Safety and Efficacy of SBRT in the Treatment of Thoracic Malignant Tumors at Different Sites

NCT ID: NCT05349552

Last Updated: 2023-12-27

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

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-05-01

Study Completion Date

2027-04-30

Brief Summary

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SBRT (stereotactic radiotherapy) can provide a higher dose to the target area without increasing the risk of surrounding normal tissue / organ injury in selective cases. At present, SBRT has been widely used in radiotherapy of lung cancer and it can also play a better local control for lung metastasis.

However, there are parallel organs and series organs in the chest, and different organs have different tolerance to radiotherapy, so the toxicities of SBRT in different sites are different, and the prescription dose is also different.

This study intends to make a detailed division of the chest region and explore the safety and efficacy of SBRT in different areas. It is divided into four types: chest wall type: the lesion is directly adjacent or overlapped with the chest wall; peripheral type: the lesion is more than 1cm away from the chest wall and more than 2cm away from the bronchial tree; central type: the lesion is less than 2cm away from the bronchial tree; ultral-central type: the lesion is directly adjacent or overlapped with the mediastinal structure.

48-60Gy / 4-10f (EQD2 = 62.5Gy \~ 99.7Gy) was given according to the location of the tumor. Main outcome measures are local progression free survival and radiation toxicities; secondary outcome measure is overall survival.

Detailed Description

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Conditions

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Radiotherapy Thoracic Cancer Safety and Efficacy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Chest Wall Type

The lesion is directly adjacent (less than 1cm) or overlapped with the chest wall.

stereotactic body radiation therapy

Intervention Type RADIATION

The patients were treated with high-dose and low fractionated radiotherapy, using modern precision radiotherapy technology.

Peripheral Type

The lesion is more than 1cm away from the chest wall and more than 2cm away from the bronchial tree.

stereotactic body radiation therapy

Intervention Type RADIATION

The patients were treated with high-dose and low fractionated radiotherapy, using modern precision radiotherapy technology.

Central Type

The lesion is less than 2cm away from the bronchial tree.

stereotactic body radiation therapy

Intervention Type RADIATION

The patients were treated with high-dose and low fractionated radiotherapy, using modern precision radiotherapy technology.

Ultral-central Type

The lesion is directly adjacent or overlapped with the mediastinal structure.

stereotactic body radiation therapy

Intervention Type RADIATION

The patients were treated with high-dose and low fractionated radiotherapy, using modern precision radiotherapy technology.

Interventions

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stereotactic body radiation therapy

The patients were treated with high-dose and low fractionated radiotherapy, using modern precision radiotherapy technology.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Pathological diagnosis was malignant tumor.
* The location of the target lesion belongs to one of five types and the lesion diameter is ≤ 5cm.
* There is no extensive systemic metastasis or although there is metastasis, the metastasis have been controlled by previous treatment.
* KPS\>70, no serious or uncontrolled underlying diseases, such as severe or uncontrolled hypertension, diabetes, cardiovascular and cerebrovascular diseases and organ dysfunction, and patients are expected to be tolerated by radiotherapy.

Exclusion Criteria

* Poor basic pulmonary function or symptom correlation caused by various reasons, unable to lie flat or cooperate with treatment.
* The general condition is poor, and the expected survival time is less than 3 months.
* Psychiatric patients or poor compliance, unable to cooperate to complete treatment.
* For other reasons, the researcher believes that it is not suitable to participate in this trial.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Third Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhe Ji, M.D.

Role: CONTACT

Phone: 008618710002823

Email: [email protected]

Junjie Wang, M.D.

Role: CONTACT

Phone: 008601082265921

Email: [email protected]

Facility Contacts

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Junjie Wang, M.D.

Role: primary

Zhe Ji, M.D.

Role: backup

Other Identifiers

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BYSY-2022-SBRT-LC

Identifier Type: -

Identifier Source: org_study_id