Alpha Radiation Emitters Device for the Treatment of Recurrent Lung Cancer
A Feasibility and Safety Study of Intratumoral Diffusing Alpha Radiation Emitters for the Treatment of Recurrent Lung Cancer
1 other identifier
interventional
10
1 country
1
Brief Summary
A unique approach for cancer treatment employing intratumoral diffusing alpha radiation emitter device for treatment of recurrent Lung Cancer .
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jul 2023
Longer than P75 for not_applicable
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
First Submitted
Initial submission to the registry
November 21, 2022
CompletedFirst Posted
Study publicly available on registry
December 1, 2022
CompletedStudy Start
First participant enrolled
July 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 1, 2027
December 2, 2025
January 1, 2025
3.6 years
November 21, 2022
December 1, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Feasibility - DaRT seed placement
Feasibility will be determined according to the rate of successful placement of DaRT seeds via imaging
From Day 0-Day 90
Safety- Adverse events
Safety will be determined according to the overall incidence of device related SAE's graded according to CTCAE v5.0 criteria
From Day 0-Day 90
Secondary Outcomes (2)
Efficacy - Alpha DaRT seeds
1 month and 3 months
Efficacy - Alpha DaRT seeds
Day 0-Day 90
Study Arms (1)
DaRT Seeds
EXPERIMENTALIntratumoral Diffusing alpha-emitters Radiation Therapy (DaRT) Seed
Interventions
An intratumoral insertion of radioactive sources \[Ra-224 containing stainless-steel 316LVM tubes- (Alpha DaRT seeds)\]. The seeds release by recoil into the tumor short-lived alpha-emitting atoms
Eligibility Criteria
You may qualify if:
- Histologically and/or cytologically proven recurrent mediastinal tumors
- Target lesion is technically amenable for at least 50% coverage by the Alpha DaRT seeds as determined by the treating physician
- Up to two treatable lesions
- Interstitial radiation indication validated by a multidisciplinary team.
- Measurable lesion per RECIST (version 1.1) criteria
- Lesion size ≤ 3 cm in the longest diameter
- Age ≥18 years old
- ECOG Performance Status Scale ≤ 3
- Life expectancy is more than 6 months
- WBC ≥ 3500/µl, granulocyte ≥ 1500/µl
- Platelet count ≥60,000/µl
- Calculated or measured creatinine clearance ≥ 60cc/min. Calculated, or measured creatinine clearance can be≥ 40cc/min given stability of creatinine levels over the past three weeks (at least 1 test per week).
- AST and ALT ≤ 2.5 X ULN
- INR \< 1.4 for patients not on Warfarin
- Subjects are willing and able to sign an informed consent form
- +1 more criteria
You may not qualify if:
- Concomitant chemotherapy or immunotherapy
- Brain metastases Connective tissue disease (scleroderma, lupus)
- Known hypersensitivity to any of the components of the treatment.
- Patients undergoing systemic immunosuppressive therapy excepting intermittent, brief use of systemic corticosteroids.
- Clinically significant cardiovascular disease, e.g. cardiac failure of New York Heart Association classes III-IV, uncontrolled coronary artery disease, cardiomyopathy, uncontrolled arrhythmia, uncontrolled hypertension, or history of myocardial infarction in the last 12 months.
- Patients with uncontrolled intercurrent illnesses including, but not limited to an active infection requiring systemic therapy or a known psychiatric or substance abuse disorder(s) that would interfere with cooperation with the requirements of the trial or interfere with the study endpoints.
- Has a known additional malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin or squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer.
- Patient requires treatment not specified in this protocol which may conflict with the endpoints of this study including evaluation of response or toxicity of DaRT.
- Patients must agree to use adequate contraception (vasectomy or barrier method of birth control) prior to study entry, for the duration of study participation and for 3 months after discontinuing therapy.
- Volunteers participating in another interventional study in the past 30 days which might conflict with the endpoints of this study or the evaluation of response or toxicity of DaRT.
- High probability of protocol non-compliance (in opinion of investigator).
- Breastfeeding women or women of childbearing potential unwilling or unable to use an acceptable contraceptive method to prevent pregnancy for 3 months after RT.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hadassah University Hospital
Jerusalem, 9777605, Israel
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Aron Popovtzer, MD
Hadassah Medical Organization
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 21, 2022
First Posted
December 1, 2022
Study Start
July 1, 2023
Primary Completion (Estimated)
February 1, 2027
Study Completion (Estimated)
February 1, 2027
Last Updated
December 2, 2025
Record last verified: 2025-01
Data Sharing
- IPD Sharing
- Will not share