Cardiovascular Injury and Cardiac Fitness in Locally Advanced Non-Small Cell Lung Cancer Patients Receiving Model Based Personalized Chemoradiation

NCT ID: NCT05010109

Last Updated: 2025-09-05

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

PHASE1

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-05

Study Completion Date

2026-02-23

Brief Summary

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This study assesses cardiovascular injury and cardiac fitness in patients with non-small cell lung cancer that has spread to nearby tissue or lymph nodes (locally advanced) receiving model based personalized chemoradiation. The goal of this study is to learn more about the risk of developing heart disease as a result of chemoradiation treatment for lung cancer. Researchers also want to learn if the risk can be reduced by using a patient's individual risk profile to guide cancer treatment and help protect the heart.

Detailed Description

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PRIMARY OBJECTIVE:

I.To longitudinally assess cardiac injury (serum biomarkers, and grade \>=2 cardiac events), and overall cardiac fitness (6-minute-walk test) in LA-NSCLC patients receiving chemoradiation.

OUTLINE:

Patients undergo single photon emission computed tomography (SPECT)/computed tomography (CT) with stress test and echocardiogram with strain before radiation therapy (RT), 6-8 weeks and 12 months after completion of RT. Patients also participate in 6 minute walk test (MWT) before RT, 2-3 and 6-7 weeks during RT, then 6-8 weeks, 4-6 months and 12 months after completion of RT. Patients undergo blood sample collection and complete questionnaires over 3-5 minutes before RT, 2-3, 4-5, 6-7 weeks after the initiation of RT, then at 3, 6, 12, and 24 months after completion of RT.

After completion of study treatment, patients are followed up annually for up to 10 years.

Conditions

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Locally Advanced Lung Non-Small Cell Carcinoma Stage III Lung Cancer AJCC v8 Stage IIIA Lung Cancer AJCC v8 Stage IIIB Lung Cancer AJCC v8 Stage IIIC Lung Cancer AJCC v8

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Standard Treatment Plan (Cohort One)

Patients undergo SPECT/CT with stress test and echocardiogram with strain before RT, 6-8 weeks and 12 months after completion of RT. Patients also participate in 6 MWT before RT, 2-3 and 6-7 weeks during RT, then 6-8 weeks, 4-6 months and 12 months after completion of RT. Patients undergo blood sample collection and complete questionnaires over 3-5 minutes before RT, 2-3, 4-5, 6-7 weeks after the initiation of RT, then at 3, 6, 12, and 24 months after completion of RT.

Group Type EXPERIMENTAL

6 Minute Walk Functional Test

Intervention Type PROCEDURE

Participate in 6 MWT

Biospecimen Collection

Intervention Type PROCEDURE

Undergo blood and urine sample collection

Computed Tomography

Intervention Type PROCEDURE

Undergo SPECT/CT

Echocardiography

Intervention Type PROCEDURE

Undergo echocardiogram

Exercise Cardiac Stress Test

Intervention Type PROCEDURE

Undergo stress test

Questionnaire Administration

Intervention Type OTHER

Complete questionnaires

Single Photon Emission Computed Tomography

Intervention Type PROCEDURE

Undergo SPECT/CT

Model Based Personalized Treatment Plan (Cohort Two)

Patients undergo SPECT/CT with stress test and echocardiogram with strain before RT, 6-8 weeks and 12 months after completion of RT. Patients also participate in 6 MWT before RT, 2-3 and 6-7 weeks during RT, then 6-8 weeks, 4-6 months and 12 months after completion of RT. Patients undergo blood sample collection and complete questionnaires over 3-5 minutes before RT, 2-3, 4-5, 6-7 weeks after the initiation of RT, then at 3, 6, 12, and 24 months after completion of RT.

Group Type EXPERIMENTAL

6 Minute Walk Functional Test

Intervention Type PROCEDURE

Participate in 6 MWT

Biospecimen Collection

Intervention Type PROCEDURE

Undergo blood and urine sample collection

Computed Tomography

Intervention Type PROCEDURE

Undergo SPECT/CT

Echocardiography

Intervention Type PROCEDURE

Undergo echocardiogram

Exercise Cardiac Stress Test

Intervention Type PROCEDURE

Undergo stress test

Questionnaire Administration

Intervention Type OTHER

Complete questionnaires

Single Photon Emission Computed Tomography

Intervention Type PROCEDURE

Undergo SPECT/CT

Interventions

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6 Minute Walk Functional Test

Participate in 6 MWT

Intervention Type PROCEDURE

Biospecimen Collection

Undergo blood and urine sample collection

Intervention Type PROCEDURE

Computed Tomography

Undergo SPECT/CT

Intervention Type PROCEDURE

Echocardiography

Undergo echocardiogram

Intervention Type PROCEDURE

Exercise Cardiac Stress Test

Undergo stress test

Intervention Type PROCEDURE

Questionnaire Administration

Complete questionnaires

Intervention Type OTHER

Single Photon Emission Computed Tomography

Undergo SPECT/CT

Intervention Type PROCEDURE

Other Intervention Names

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6MWT SIX MINUTE WALK SIXMW1 CAT CAT Scan Computerized Axial Tomography Computerized Tomography CT CT Scan tomography ECHO_TEST ECST Exercise Stress Test Medical Imaging, Single Photon Emission Computed Tomography Single Photon Emission Tomography single-photon emission computed tomography SPECT SPECT imaging SPECT SCAN SPET tomography, emission computed, single photon Tomography, Emission-Computed, Single-Photon

Eligibility Criteria

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Inclusion Criteria

1. Patient with histologic diagnosis of non-small cell lung cancer, small cell lung cancer, or limited stage - small cell lung cancer (L-SCLC)
2. The recommended treatment is thoracic radiation therapy combined with concurrent systemic therapy (chemotherapy and/or immunotherapy) with or without neoadjuvant and/or adjuvant systemic therapy (chemotherapy, immunotherapy, targeted therapy)
3. \>/= 18 years of age
4. KPS \>/= 70
5. Willing and able to sign informed consents
6. Willing to perform 6minute walking test
7. Willing to preform required cardiac biomarker test for primary end point assessment.

Exclusion Criteria

1. Unable or unwilling to give written informed consent
2. Previous history of RT to the thorax overlapping with the current treatment field.
3. Pregnant or breast-feeding
4. Renal failure necessitating dialysis
5. Unwilling to perform protocol tests
6. Contraindication for any protocol tests
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

M.D. Anderson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Zhongxing Liao, MD

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

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M D Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Zhongxing Liao, MD

Role: CONTACT

832-829-5312

Facility Contacts

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Zhongxing Liao

Role: primary

832-829-5312

Provided Documents

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Document Type: Informed Consent Form

View Document

Related Links

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http://mdanderson.org

MD Anderson Cancer Center

Other Identifiers

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NCI-2021-02280

Identifier Type: REGISTRY

Identifier Source: secondary_id

2021-0071

Identifier Type: OTHER

Identifier Source: secondary_id

1R01HL157273-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2021-0071

Identifier Type: -

Identifier Source: org_study_id

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