A Study on Predictive Models and Clinical Outcome of Radiation Pneumonitis

NCT ID: NCT05448703

Last Updated: 2022-10-06

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

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-02-25

Study Completion Date

2026-09-01

Brief Summary

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Radiation pneumonitis is the main dose-limiting toxicity of thoracic radiotherapy, which can affect life quality, survival, and the tumor-controlling effects of patients receiving thoracic radiotherapy.

The purpose of this study is to:

* Identify biomarkers including serum proteins, gene expression, genetic changes, and epigenetic modifications that determine radiation pneumonitis.
* Investigate the relationship between radiation pneumonitis and other toxicities induced by radiotherapy.
* Construct a predictive model for radiation pneumonitis.
* Evaluate survival and treatment outcome of patients with radiation pneumonitis.

Detailed Description

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1. Collect clinical information, CT images, and peripheral blood of the lung cancer patients treated with thoracic radiotherapy in Tongji Hospital, Hubei Cancer Hospital, and Jingjiang People's Hospital.
2. Follow up the enrolled patients. All patients enrolled in this study are examined during and one month after radiotherapy. Then, the patients are followed every three months for the first year and every six months thereafter. At each follow-up visits, all patients are asked to undergo a chest CT, and information including survival status, symptoms, CT images, and treatment is collected. Radiation pneumonitis and other toxicities induced by radiotherapy are graded by two radiation oncologists according to the Common Terminology Criteria for Adverse Events 4.0 (CTCAE4.0).
3. Detect serum proteins, gene expression profile, single-nucleotide polymorphisms, and epigenetic modifications that may be associated with radiation pneumonitis.
4. Screen biomarkers that are associated with radiation pneumonitis via univariate and multivariate Cox regression analysis.
5. Construct a predictive model of radiation pneumonitis based on clinical information, radiomics, and biomarkers via machine learning or Least absolute shrinkage and selection operator.
6. Use Kaplan-Meier and Cox model to analyze the association of radiation pneumonitis with survival and efficacy of antitumor treatment.
7. Identify biomarkers and predictors of other toxicities induced by radiotherapy including radiation esophagitis, cardiotoxicity and radiodermatitis.

Conditions

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Radiation Pneumonitis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Group 1

Lung cancer patients treated with thoracic radiotherapy

Blood Samples for Biomarkers

Intervention Type OTHER

blood sample to be taken at baseline, during radiotherapy, and after radiotherapy

Interventions

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Blood Samples for Biomarkers

blood sample to be taken at baseline, during radiotherapy, and after radiotherapy

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Clinical diagnosis of lung cancer by histology
2. Radiation dose at least 45 Gy
3. Karnofsky \>60
4. Age\>18
5. Life expectancy of at least 6 months

Exclusion Criteria

1. Previous thoracic irradiation
2. Severe cardiopulmonary diseases
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology

UNKNOWN

Sponsor Role collaborator

Jingjiang People' Hospital

UNKNOWN

Sponsor Role collaborator

Huazhong University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Xianglin Yuan

Professor, Chief Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xianglin Yuan, PhD

Role: PRINCIPAL_INVESTIGATOR

Tongji Hospital

Locations

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Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Jingjiang People' Hospital

Jingjiang, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xianglin Yuan, PhD

Role: CONTACT

+8613667241722

Lingyan Xiao, MD

Role: CONTACT

+8615971474885

Facility Contacts

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Guang Han, PhD

Role: primary

+8613886048178

Ying Li, MD

Role: backup

+8613628635363

Xianglin Yuan, PhD

Role: primary

+8613667241722

Lingyan Xiao, MD

Role: backup

+8615971474885

Dewen Wang, Bachelor

Role: primary

+8613815985599

Lihua Fan, MD

Role: backup

+8613852619599

Other Identifiers

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TJCC012

Identifier Type: -

Identifier Source: org_study_id

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