Trial Outcomes & Findings for Whole Lung IMRT in Children and Adults With Synovial Sarcoma and Lung Metastases (NCT NCT02181829)

NCT ID: NCT02181829

Last Updated: 2021-06-29

Results Overview

The CTCAE version 4.0 scale will be used. The radiation oncologist will score toxicity at each visit.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

10 participants

Primary outcome timeframe

within 3 months of the completion of treatment or 3 months following the completion of treatment.

Results posted on

2021-06-29

Participant Flow

Participant milestones

Participant milestones
Measure
Whole Lung IMRT
This is a single institution study involving patients with synovial sarcoma who have completed all standard therapy (e.g. surgery +/- radiation to the primary site) +/- any adjuvant chemotherapy. The sequence and types of therapy offered prior to WLI will likely vary based on primary tumor site, tumor resectability, extent of metastatic disease, performance status, and comorbidity. Each patient's therapy will be determined by the disease management team irrespective of participation on this protocol. Whole Lung IMRT: External beam radiation therapy will be administered on an outpatient basis, once daily (except weekends and holidays) for approximately two weeks. Patients will undergo a simulation prior to initiation of radiation. Once an IMRT plan is generated which meets all dose constraints specified patients will be treated with 6MV photons for 10 treatments.
Overall Study
STARTED
10
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Whole Lung IMRT in Children and Adults With Synovial Sarcoma and Lung Metastases

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Whole Lung IMRT
n=10 Participants
This is a single institution study involving patients with synovial sarcoma who have completed all standard therapy (e.g. surgery +/- radiation to the primary site) +/- any adjuvant chemotherapy. The sequence and types of therapy offered prior to WLI will likely vary based on primary tumor site, tumor resectability, extent of metastatic disease, performance status, and comorbidity. Each patient's therapy will be determined by the disease management team irrespective of participation on this protocol. Whole Lung IMRT: External beam radiation therapy will be administered on an outpatient basis, once daily (except weekends and holidays) for approximately two weeks. Patients will undergo a simulation prior to initiation of radiation. Once an IMRT plan is generated which meets all dose constraints specified patients will be treated with 6MV photons for 10 treatments.
Age, Continuous
38 years
n=93 Participants
Sex: Female, Male
Female
4 Participants
n=93 Participants
Sex: Female, Male
Male
6 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
2 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
Race (NIH/OMB)
White
7 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=93 Participants
Region of Enrollment
United States
10 Participants
n=93 Participants

PRIMARY outcome

Timeframe: within 3 months of the completion of treatment or 3 months following the completion of treatment.

The CTCAE version 4.0 scale will be used. The radiation oncologist will score toxicity at each visit.

Outcome measures

Outcome measures
Measure
Whole Lung IMRT
n=10 Participants
This is a single institution study involving patients with synovial sarcoma who have completed all standard therapy (e.g. surgery +/- radiation to the primary site) +/- any adjuvant chemotherapy. The sequence and types of therapy offered prior to WLI will likely vary based on primary tumor site, tumor resectability, extent of metastatic disease, performance status, and comorbidity. Each patient's therapy will be determined by the disease management team irrespective of participation on this protocol. Whole Lung IMRT: External beam radiation therapy will be administered on an outpatient basis, once daily (except weekends and holidays) for approximately two weeks. Patients will undergo a simulation prior to initiation of radiation. Once an IMRT plan is generated which meets all dose constraints specified patients will be treated with 6MV photons for 10 treatments.
Number of Participants Evaluated for Toxicity
10 Participants

SECONDARY outcome

Timeframe: pre-treatment, 3 and 6 months (+/- 3 weeks) and at 12, 18, and 24 months (+/- 6 weeks) post-treatment

Population: Data were not collected

A CT scan of the chest will be obtained. This study will use a modified Response Evaluation Criteria in Solid Tumor (RECIST) for assessment of tumor response. Pulmonary failure-free survival will be defined as survival with no progressive disease in the lungs.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: two-year follow-up

Population: Data were not collected

Overall survival rates will be estimated by the Kaplan-Meier method.

Outcome measures

Outcome data not reported

Adverse Events

Whole Lung IMRT

Serious events: 0 serious events
Other events: 10 other events
Deaths: 7 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Whole Lung IMRT
n=10 participants at risk
This is a single institution study involving patients with synovial sarcoma who have completed all standard therapy (e.g. surgery +/- radiation to the primary site) +/- any adjuvant chemotherapy. The sequence and types of therapy offered prior to WLI will likely vary based on primary tumor site, tumor resectability, extent of metastatic disease, performance status, and comorbidity. Each patient's therapy will be determined by the disease management team irrespective of participation on this protocol. Whole Lung IMRT: External beam radiation therapy will be administered on an outpatient basis, once daily (except weekends and holidays) for approximately two weeks. Patients will undergo a simulation prior to initiation of radiation. Once an IMRT plan is generated which meets all dose constraints specified patients will be treated with 6MV photons for 10 treatments.
Gastrointestinal disorders
Nausea
50.0%
5/10 • Up to 6 months after first treatment
General disorders
Fatigue
40.0%
4/10 • Up to 6 months after first treatment
Gastrointestinal disorders
Esophagitis
30.0%
3/10 • Up to 6 months after first treatment
Respiratory, thoracic and mediastinal disorders
Cough
10.0%
1/10 • Up to 6 months after first treatment
Injury, poisoning and procedural complications
Dermatitis radiation
10.0%
1/10 • Up to 6 months after first treatment
Gastrointestinal disorders
Dysphagia
10.0%
1/10 • Up to 6 months after first treatment
Investigations
Platelet count decreased
10.0%
1/10 • Up to 6 months after first treatment
Investigations
White blood cell decreased
10.0%
1/10 • Up to 6 months after first treatment

Additional Information

Suzanne Wolden, MD

Memorial Sloan Kettering Cancer Center

Phone: 212-639-5148

Results disclosure agreements

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