Trial Outcomes & Findings for Cryotherapy in Treating Patients With Primary Stage I Non-Small Cell Lung Cancer or Lung Metastasis (NCT NCT00890617)

NCT ID: NCT00890617

Last Updated: 2022-11-01

Results Overview

Treatment success was defined as \> 75% of the resected ablated tissue showing no cancer on detailed histologic analysis. The primary statistical objective was to estimate the PCA success rate (p).

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

9 participants

Primary outcome timeframe

3 weeks post-Percutaneous Cryotherapy (PTC)

Results posted on

2022-11-01

Participant Flow

Participant milestones

Participant milestones
Measure
Prednisone & Cryotherapy
Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure Cryotherapy (PTC): CT-guided PTC with the intent to eradicate the entire tumor(s). Prednisone: Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure
Overall Study
STARTED
9
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cryotherapy in Treating Patients With Primary Stage I Non-Small Cell Lung Cancer or Lung Metastasis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Prednisone & Cryotherapy
n=9 Participants
Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure Cryotherapy (PTC): CT-guided PTC with the intent to eradicate the entire tumor(s). Prednisone: Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
Age, Continuous
65.78 years
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
9 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 weeks post-Percutaneous Cryotherapy (PTC)

Treatment success was defined as \> 75% of the resected ablated tissue showing no cancer on detailed histologic analysis. The primary statistical objective was to estimate the PCA success rate (p).

Outcome measures

Outcome measures
Measure
Prednisone & Cryotherapy
n=9 Participants
Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure Cryotherapy (PTC): CT-guided PTC with the intent to eradicate the entire tumor(s). Prednisone: Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure
The Number of Patients With a Response (Complete Response and Partial Response)
8 Participants

SECONDARY outcome

Timeframe: 6 months post-Percutaneous Cryotherapy (PTC)

Histology samples from anterior, posterior, superior, inferior, medial and lateral areas of the resected tumor will be compared to enhancement zones of the ablation margin for any residual cancer.

Outcome measures

Outcome measures
Measure
Prednisone & Cryotherapy
n=9 Participants
Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure Cryotherapy (PTC): CT-guided PTC with the intent to eradicate the entire tumor(s). Prednisone: Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure
The Number of Patients With a Pathologic Response
macroscopic residual viable tumor
1 Participants
The Number of Patients With a Pathologic Response
microscopic foci of viable tumor
2 Participants
The Number of Patients With a Pathologic Response
no microscopic viable tumor
6 Participants

Adverse Events

Prednisone & Cryotherapy

Serious events: 2 serious events
Other events: 9 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Prednisone & Cryotherapy
n=9 participants at risk
Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure Cryotherapy (PTC): CT-guided PTC with the intent to eradicate the entire tumor(s). Prednisone: Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure
Respiratory, thoracic and mediastinal disorders
aspergillosis
11.1%
1/9 • Number of events 1 • over the first 6 months of study
CTCAE criteria
Cardiac disorders
atrial fibrillation
11.1%
1/9 • Number of events 1 • over the first 6 months of study
CTCAE criteria

Other adverse events

Other adverse events
Measure
Prednisone & Cryotherapy
n=9 participants at risk
Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure Cryotherapy (PTC): CT-guided PTC with the intent to eradicate the entire tumor(s). Prednisone: Prednisone taken: 20mg BID on the day of the cryotherapy procedure 20mg BID on the day after the procedure 20mg BID two days after the procedure 20mg AM and 10mg PM three days after the procedure 10mg AM and 10mg PM four days after the procedure 10mg five days after the procedure 5mg six days after the procedure
Cardiac disorders
atrial fibrillation
22.2%
2/9 • Number of events 2 • over the first 6 months of study
CTCAE criteria
Infections and infestations
pneumonia
22.2%
2/9 • Number of events 2 • over the first 6 months of study
CTCAE criteria
Respiratory, thoracic and mediastinal disorders
atelectasis
33.3%
3/9 • Number of events 3 • over the first 6 months of study
CTCAE criteria
Injury, poisoning and procedural complications
vocal cord dysfunction
22.2%
2/9 • Number of events 2 • over the first 6 months of study
CTCAE criteria

Additional Information

Dr. Frank A. Baciewicz

Barbara Ann Karmanos Cancer Institute

Phone: (313) 993-0580

Results disclosure agreements

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