Early Imaging Biomarkers in NSCLC

NCT ID: NCT03121287

Last Updated: 2019-08-26

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

COMPLETED

Total Enrollment

23 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-09-23

Study Completion Date

2019-01-31

Brief Summary

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The purpose of this study is to investigate if cardiac MRI, blood biomarkers, and lung CT scans can detect early changes to the associated with radiation therapy in patients receiving radiation treatment for thoracic cancer.

Detailed Description

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This study seeks to investigate the utility of novel imaging biomarkers, namely whole lung volumetric CT scans and cardiac MRI, to non-invasively identify early pathologic changes in pulmonary and cardiac function resulting from thoracic radiation. The ability to identify these changes during the course of treatment offers a powerful tool to optimize radiation dose distributions within uninvolved normal tissue by adapting treatment to the individual patient response. In addition it may lead to other therapeutic interventions designed to reduce long term cardiopulmonary toxicity.

The cardiac MRI will be performed using Aminophylline, Gadopentetate Dimeglumine and Regadenoson. These are not FDA approved for this purpose, but are being used off label and are IND exempt. Additionally, patients will be consented with an optional choice to retain research blood samples for 15 years after the completion of the study. This will allow cutting edge analysis for biomarkers that may be discovered in the future.

Conditions

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Thoracic Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Lung or Esophageal Patients

Patients with lung or esophageal cancer undergoing conventionally-fractionated radiation therapy. Interventions to be administered include: Imaging Biomarkers using Volumetric CT Scans, Pulmonary using Pulmonary Function Test \& 6Minute Hall Walk, Imaging using Cardiac MRI, Specimen Collection using Blood Draws.

Imaging Biomarkers

Intervention Type OTHER

Whole lung volumetric CT scans

Pulmonary

Intervention Type OTHER

Pulmonary Function Tests \& 6 minute hall walk

Imaging

Intervention Type OTHER

Cardiac MRI

Specimen Collection

Intervention Type OTHER

Blood draw

Interventions

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Imaging Biomarkers

Whole lung volumetric CT scans

Intervention Type OTHER

Pulmonary

Pulmonary Function Tests \& 6 minute hall walk

Intervention Type OTHER

Imaging

Cardiac MRI

Intervention Type OTHER

Specimen Collection

Blood draw

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients receiving once daily fractionated intrathoracic radiation therapy for:
* Stage IIA-IIIB non-small cell lung cancer
* Limited stage small cell lung cancer
* Stage I-III esophageal cancer (neoadjuvant or definitive)
* Patients must be 18 years of age or older
* Must not be claustrophobic
* Must have adequate kidney function

Exclusion Criteria

* Patients with small cell lung cancer receiving twice daily (b.i.d.) radiation
* Patients with esophageal cancer receiving trastuzamab
* Pregnancy or lactation
* Claustrophobia
* Inability to lie flat for 60-90 minutes
* Renal dysfunction with eGFR \<60 mL/min/1.73 m2
* Allergy to gadolinium containing contrast media
* Implanted devices, metallic hazards or other conditions presenting a contraindication to 3Tesla cardiac MRI
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Department of Health and Human Services

FED

Sponsor Role collaborator

University of Michigan Rogel Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shruti Jolly, MD

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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University of Michigan

Ann Arbor, Michigan, United States

Site Status

Countries

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United States

Other Identifiers

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HUM00097162

Identifier Type: OTHER

Identifier Source: secondary_id

UMCC 2015.006

Identifier Type: -

Identifier Source: org_study_id

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