Dose-escalation by Hypofractionated Stereotactic Radiotherapy for Brain Metastases in Non Small Cell Lung Cancer

NCT ID: NCT05588206

Last Updated: 2022-10-20

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

PHASE1/PHASE2

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-01

Study Completion Date

2024-12-31

Brief Summary

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The objective of this trial is to assess the safety and feasibility of delivering SBRT to patients with limited BMs (less than 10 lesions of lung cancer) by establishing the maximally tolerated dose (MTD) of SABR in 5 fractions.

Detailed Description

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The objective of this trial is to assess the safety and feasibility of delivering SBRT to patients with limited BMs (less than 10 lesions of lung cancer) by establishing the maximally tolerated dose (MTD) of SABR in 5 fractions.

Conditions

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Non Small Cell Lung Cancer Stage IV Non-small Cell Lung Cancer Brain Metastases

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Hypofractionated Stereotactic Radiotherapy for Brain Metastases

Group Type EXPERIMENTAL

Hypofractionated Stereotactic Radiotherap

Intervention Type RADIATION

A standard 3+3 statistical design was employed. Three patients will initially be treated at dose level 1, 6 Gy in 5 fractions, 3 fractions a week. Dose limiting toxicities (DLT) were defined as any grade 3-5 radiation injury or any non-hematologic toxicity felt to be possibly, probably, or definitely related to radiation, identified within the evaluation period of 3 months following the completion of radiotherapy.

Interventions

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Hypofractionated Stereotactic Radiotherap

A standard 3+3 statistical design was employed. Three patients will initially be treated at dose level 1, 6 Gy in 5 fractions, 3 fractions a week. Dose limiting toxicities (DLT) were defined as any grade 3-5 radiation injury or any non-hematologic toxicity felt to be possibly, probably, or definitely related to radiation, identified within the evaluation period of 3 months following the completion of radiotherapy.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Histology confirmed that it was non-small cell lung cancer
* 1 to 10 brain metastases detected by magnetic resonance imaging (MRI)
* A life expectancy of \>3 months according to the DS GPA.
* KPS ≥70
* Control of the primary lesions (thorax) at the time of SBRT
* 2cm\<Tumor size ≤ 4 cm
* Age of 18-75 years old
* Patients must be able to undergo contrast enhanced MRI for planning
* Adequate bone marrow and organ function

Exclusion Criteria

* other malignant tumors
* Prior surgery to brain metastasis
* Prior brain radiotherapy
* Non-small cell lung cancer with more than 10 brain metastases detected by MRI
* Contraindication to receiving radiotherapy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hangzhou Cancer Hospital

OTHER

Sponsor Role collaborator

First People's Hospital of Hangzhou

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Kaicheng Pan

Hangzhou, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Bing Xia

Role: CONTACT

057156006382

Facility Contacts

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Kaicheng Pan

Role: primary

057156006382

Other Identifiers

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DeHSRT

Identifier Type: -

Identifier Source: org_study_id

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