Phase I Hypofractionated Stereotactic Boost (Radiotherapy) for Non-Small Cell Lung Cancer

NCT ID: NCT02252796

Last Updated: 2018-05-30

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

PHASE1

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2017-09-30

Brief Summary

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This study will help researchers test the safety of hypofractionated dose of radiotherapy (HySBst) at different dose levels before or after chemo-radiation for Non Small Cell Lung Cancer.

Detailed Description

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Patients are assigned to Sub-group 1 or 2 based on the primary lesion size and location. This protocol will utilize a standard 3 + 3 phase I design with three patients enrolled per cohort.

Patients will be offered the opportunity to participate in the blood specimen component of the study.

Patients will be followed up to 2 years post radiation therapy.

Sub-group 1 will receive HySBst for 1 week. Weeks 2-7 will be standard chemo-radiation therapy. Patients have the option of consolidative chemotherapy at week 12.

Sub-group 2 will receive standard chemo-radiation therapy for weeks 1-6 then receive HySBst during week 7. Patients have the option of consolidative chemotherapy at week 12.

HySBst dose escalation for each sub-group is listed below:

Optional: 4 Gy x 4 daily fractions Level 1: 5 Gy x 4 daily fractions Level 2: 5.5 Gy x 4 daily fractions Level 3: 6 Gy x 4 daily fractions

DLTs will be based on events occurring during the course of HySBst.

Chemo-Radiation Therapy is defined as:

Standard Carboplatin \& Paclitaxel Doublelet Regimen with weekly Carboplatin AUC 2/week and Paclitaxel 45 mg/ m2/ week during conventionally fractionated IMRT

Image-guided IMRT to 60 Gy, 5 x per week for 6 weeks

Consolidative chemotherapy is defined as Carboplatin AUC 6 and Paclitaxel 200 mg/m2 every 21 days x 2 cycles will be given after ALL radiotherapy is delivered.

Conditions

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Non-small Cell Lung Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Sub-group 1

HySBst to be delivered during week 1 with Chemo-radiation to be delivered weeks 2-7

Group Type EXPERIMENTAL

Hypofractionated Stereotactic Boost

Intervention Type RADIATION

An ablative dose of radiation is delivered to the primary tumor target over a week through Stereotactic Ablative Radiotherapy.

Carboplatin

Intervention Type DRUG

Given during chemo-radiation phase and optional consolidative phase.

Paclitaxel

Intervention Type DRUG

Given during chemo-radiation phase and optional consolidative phase.

Image-guided IMRT

Intervention Type RADIATION

Given during chemo-radiation phase

Sub-group 2

Chemo-radiation to be delivered weeks 1-6 and HySBst to be delivered week 7

Group Type EXPERIMENTAL

Hypofractionated Stereotactic Boost

Intervention Type RADIATION

An ablative dose of radiation is delivered to the primary tumor target over a week through Stereotactic Ablative Radiotherapy.

Carboplatin

Intervention Type DRUG

Given during chemo-radiation phase and optional consolidative phase.

Paclitaxel

Intervention Type DRUG

Given during chemo-radiation phase and optional consolidative phase.

Image-guided IMRT

Intervention Type RADIATION

Given during chemo-radiation phase

Interventions

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Hypofractionated Stereotactic Boost

An ablative dose of radiation is delivered to the primary tumor target over a week through Stereotactic Ablative Radiotherapy.

Intervention Type RADIATION

Carboplatin

Given during chemo-radiation phase and optional consolidative phase.

Intervention Type DRUG

Paclitaxel

Given during chemo-radiation phase and optional consolidative phase.

Intervention Type DRUG

Image-guided IMRT

Given during chemo-radiation phase

Intervention Type RADIATION

Other Intervention Names

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HySBst

Eligibility Criteria

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Inclusion Criteria

* Stage II - III Non Small Cell Lung Cancer

Exclusion Criteria

* Primary tumor directly invading into any mediastinal structures, such as the heart, major blood vessels, esophagus, trachea, and the proximal bronchial tree.
* Prior chemotherapy for NSCLC
* Prior radiotherapy to the region of the study cancer that would result in overlap of radiation therapy fields.
* Severe, active co-morbidity
* Pregnancy or women of childbearing potential
* Any history of allergic reaction to paclitaxel or other taxanes, or to carboplatin
* Uncontrolled neuropathy ≥ grade 2.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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West Virginia University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Malcolm Mattes, MD

Role: PRINCIPAL_INVESTIGATOR

West Virginia University - Mary Babb Randolph Cancer Center

Locations

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West Virginia University Hospitals Mary Babb Randolph Cancer Center

Morgantown, West Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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WVU020513

Identifier Type: -

Identifier Source: org_study_id

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