PCI for Patients With ES-SCLC After RCT:a Prospective Randomized Study

NCT ID: NCT04535739

Last Updated: 2020-09-02

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

414 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-01

Study Completion Date

2022-06-30

Brief Summary

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prophylactic cranial irradiation (PCI)was verified to decrease the brain metastases rates and improve the overall survival(OS)for patients with limited stage small cell lung cancer.We hypothesis that patients with extensive-stage small cell lung cancer after chemotherapy and thoracic radiation can also benefit from PCI.

Detailed Description

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Patients with extensive-stage small cell lung cancer achieving CR or PR after chemotherapy and thoracic radiation therapy were randomly divided into observation group and prophylactic cranial irradiation (PCI) group to evaluate the effect of PCI on survival after radiation therapy for thoracic lesions. To preliminarily analyze the clinical characteristics of patients who would benefit from thoracic radiation therapy plus PCI. To explore the optimal treatment modality after chemotherapy + thoracic radiation therapy in patients with extensive-stage SCLC.

Conditions

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Small-cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PCI group

patients received 4-6 circles of chemotherapy of EP or EC,and patients with complete remission or partial remission (more than 1 site) after chemotherapy,patients received thoracic radiotherapy and prophylactic cranial irradiation。

Group Type EXPERIMENTAL

prophylactic cranial irradiation

Intervention Type RADIATION

25Gy/2.5Gy/10f were given for PCI patients

control group

patients received 4-6 circles of chemotherapy of EP or EC,and patients with complete remission or partial remission (more than 1 site) after chemotherapy,patients received thoracic radiotherapy。

Group Type OTHER

prophylactic cranial irradiation

Intervention Type RADIATION

25Gy/2.5Gy/10f were given for PCI patients

Interventions

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prophylactic cranial irradiation

25Gy/2.5Gy/10f were given for PCI patients

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* 18-65 years old,KPS≥70
* Pathological or cytological diagnosis of stage IV small cell lung cancer (by using AJCC 7th edition staging criteria);
* 1-3 extra-cranial metastatic organs before chemotherapy; 4-6 cycles of CE or EP ;
* CR or PR after chemotherapy;
* no grade ≥II side effects;
* the estimated overall survival time ≥ 3 months;
* no serious medical disease or major organ dysfunction.

Exclusion Criteria

* Patients with brain or nervous system metastases;
* Presence of high grade radiation comorbidities;
* Patients who are pregnant or lactating
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Chinese Academy of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Zongmei Zhou

clinical professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Department of Radiation Oncology, Cancer Hospital, Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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zongmei zhou, master

Role: CONTACT

86 13801389769

lei deng, dr

Role: CONTACT

86 13683377570

Facility Contacts

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zongmei zhou, master

Role: primary

86 13801389769

Other Identifiers

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17-184/1440

Identifier Type: -

Identifier Source: org_study_id

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