Radiotherapy Planning Based on Positron Emission Tomography With Fluoro-deoxyglucose For Advanced NSCLC

NCT ID: NCT00697333

Last Updated: 2016-07-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-05-31

Study Completion Date

2017-05-31

Brief Summary

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Simultaneous radio-chemotherapy in advanced non-small cell lung cancer. The study focusses on a randomised comparison of conventional radiotherapy planning with irradiation of macroscopic tumor and lymph nodes together with prophylactic target volumes vs. irradiation only of FDG-positive lesions.

Primary endpoint is the local disease control in the chest.

Detailed Description

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Simultaneous radio-chemotherapy in advanced non-small cell lung cancer. The study focusses on a randomised comparison of conventional radiotherapy planning with irradiation of macroscopic tumor and lymph nodes together with prophylactic target volumes vs. irradiation only of FDG-positive lesions.

Primary endpoint is the local disease control in the chest

Conditions

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Non-small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Irradiation of all tumor manifestations detectable by CT and/or positron emission tomography using fluoro-deoxy-glucose including a part of eventual atelectasis and the whole affected lymph node stations by 60 - 74 Gy/2Gy) irradiation of elective lymph node stations up to 50 Gy/2 Gy

Group Type NO_INTERVENTION

No interventions assigned to this group

B

Irradiation of all tumor manifestations detectable by positron emission tomography using fluoro-deoxy-glucose including the whole affected lymph node stations by 60 - 74 Gy/2Gy

Group Type EXPERIMENTAL

restriction of radiotherapy to FDG-PET positive areas only

Intervention Type PROCEDURE

Restriction of target volumes to areas positive in positron emission tomography using fluoro-deoxy-glucose

Interventions

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restriction of radiotherapy to FDG-PET positive areas only

Restriction of target volumes to areas positive in positron emission tomography using fluoro-deoxy-glucose

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* histologically proved NSCLC
* UICC-stage I-III, no resection planned
* complete staging \< 6 wks before treatment including cranial CT
* ECOG \<3, Karnofsky-Index \>60%
* age \> 18 \<
* FEV1 \> 1,0 l or \>35%
* RT-planning according to protocol feasible
* chemotherapy feasible
* written informed consent

Exclusion Criteria

* neuroendocrine tumors, plain broncho-alveolar-cell ca.
* distant metastases, supraclavicular lymph node metastases
* malignant pleural effusion
* resection of actual tumor performed
* inclusion in other study protocol
* chemotherapy due to actual tumor before FDG-PET
* induction-chemotherapy
* acute vena cava superior syndrome
* second malignancy other than basalioma
* pregnancy, lactation
* heart insufficiency NYHA III/IV
* pneumoconiosis with active inflammatory changes of mediastinal lymph nodes
* acute broncho-pulmonary infection at time of PET-examination
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Arbeitsgemeinschaft Nuklearmedizin und Strahlentherapie der DEGRO und DGN

OTHER

Sponsor Role lead

Responsible Party

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Prof. Dr. Ursula Nestle

Prof. Dr. Ursula Nestle, Universitätsklinikum Freiburg

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ursula Nestle, Prof.

Role: PRINCIPAL_INVESTIGATOR

Universitätsklinikum Freiburg, Germany

Locations

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Universitätsklinikum Freiburg

Freiburg I. Br., Baden-Wurttemberg, Germany

Site Status RECRUITING

Universitätsklinikum Freiburg

Freiburg i.Br., Baden-Wurttemberg, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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U. Nestle, Prof.

Role: CONTACT

49-761-270 ext. 95390

A. L. Grosu, Prof.

Role: CONTACT

49-761-270 ext. 94610

Facility Contacts

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Ursula Nestle, Prof.

Role: primary

49-761-270 ext. 95390

A.-L. Grosu, Prof.

Role: backup

49-761-270 ext. 94610

T. Schimek-Jasch, MD

Role: primary

49-761-270 ext. 95201

S. Adebahr, MD

Role: backup

49-761-270 ext. 95371

References

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Nestle U, Kremp S, Grosu AL. Practical integration of [18F]-FDG-PET and PET-CT in the planning of radiotherapy for non-small cell lung cancer (NSCLC): the technical basis, ICRU-target volumes, problems, perspectives. Radiother Oncol. 2006 Nov;81(2):209-25. doi: 10.1016/j.radonc.2006.09.011. Epub 2006 Oct 24.

Reference Type BACKGROUND
PMID: 17064802 (View on PubMed)

Nestle U, Schaefer-Schuler A, Kremp S, Groeschel A, Hellwig D, Rube C, Kirsch CM. Target volume definition for 18F-FDG PET-positive lymph nodes in radiotherapy of patients with non-small cell lung cancer. Eur J Nucl Med Mol Imaging. 2007 Apr;34(4):453-62. doi: 10.1007/s00259-006-0252-x. Epub 2006 Oct 21.

Reference Type BACKGROUND
PMID: 17058078 (View on PubMed)

Nestle U, Kremp S, Schaefer-Schuler A, Sebastian-Welsch C, Hellwig D, Rube C, Kirsch CM. Comparison of different methods for delineation of 18F-FDG PET-positive tissue for target volume definition in radiotherapy of patients with non-Small cell lung cancer. J Nucl Med. 2005 Aug;46(8):1342-8.

Reference Type BACKGROUND
PMID: 16085592 (View on PubMed)

MacManus M, Nestle U, Rosenzweig KE, Carrio I, Messa C, Belohlavek O, Danna M, Inoue T, Deniaud-Alexandre E, Schipani S, Watanabe N, Dondi M, Jeremic B. Use of PET and PET/CT for radiation therapy planning: IAEA expert report 2006-2007. Radiother Oncol. 2009 Apr;91(1):85-94. doi: 10.1016/j.radonc.2008.11.008. Epub 2008 Dec 25.

Reference Type BACKGROUND
PMID: 19100641 (View on PubMed)

Nestle U, Weber W, Hentschel M, Grosu AL. Biological imaging in radiation therapy: role of positron emission tomography. Phys Med Biol. 2009 Jan 7;54(1):R1-25. doi: 10.1088/0031-9155/54/1/R01. Epub 2008 Dec 5.

Reference Type BACKGROUND
PMID: 19060363 (View on PubMed)

Schaefer A, Kremp S, Hellwig D, Rube C, Kirsch CM, Nestle U. A contrast-oriented algorithm for FDG-PET-based delineation of tumour volumes for the radiotherapy of lung cancer: derivation from phantom measurements and validation in patient data. Eur J Nucl Med Mol Imaging. 2008 Nov;35(11):1989-99. doi: 10.1007/s00259-008-0875-1. Epub 2008 Jul 26.

Reference Type BACKGROUND
PMID: 18661128 (View on PubMed)

Craddock M, Nestle U, Koenig J, Schimek-Jasch T, Kremp S, Lenz S, Banfill K, Davey A, Price G, Salem A, Faivre-Finn C, van Herk M, McWilliam A. Cardiac Function Modifies the Impact of Heart Base Dose on Survival: A Voxel-Wise Analysis of Patients With Lung Cancer From the PET-Plan Trial. J Thorac Oncol. 2023 Jan;18(1):57-66. doi: 10.1016/j.jtho.2022.09.004. Epub 2022 Sep 18.

Reference Type DERIVED
PMID: 36130693 (View on PubMed)

Nestle U, Schimek-Jasch T, Kremp S, Schaefer-Schuler A, Mix M, Kusters A, Tosch M, Hehr T, Eschmann SM, Bultel YP, Hass P, Fleckenstein J, Thieme A, Stockinger M, Dieckmann K, Miederer M, Holl G, Rischke HC, Gkika E, Adebahr S, Konig J, Grosu AL; PET-Plan study group. Imaging-based target volume reduction in chemoradiotherapy for locally advanced non-small-cell lung cancer (PET-Plan): a multicentre, open-label, randomised, controlled trial. Lancet Oncol. 2020 Apr;21(4):581-592. doi: 10.1016/S1470-2045(20)30013-9. Epub 2020 Mar 12.

Reference Type DERIVED
PMID: 32171429 (View on PubMed)

Nestle U, Rischke HC, Eschmann SM, Holl G, Tosch M, Miederer M, Plotkin M, Essler M, Puskas C, Schimek-Jasch T, Duncker-Rohr V, Ruhl F, Leifert A, Mix M, Grosu AL, Konig J, Vach W. Improved inter-observer agreement of an expert review panel in an oncology treatment trial--Insights from a structured interventional process. Eur J Cancer. 2015 Nov;51(17):2525-33. doi: 10.1016/j.ejca.2015.07.036. Epub 2015 Aug 12.

Reference Type DERIVED
PMID: 26277100 (View on PubMed)

Other Identifiers

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AG NUK/RT 2006-1

Identifier Type: -

Identifier Source: org_study_id

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