Prophylactic Cranial Irradiation (PCI) Versus no PCI in Non Small Cell Lung Cancer After a Response to Chemotherapy

NCT ID: NCT00745797

Last Updated: 2017-03-06

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2012-08-31

Brief Summary

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1. Patients with confirmed advanced NSCLC and any response to 3-6 cycles of chemotherapy, were randomized to receive PCI (30 Gy/10fr) or no PCI.
2. The primary endpoint was the cumulative incidence of symptomatic brain metastases (BM) .
3. The study was sized to detect a hazard ratio of 0.37 with 80% power and 2-sided 5% significance (60 events, 206 patients).

Detailed Description

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1. Prophylactic cranial irradiation (PCI) significantly reduces the risk of brain metastases (BM) and improves survival in patients with extensive disease small cell lung cancer after a response to chemotherapy .
2. PCI has also demonstrated to reduce or delay the incidence of CNS failure in non small cell lung cancer patients after primary therapy.
3. But its impact on overall and disease free survival is uncertain.

Conditions

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Brain Metastases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Prophylactic WBRT

Take the whole brain radiotherapy radiotherapy

Group Type EXPERIMENTAL

Radiotherapy

Intervention Type RADIATION

blood transfusions, platelet transfusions, antibiotics, antipyretic analgesics and anesthetics

Observer Group

The first 14 days after randomization and patient follow-up after 1 month to complete the FACT-L questionnaire and the MMSE scale.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Radiotherapy

blood transfusions, platelet transfusions, antibiotics, antipyretic analgesics and anesthetics

Intervention Type RADIATION

Other Intervention Names

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Radiotherapy,Dehydration drugs, elevated white blood drugs,

Eligibility Criteria

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Inclusion Criteria

1. Patients were required to have histologically or cytologically documented NSCLC and no brain metastasis documented by magnetic resonance imaging (MRI)within 21 days after confirmed response (RR+SD) to chemotherapy
2. No previous history of radiotherapy and surgery of brain
3. Agree to radiotherapy
4. age \> 18 and \<75 years
5. ECOG performance status 1 or less
6. Good renal and hepatic and haematological (absolute neutrophils count 15 x1O9/L and platelet count 90 x 109/L,HB\>=80g /DL) functions
7. Have provided informed consent

Exclusion Criteria

1. Seizure cannot be controled by the drugs
2. Combined with other disease of the brain such as tumour or infarction
3. Hypersensitivity to MR enhancer
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yi-Long Wu

OTHER

Sponsor Role lead

Responsible Party

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Yi-Long Wu

Professor, director

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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WU YI LONG, MD

Role: PRINCIPAL_INVESTIGATOR

Chinese Society of Lung Cancer

Locations

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Lung Cancer Research Institute & Cancer Center of Guangdong Provincial People's Hospital

Guangzhou, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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CSLC0801

Identifier Type: -

Identifier Source: org_study_id

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