Novel Approach to Radiotherapy in Locally Advanced Lung Cancer Concomitant Navelbine®

NCT ID: NCT02354274

Last Updated: 2022-04-25

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

RECRUITING

Clinical Phase

NA

Total Enrollment

330 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2029-10-31

Brief Summary

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To investigate the effect of escalation of radiation dose to tumor and lymph nodes based on an inhomogeneous dose distribution controlled by FDG-PET positive areas compared to a standard homogeneous dose spread

Detailed Description

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To investigate the effect of escalation of radiation dose to tumor and lymph nodes based on an inhomogeneous dose distribution controlled by FDG-PET-positive areas compared to a standard homogeneous dose spread.

Conditions

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NSCLC

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Two independent radiation plans are made before randomization to ensure best available plans for both arms and trial.

Study Groups

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Standard: Homogeneous dose plan

Treatment will be given over 33 treatments. The dose is 66 Gy.

Group Type ACTIVE_COMPARATOR

Standard: Homogeneous dose plan

Intervention Type RADIATION

Escalation: Inhomogeneous dose plan

Radiation dose is increased to tumor and lymph nodes based on an inhomogeneous dose distribution determined by the most active ( FDG-PET criteria ) area of the node compared to a standard uniform dose distribution.

Treatment will be given over 33 treatments. The dose is as high as possible taking the tolerance of the normal tissue into consideration

Group Type EXPERIMENTAL

Escalated: Inhomogeneous dose plan

Intervention Type RADIATION

Interventions

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Escalated: Inhomogeneous dose plan

Intervention Type RADIATION

Standard: Homogeneous dose plan

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Patients with histologically or cytologically proven locally advanced NSCLC stage IIB to IIIB
* Performance status 0-1
* Able to comply with treatment and follow study and follow-up procedures
* Women must have negative pregnancy test
* Signed, informed consent
* Plan for radiotherapy with conventional 66 Gy/ 33 F, which meets all dosing limits two normal tissue must be available

Exclusion Criteria

* Any unstable systemic disorder (including infection , unstable angina, congestive heart failure , severe liver , kidney or metabolic disease)
* Need for nasal oxygen
* Former thoracic radiotherapy, unless there is no significant overlap with previous fields
* Any other active malignant disease
* Unable to take oral medications or needing intravenous nutrition
* Ulcer
* Nursing women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Odense University Hospital

OTHER

Sponsor Role collaborator

Aarhus University Hospital

OTHER

Sponsor Role collaborator

Rigshospitalet, Denmark

OTHER

Sponsor Role collaborator

Vejle Hospital

OTHER

Sponsor Role collaborator

Naestved Hospital

OTHER

Sponsor Role collaborator

Aalborg University Hospital

OTHER

Sponsor Role collaborator

Herlev Hospital

OTHER

Sponsor Role collaborator

Olfred Hansen

OTHER

Sponsor Role lead

Responsible Party

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Olfred Hansen

MD

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Aalborg University Hospital

Aalborg, , Denmark

Site Status NOT_YET_RECRUITING

Aarhus University Hospital

Aarhus, , Denmark

Site Status RECRUITING

Rigshospitalet

Copenhagen, , Denmark

Site Status NOT_YET_RECRUITING

Herlev University Hospital

Herlev, , Denmark

Site Status RECRUITING

Department of Oncology, Naestved Hospital

Næstved, , Denmark

Site Status NOT_YET_RECRUITING

Department of Oncology, Odense University Hospital

Odense, , Denmark

Site Status RECRUITING

Department of Oncology, Vejle Hospital

Vejle, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Olfred Hansen, MD

Role: CONTACT

+4565411867

Facility Contacts

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Svetlana Kunwald, MD

Role: primary

Marianne M. Knap, MD

Role: primary

Gitte F. Persson, MD

Role: primary

Jon L. Andersen, MD

Role: primary

Kim Wederwang, MD

Role: primary

Olfred Hansen, MD

Role: primary

+45 6541 1867

Christa Haugaard, MD

Role: primary

References

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Schytte T, Knap MM, Kristiansen C, Appelt AL, Khalil A, Peucelle C, Lutz CM, Moller DS, Sande EPS, Sundby F, Persson G, Schmidt H, Land LH, Rogg L, Pohl M, Lund MD, Nielsen M, Levin N, Hansen O, Thing RS, Borissova S, Halvorsen T, Nielsen TB, Hansen TS, Haakensen VD, Ottosson W, Brink C, Hoffmann L. Toxicity Within 6 Months of Heterogeneous Fluorodeoxyglucose-Guided Radiotherapy Dose Escalation for Locally Advanced Non-Small Cell Lung Cancer in the Scandinavian Randomized Phase III NARLAL2 Trial. J Clin Oncol. 2025 Jun 10;43(17):1972-1983. doi: 10.1200/JCO-24-01386. Epub 2025 Apr 18.

Reference Type DERIVED
PMID: 40249893 (View on PubMed)

Other Identifiers

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NARLAL 2

Identifier Type: -

Identifier Source: org_study_id

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