Trial Outcomes & Findings for A Trial of Integrating SBRT With Targeted Therapy in Stage IV Oncogene-driven NSCLC (NCT NCT02314364)

NCT ID: NCT02314364

Last Updated: 2025-12-16

Results Overview

Distant failures (DF) are defined as metastases outside areas that originally contained disease. The 1-year frequency of DF is defined as the percentage of patients that experienced a DF, respectively, over the course of one year.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

27 participants

Primary outcome timeframe

1 year

Results posted on

2025-12-16

Participant Flow

Participant milestones

Participant milestones
Measure
Stereotactic body radiation therapy (SBRT) with protons or photons
* SBRT dosage determined by treating physician * Patients will continue to receive standard of care (SOC) tyrosine kinase inhibitors (TKI) in the intervals between SBRT courses, as well as after the completion of SBRT * If there is more than one active site of cancer, additional site(s) will be treated with stereotactic treatment courses. The total duration of SBRT courses (from the first day of any SBRT course to the last day of any SBRT course) will not exceed 4 months.
Overall Study
STARTED
27
Overall Study
COMPLETED
27
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Trial of Integrating SBRT With Targeted Therapy in Stage IV Oncogene-driven NSCLC

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stereotactic Body Radiation Therapy (SBRT) With Protons or Photons
n=27 Participants
* SBRT dosage determined by treating physician * Patients will continue to receive standard of care (SOC) tyrosine kinase inhibitors (TKI) in the intervals between SBRT courses, as well as after the completion of SBRT * If there is more than one active site of cancer, additional site(s) will be treated with stereotactic treatment courses. The total duration of SBRT courses (from the first day of any SBRT course to the last day of any SBRT course) will not exceed 4 months.
Age, Continuous
59 years
n=6 Participants
Sex: Female, Male
Female
17 Participants
n=6 Participants
Sex: Female, Male
Male
10 Participants
n=6 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=6 Participants
Race (NIH/OMB)
Asian
7 Participants
n=6 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=6 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=6 Participants
Race (NIH/OMB)
White
20 Participants
n=6 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=6 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=6 Participants

PRIMARY outcome

Timeframe: 1 year

Distant failures (DF) are defined as metastases outside areas that originally contained disease. The 1-year frequency of DF is defined as the percentage of patients that experienced a DF, respectively, over the course of one year.

Outcome measures

Outcome measures
Measure
Stereotactic body radiation therapy (SBRT) with protons or photons
n=27 Participants
* SBRT dosage determined by treating physician * Patients will continue to receive standard of care (SOC) tyrosine kinase inhibitors (TKI) in the intervals between SBRT courses, as well as after the completion of SBRT * If there is more than one active site of cancer, additional site(s) will be treated with stereotactic treatment courses. The total duration of SBRT courses (from the first day of any SBRT course to the last day of any SBRT course) will not exceed 4 months.
1-year Frequency of Distant Failures (DF) After Stereotactic Body Radiation Therapy (SBRT)
19 percentage of participants
Interval 7.0 to 36.0

SECONDARY outcome

Timeframe: Up to 8.4 years

Adverse events were graded according to Common Terminology Criteria for Adverse Events (CTCAE v4.0). Treatment-related toxicities are defined as adverse events assessed as related to SBRT.

Outcome measures

Outcome measures
Measure
Stereotactic body radiation therapy (SBRT) with protons or photons
n=27 Participants
* SBRT dosage determined by treating physician * Patients will continue to receive standard of care (SOC) tyrosine kinase inhibitors (TKI) in the intervals between SBRT courses, as well as after the completion of SBRT * If there is more than one active site of cancer, additional site(s) will be treated with stereotactic treatment courses. The total duration of SBRT courses (from the first day of any SBRT course to the last day of any SBRT course) will not exceed 4 months.
Percentage of Participants With Grade 3 or Higher Toxicities Related to Stereotactic Body Radiation Therapy (SBRT)
0 Participants

SECONDARY outcome

Timeframe: Up to 7.65 years

Progression free survival is defined as the duration of time from the start of standard of care TKI (tyrosine kinase inhibitor) therapy until objective progressive disease or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Outcome measures

Outcome measures
Measure
Stereotactic body radiation therapy (SBRT) with protons or photons
n=27 Participants
* SBRT dosage determined by treating physician * Patients will continue to receive standard of care (SOC) tyrosine kinase inhibitors (TKI) in the intervals between SBRT courses, as well as after the completion of SBRT * If there is more than one active site of cancer, additional site(s) will be treated with stereotactic treatment courses. The total duration of SBRT courses (from the first day of any SBRT course to the last day of any SBRT course) will not exceed 4 months.
Median Progression Free Survival
23.4 months
Interval 14.0 to 53.0

SECONDARY outcome

Timeframe: Up to 8.4 years

Overall survival is defined as the duration of time from the start of documented tyrosine kinase inhibitor (TKI) therapy to the time of death.

Outcome measures

Outcome measures
Measure
Stereotactic body radiation therapy (SBRT) with protons or photons
n=27 Participants
* SBRT dosage determined by treating physician * Patients will continue to receive standard of care (SOC) tyrosine kinase inhibitors (TKI) in the intervals between SBRT courses, as well as after the completion of SBRT * If there is more than one active site of cancer, additional site(s) will be treated with stereotactic treatment courses. The total duration of SBRT courses (from the first day of any SBRT course to the last day of any SBRT course) will not exceed 4 months.
Median Overall Survival
59.6 months
Interval 42.3 to
Too few events occurred to estimate the upper confidence limit for median overall survival.

SECONDARY outcome

Timeframe: 2 years

Overall survival is defined as the duration of time from the start of documented tyrosine kinase inhibitor (TKI) therapy to the time of death. The 2-year overall survival is defined as the percentage of participants who were alive 2 years after the start of documented tyrosine kinase inhibitor (TKI) therapy.

Outcome measures

Outcome measures
Measure
Stereotactic body radiation therapy (SBRT) with protons or photons
n=27 Participants
* SBRT dosage determined by treating physician * Patients will continue to receive standard of care (SOC) tyrosine kinase inhibitors (TKI) in the intervals between SBRT courses, as well as after the completion of SBRT * If there is more than one active site of cancer, additional site(s) will be treated with stereotactic treatment courses. The total duration of SBRT courses (from the first day of any SBRT course to the last day of any SBRT course) will not exceed 4 months.
2-year Overall Survival
88 percentage of participants
Interval 68.0 to 96.0

SECONDARY outcome

Timeframe: 2 years

Local failure is defined as progressive disease in target lesions treated with SBRT. The 2-year LF rate is the percentage of participants who experienced local failure within 2 years of completing SBRT.

Outcome measures

Outcome measures
Measure
Stereotactic body radiation therapy (SBRT) with protons or photons
n=27 Participants
* SBRT dosage determined by treating physician * Patients will continue to receive standard of care (SOC) tyrosine kinase inhibitors (TKI) in the intervals between SBRT courses, as well as after the completion of SBRT * If there is more than one active site of cancer, additional site(s) will be treated with stereotactic treatment courses. The total duration of SBRT courses (from the first day of any SBRT course to the last day of any SBRT course) will not exceed 4 months.
2-year Local Failure (LF) of Lesions Treated With Stereotactic Body Radiation Therapy (SBRT)
11 percentage of participants
Interval 3.0 to 27.0

Adverse Events

Stereotactic body radiation therapy (SBRT) with protons or photons

Serious events: 0 serious events
Other events: 27 other events
Deaths: 12 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Stereotactic body radiation therapy (SBRT) with protons or photons
n=27 participants at risk
* SBRT dosage determined by treating physician * Patients will continue to receive standard of care (SOC) tyrosine kinase inhibitors (TKI) in the intervals between SBRT courses, as well as after the completion of SBRT * If there is more than one active site of cancer, additional site(s) will be treated with stereotactic treatment courses. The total duration of SBRT courses (from the first day of any SBRT course to the last day of any SBRT course) will not exceed 4 months.
Gastrointestinal disorders
Abdominal Distension
11.1%
3/27 • Up to 8.4 years
Gastrointestinal disorders
Abdominal Pain
11.1%
3/27 • Up to 8.4 years
Nervous system disorders
Abducens nerve disorder
3.7%
1/27 • Up to 8.4 years
Investigations
Alanine aminotransferase increased
11.1%
3/27 • Up to 8.4 years
Investigations
Alkaline phosphatase increased
3.7%
1/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
7.4%
2/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Alopecia
18.5%
5/27 • Up to 8.4 years
Nervous system disorders
Amnesia
3.7%
1/27 • Up to 8.4 years
Blood and lymphatic system disorders
Anemia
7.4%
2/27 • Up to 8.4 years
Metabolism and nutrition disorders
Anorexia
11.1%
3/27 • Up to 8.4 years
Psychiatric disorders
Anxiety
14.8%
4/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Apnea
7.4%
2/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Arthralgia
7.4%
2/27 • Up to 8.4 years
Investigations
Aspartate aminotransferase increased
7.4%
2/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Back pain
40.7%
11/27 • Up to 8.4 years
Investigations
Blood bilirubin increased
7.4%
2/27 • Up to 8.4 years
Eye disorders
Blurred vision
14.8%
4/27 • Up to 8.4 years
Injury, poisoning and procedural complications
Bruising
7.4%
2/27 • Up to 8.4 years
Eye disorders
Cataract
11.1%
3/27 • Up to 8.4 years
Cardiac disorders
Chest pain - cardiac
3.7%
1/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Chest wall pain
14.8%
4/27 • Up to 8.4 years
General disorders
Chills
18.5%
5/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Chylothorax
3.7%
1/27 • Up to 8.4 years
Psychiatric disorders
Confusion
11.1%
3/27 • Up to 8.4 years
Eye disorders
Conjunctivitis
7.4%
2/27 • Up to 8.4 years
Gastrointestinal disorders
Constipation
48.1%
13/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Cough
51.9%
14/27 • Up to 8.4 years
Metabolism and nutrition disorders
Dehydration
7.4%
2/27 • Up to 8.4 years
Psychiatric disorders
Depression
3.7%
1/27 • Up to 8.4 years
Injury, poisoning and procedural complications
Dermatitis radiation
7.4%
2/27 • Up to 8.4 years
Gastrointestinal disorders
Diarrhea
70.4%
19/27 • Up to 8.4 years
Nervous system disorders
Dizziness
25.9%
7/27 • Up to 8.4 years
Eye disorders
Dry eye
14.8%
4/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Dry skin
44.4%
12/27 • Up to 8.4 years
Nervous system disorders
Dysgeusia
7.4%
2/27 • Up to 8.4 years
Gastrointestinal disorders
Dyspepsia
7.4%
2/27 • Up to 8.4 years
Gastrointestinal disorders
Dysphagia
11.1%
3/27 • Up to 8.4 years
Nervous system disorders
Dysphasia
7.4%
2/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
44.4%
12/27 • Up to 8.4 years
Ear and labyrinth disorders
Ear pain
3.7%
1/27 • Up to 8.4 years
General disorders
Edema face
3.7%
1/27 • Up to 8.4 years
General disorders
Edema limbs
25.9%
7/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Epistaxis
7.4%
2/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Erythema multiforme
7.4%
2/27 • Up to 8.4 years
Gastrointestinal disorders
Esophageal pain
3.7%
1/27 • Up to 8.4 years
Gastrointestinal disorders
Esophagitis
7.4%
2/27 • Up to 8.4 years
Eye disorders
Alternating exophoria
3.7%
1/27 • Up to 8.4 years
Eye disorders
Dysconjugate gaze
3.7%
1/27 • Up to 8.4 years
Eye disorders
Eyelid function disorder
3.7%
1/27 • Up to 8.4 years
Injury, poisoning and procedural complications
Fall
18.5%
5/27 • Up to 8.4 years
General disorders
Fatigue
59.3%
16/27 • Up to 8.4 years
Gastrointestinal disorders
Fecal incontinence
3.7%
1/27 • Up to 8.4 years
General disorders
Fever
14.8%
4/27 • Up to 8.4 years
Eye disorders
Flashing lights
3.7%
1/27 • Up to 8.4 years
General disorders
Flu like symptoms
3.7%
1/27 • Up to 8.4 years
Injury, poisoning and procedural complications
Fracture
3.7%
1/27 • Up to 8.4 years
General disorders
Gait disturbance
25.9%
7/27 • Up to 8.4 years
Gastrointestinal disorders
Gastroesophageal reflux disease
14.8%
4/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
7.4%
2/27 • Up to 8.4 years
Nervous system disorders
Headache
33.3%
9/27 • Up to 8.4 years
Ear and labyrinth disorders
Hearing impaired
7.4%
2/27 • Up to 8.4 years
Renal and urinary disorders
Hematuria
3.7%
1/27 • Up to 8.4 years
Infections and infestations
Hepatitis viral
3.7%
1/27 • Up to 8.4 years
Injury, poisoning and procedural complications
Hip fracture
3.7%
1/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Hoarseness
3.7%
1/27 • Up to 8.4 years
Vascular disorders
Hot flashes
3.7%
1/27 • Up to 8.4 years
Metabolism and nutrition disorders
Hyperglycemia
14.8%
4/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Hyperhidrosis
7.4%
2/27 • Up to 8.4 years
Metabolism and nutrition disorders
Hyperkalemia
3.7%
1/27 • Up to 8.4 years
Nervous system disorders
Hypersomnia
3.7%
1/27 • Up to 8.4 years
Vascular disorders
Hypertension
3.7%
1/27 • Up to 8.4 years
Metabolism and nutrition disorders
Hypoalbuminemia
3.7%
1/27 • Up to 8.4 years
Metabolism and nutrition disorders
Hypokalemia
3.7%
1/27 • Up to 8.4 years
Metabolism and nutrition disorders
Hyponatremia
7.4%
2/27 • Up to 8.4 years
Metabolism and nutrition disorders
Hypophosphatemia
11.1%
3/27 • Up to 8.4 years
Vascular disorders
Hypotension
3.7%
1/27 • Up to 8.4 years
Endocrine disorders
Hypothyroidism
7.4%
2/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Hypoxia
3.7%
1/27 • Up to 8.4 years
Psychiatric disorders
Insomnia
25.9%
7/27 • Up to 8.4 years
Investigations
Increased neutrophils
3.7%
1/27 • Up to 8.4 years
Infections and infestations
Laryngitis
3.7%
1/27 • Up to 8.4 years
Blood and lymphatic system disorders
Leukocytosis
3.7%
1/27 • Up to 8.4 years
Investigations
Lipase increased
3.7%
1/27 • Up to 8.4 years
General disorders
Localized edema
7.4%
2/27 • Up to 8.4 years
Infections and infestations
Lymph gland infection
3.7%
1/27 • Up to 8.4 years
Investigations
Lymphocyte count decreased
44.4%
12/27 • Up to 8.4 years
General disorders
Malaise
7.4%
2/27 • Up to 8.4 years
Nervous system disorders
Memory impairment
11.1%
3/27 • Up to 8.4 years
Gastrointestinal disorders
Mucositis oral
3.7%
1/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
11.1%
3/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Muscle weakness right-sided
3.7%
1/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Leg cramps
3.7%
1/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Lower left extremity numbness
3.7%
1/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Musculoskeletal deformity
3.7%
1/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Myalgia
3.7%
1/27 • Up to 8.4 years
Gastrointestinal disorders
Nausea
44.4%
12/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Neck pain
3.7%
1/27 • Up to 8.4 years
Blood and lymphatic system disorders
Neutrophil count decreased
11.1%
3/27 • Up to 8.4 years
General disorders
Non-cardiac chest pain
18.5%
5/27 • Up to 8.4 years
Nervous system disorders
Oculomotor nerve disorder
3.7%
1/27 • Up to 8.4 years
Gastrointestinal disorders
Oral pain
3.7%
1/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Osteoporosis
3.7%
1/27 • Up to 8.4 years
General disorders
Pain
33.3%
9/27 • Up to 8.4 years
Musculoskeletal and connective tissue disorders
Pain in extremity
14.8%
4/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
3.7%
1/27 • Up to 8.4 years
Cardiac disorders
Palpitations
11.1%
3/27 • Up to 8.4 years
Infections and infestations
Papulopustular rash
3.7%
1/27 • Up to 8.4 years
Nervous system disorders
Paresthesia
11.1%
3/27 • Up to 8.4 years
Infections and infestations
Paronychia
25.9%
7/27 • Up to 8.4 years
Reproductive system and breast disorders
Pelvic pain
3.7%
1/27 • Up to 8.4 years
Nervous system disorders
Peripheral sensory neuropathy
11.1%
3/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Pharyngeal mucositis
3.7%
1/27 • Up to 8.4 years
Investigations
Platelet count decreased
7.4%
2/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
7.4%
2/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis
22.2%
6/27 • Up to 8.4 years
Nervous system disorders
Presyncope
7.4%
2/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Productive cough
22.2%
6/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Pruritus
7.4%
2/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Pulmonary fibrosis
3.7%
1/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Rash acneiform
33.3%
9/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Rash maculo-papular
18.5%
5/27 • Up to 8.4 years
Infections and infestations
Rash pustular
3.7%
1/27 • Up to 8.4 years
Gastrointestinal disorders
Rectal hemorrhage
3.7%
1/27 • Up to 8.4 years
Gastrointestinal disorders
Rectal perforation
3.7%
1/27 • Up to 8.4 years
Renal and urinary disorders
neurogenic sensory cystopathy
3.7%
1/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Hemoptysis
3.7%
1/27 • Up to 8.4 years
Infections and infestations
Rhinitis infective
3.7%
1/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Scalp pain
3.7%
1/27 • Up to 8.4 years
Nervous system disorders
Seizure
3.7%
1/27 • Up to 8.4 years
Investigations
Serum amylase increased
3.7%
1/27 • Up to 8.4 years
Immune system disorders
Serum sickness
3.7%
1/27 • Up to 8.4 years
Cardiac disorders
Sinus tachycardia
7.4%
2/27 • Up to 8.4 years
Infections and infestations
Sinusitis
3.7%
1/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
3.7%
1/27 • Up to 8.4 years
Infections and infestations
Skin infection
7.4%
2/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Dermatoheliosis
3.7%
1/27 • Up to 8.4 years
Skin and subcutaneous tissue disorders
Cracking of fingernails
3.7%
1/27 • Up to 8.4 years
Infections and infestations
Soft tissue infection
3.7%
1/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Sore throat
3.7%
1/27 • Up to 8.4 years
Cardiac disorders
Supraventricular tachycardia
3.7%
1/27 • Up to 8.4 years
Vascular disorders
Thromboembolic event
3.7%
1/27 • Up to 8.4 years
Ear and labyrinth disorders
Tinnitus
7.4%
2/27 • Up to 8.4 years
Nervous system disorders
Transient ischemic attacks
3.7%
1/27 • Up to 8.4 years
Nervous system disorders
Tremor
7.4%
2/27 • Up to 8.4 years
Infections and infestations
Upper respiratory infection
11.1%
3/27 • Up to 8.4 years
Renal and urinary disorders
Urinary frequency
3.7%
1/27 • Up to 8.4 years
Renal and urinary disorders
Urinary incontinence
3.7%
1/27 • Up to 8.4 years
Renal and urinary disorders
Urinary retention
7.4%
2/27 • Up to 8.4 years
Infections and infestations
Urinary tract infection
3.7%
1/27 • Up to 8.4 years
Renal and urinary disorders
Urinary tract obstruction
3.7%
1/27 • Up to 8.4 years
Renal and urinary disorders
Urinary urgency
3.7%
1/27 • Up to 8.4 years
Vascular disorders
Orthostatic hypotension
3.7%
1/27 • Up to 8.4 years
Ear and labyrinth disorders
Vertigo
7.4%
2/27 • Up to 8.4 years
Gastrointestinal disorders
Vomiting
11.1%
3/27 • Up to 8.4 years
Eye disorders
Watering eyes
7.4%
2/27 • Up to 8.4 years
Investigations
Weight gain
7.4%
2/27 • Up to 8.4 years
Investigations
Weight loss
3.7%
1/27 • Up to 8.4 years
Respiratory, thoracic and mediastinal disorders
Wheezing
7.4%
2/27 • Up to 8.4 years
Investigations
White blood cell decreased
25.9%
7/27 • Up to 8.4 years

Additional Information

Henning Willers, MD

Massachusetts General Hospital

Phone: 617-726-5184

Results disclosure agreements

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