Trial Outcomes & Findings for Stereotactic Body Radiation Therapy (SBRT) for Lung Tumors (NCT NCT00632281)

NCT ID: NCT00632281

Last Updated: 2012-02-20

Results Overview

2-year local control (Percentage of tumors that did not recur at treated site 2 years after treatment), cause-specific survival (percentage of patients who had not died from disease under study in the 2 years since treatment), overall survival (percent of patients still alive at 2 years after treatment), and freedom from failure (percentage of patients in whom the disease treated had not progressed or recurred in the 2 years since treatment)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

38 participants

Primary outcome timeframe

2 yrs

Results posted on

2012-02-20

Participant Flow

Participant milestones

Participant milestones
Measure
All Patients Receiving SBRT to Thorax
22 patients had Non-small-cell lung cancer (NSCLC), 6 had metastatic disease, and 6 had 2 lesions treated simultaneously.
Overall Study
STARTED
38
Overall Study
COMPLETED
38
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Stereotactic Body Radiation Therapy (SBRT) for Lung Tumors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Patients Receiving SBRT to Thorax
n=38 Participants
22 patients had Non-small-cell lung cancer (NSCLC), 6 had metastatic disease, and 6 had 2 lesions treated simultaneously.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=5 Participants
Age, Categorical
>=65 years
30 Participants
n=5 Participants
Age Continuous
72.3 years
STANDARD_DEVIATION 9.8 • n=5 Participants
Sex: Female, Male
Female
25 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
Region of Enrollment
United States
38 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 yrs

Population: 44 lesions in 38 patients were treated with IMRT or 3D conformal beams on a prospective trial examining thoracic SBRT. Twenty-two of 32 primary lung cancer patients had biopsy-proven NSCLC (stage IA, 21 patients; stage IB, 11 patients). Six had metastatic disease. Six patients had 2 lesions treated simultaneously.

2-year local control (Percentage of tumors that did not recur at treated site 2 years after treatment), cause-specific survival (percentage of patients who had not died from disease under study in the 2 years since treatment), overall survival (percent of patients still alive at 2 years after treatment), and freedom from failure (percentage of patients in whom the disease treated had not progressed or recurred in the 2 years since treatment)

Outcome measures

Outcome measures
Measure
All Patients Receiving SBRT to the Thorax
n=38 Participants
Disease Status
Rate of 2-year control
84 percentage of participants
Disease Status
Cause specific survival rate
78 percentage of participants
Disease Status
Overall Survival rate
55 percentage of participants
Disease Status
Freedom from Failure rate
54 percentage of participants

SECONDARY outcome

Timeframe: up to 2 years, 9 months

Toxicity is defined as adverse events described in the CTCAE (version 3). Acute toxicity refers to adverse events that occurred up until 3 months after treatment and "late" toxicity as those occurring 3 months or longer after the end of treatment. Below are the Rates of grade 2 acute toxicity, grade 3 acute toxicity, late grade 3 toxicity, and late grade 4 toxicity

Outcome measures

Outcome measures
Measure
All Patients Receiving SBRT to the Thorax
n=38 Participants
Toxicity ot the Thorax
grade 2 toxicity
30 percentage of participants
Toxicity ot the Thorax
grade 3 toxicity
2 percentage of participants
Toxicity ot the Thorax
late grade 2 toxicity
32 percentage of participants
Toxicity ot the Thorax
late grade 3 toxicity
8 percentage of participants

Adverse Events

All Patients Receiving SBRT to Thorax

Serious events: 20 serious events
Other events: 38 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
All Patients Receiving SBRT to Thorax
n=38 participants at risk
22 patients had Non-small-cell lung cancer (NSCLC), 6 had metastatic disease, and 6 had 2 lesions treated simultaneously.
Skin and subcutaneous tissue disorders
Grade 3 Dermatitis
2.6%
1/38 • Number of events 1 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 3 Dyspnea
23.7%
9/38 • Number of events 24 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 3 FEV1
44.7%
17/38 • Number of events 33 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 4 FEV1
5.3%
2/38 • Number of events 3 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 3 Vital Capacity
15.8%
6/38 • Number of events 11 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.

Other adverse events

Other adverse events
Measure
All Patients Receiving SBRT to Thorax
n=38 participants at risk
22 patients had Non-small-cell lung cancer (NSCLC), 6 had metastatic disease, and 6 had 2 lesions treated simultaneously.
Respiratory, thoracic and mediastinal disorders
Grade 1 cough
60.5%
23/38 • Number of events 85 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 2 Cough
2.6%
1/38 • Number of events 1 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Skin and subcutaneous tissue disorders
Grade 1 Dermatitis
55.3%
21/38 • Number of events 41 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Skin and subcutaneous tissue disorders
Grade 2 Dermatitis
5.3%
2/38 • Number of events 2 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 1 Dyspnea
44.7%
17/38 • Number of events 77 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 2 Dyspnea
28.9%
11/38 • Number of events 61 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Gastrointestinal disorders
Grade 1 Esophagitis
2.6%
1/38 • Number of events 1 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Gastrointestinal disorders
Grade 2 Esophagitis
10.5%
4/38 • Number of events 10 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Investigations
Grade 1 Fatigue
76.3%
29/38 • Number of events 133 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Investigations
Grade 2 Fatigue
34.2%
13/38 • Number of events 29 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 1 FEV1
21.1%
8/38 • Number of events 16 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 2 FEV1
18.4%
7/38 • Number of events 18 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Infections and infestations
Grade 1 Fever
2.6%
1/38 • Number of events 1 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Gastrointestinal disorders
Grade 1 Nausea
42.1%
16/38 • Number of events 22 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Gastrointestinal disorders
Grade 2 Nausea
2.6%
1/38 • Number of events 1 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 1 Pleural Effusion
7.9%
3/38 • Number of events 8 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 1 Pneumonitis
26.3%
10/38 • Number of events 19 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 2 Pneumonitis
7.9%
3/38 • Number of events 3 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 1 Pulmonary fibrosis
26.3%
10/38 • Number of events 22 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 2 Pulmonary fibrosis
5.3%
2/38 • Number of events 2 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 1 Vital Capacity
23.7%
9/38 • Number of events 16 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.
Respiratory, thoracic and mediastinal disorders
Grade 2 Vital Capacity
55.3%
21/38 • Number of events 43 • 2 years, 9 months
Adverse events were assessed every 3 weeks for 3 months and then every 3 months.

Additional Information

Bridget Fitzgerald, Clinical Research Coordinator

University of Florida

Phone: 352-265-0680

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place