 19, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Progression free survival (PFS)
Progression free survival is defined as the time (in months) from the date of admission to the date of progression or last follow-up
up to 12 months
Secondary Outcomes (3)
Treatment-related toxicities
up to 6 months
Overall Response Rate (ORR)
up to 3 months
Overall survival (OS)
up to 36 months
Study Arms (1)
IMRT + SIB + Chemotherapy
EXPERIMENTALFor all patients, the dose to the PTV will be kept constant at 60 Gy in 30 fractions at 2.0 Gy per fraction, SIBV will be kept constant at 72 Gy in 30 fractions at 2.4 Gy per fraction. Fractions given once a day, 5 times a week for six weeks. All patients will receive standard concurrent chemotherapy.
Interventions
For all patients, the dose to the PTV will be kept constant at 60 Gy in 30 fractions at 2.0 Gy per fraction , SIBV will be kept constant at 72 Gy in 30 fractions at 2.4 Gy per fraction. Fractions given once a day, 5 times a week for six weeks. All patients will receive standard concurrent chemotherapy.
Eligibility Criteria
You may qualify if:
- Histologically confirmed NSCLC, inoperable stages IIA-IIIB, according to American Joint Committee on Cancer (AJCC)Cancer Stage 7th
- Performance status 0 to 2, ≤5% weight loss within the past 6 months
- A forced expiratory volume at 1 second of ≥ 1 L
- Life expectancy \> 3 months
- No invasion of large vessels, heart, esophagus, spinal cord.
- Based on conformal treatment planning, the volume of lung at or exceeding 20 Gy (V20) must have been≤30%, the mean esophagus dose≤34 Gy, and the volume of esophagus exceeding 55 Gy (V55)≤30%
- Tolerable and agree for Intensity-Modulated Radiation Therapy(IMRT) and concurrent chemoradiotherapy
- Without severe other diseases
- Informed consent
You may not qualify if:
- Had received prior thoracic radiotherapy
- Supraclavicular lymph node metastasis, pleural or pericardial effusions, and superior vena cava syndrome
- Pregnant and lactating women
- Serious complications
- Other primary malignancies
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hunan province tumor pospital
Changsha, Hunan, China
Related Publications (1)
Yang W, Zeng B, Qiu Y, Tan J, Xu S, Cai Y, Zhou Y, Liu Z, Luo J, Wang H. A Dosimetric Comparison of Dose Escalation with Simultaneous Integrated Boost for Locally Advanced Non-Small-Cell Lung Cancer. Biomed Res Int. 2017;2017:9736362. doi: 10.1155/2017/9736362. Epub 2017 May 28.
PMID: 28630876DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chief of thoracic radiation oncology department
Study Record Dates
First Submitted
July 5, 2016
First Posted
July 22, 2016
Study Start
November 1, 2015
Primary Completion
November 1, 2017
Study Completion
November 1, 2018
Last Updated
July 22, 2016
Record last verified: 2016-07