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Pilot Project of Adaptive Thoracic Radiotherapy for Small Cell Lung Cancer

Primary Purpose

Small Cell Lung Cancer

Status
Unknown status
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
Adaptive Radiation
Sponsored by
AHS Cancer Control Alberta
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Small Cell Lung Cancer focused on measuring Small cell lung cancer, Adaptive radiotherapy, Thoracic radiotherapy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • patients with histologically or cytologically proven newly diagnosed small cell lung cancer
  • chest-confined disease (including bulky intrathoracic disease)
  • adequate pulmonary function tests (FEV-1>1.0 L, DLCO>50%)
  • patients of childbearing potential must practice adequate contraception
  • Age > or = 18 years
  • Karnofsky performance status > or = 70
  • eligible for concurrent chemoradiotherapy

Exclusion Criteria:

  • patients who have undergone complete or subtotal tumour resection
  • evidence of non-small cell histology
  • prior or concurrent malignancy except non-melanomatous skin cancer unless disease-free for at least 5 years
  • prior RT to the thorax or neck
  • compromised lung function with inadequate pulmonary function tests (FEV-1<1.0,DLCO<50%)
  • pregnant women

Sites / Locations

  • Cross Cancer Institute

Outcomes

Primary Outcome Measures

Differences in normal structure/target volume doses achievable using adaptive radiotherapy approach
Differences in normal structure/target volume doses achievable using adaptive radiotherapy approach will be measured in centigray

Secondary Outcome Measures

Local control and patterns of failure
Local control and patterns of failure
Survival

Full Information

First Posted
April 15, 2011
Last Updated
October 1, 2014
Sponsor
AHS Cancer Control Alberta
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1. Study Identification

Unique Protocol Identification Number
NCT01426841
Brief Title
Pilot Project of Adaptive Thoracic Radiotherapy for Small Cell Lung Cancer
Official Title
Pilot Project of Adaptive Thoracic Radiotherapy for Small Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
October 2014
Overall Recruitment Status
Unknown status
Study Start Date
August 2011 (undefined)
Primary Completion Date
April 2015 (Anticipated)
Study Completion Date
April 2015 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AHS Cancer Control Alberta

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is intended to assess the feasibility of adjusting a radiation plan during its course to accommodate for a shrinking tumor target. The investigators hypothesize that an adaptive radiotherapy (RT) planning strategy for small cell lung cancer (SCLC) patients with chest-confined disease will allow for safe delivery of higher doses of chest RT than a non-adaptive RT planning approach without subjecting normal critical structures to unacceptable doses of radiotherapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Small Cell Lung Cancer
Keywords
Small cell lung cancer, Adaptive radiotherapy, Thoracic radiotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Radiation
Intervention Name(s)
Adaptive Radiation
Intervention Description
Thoracic Radiotherapy which is adapted or adjusted during its course to account for tumor volume shrinkage which occurs during treatment
Primary Outcome Measure Information:
Title
Differences in normal structure/target volume doses achievable using adaptive radiotherapy approach
Description
Differences in normal structure/target volume doses achievable using adaptive radiotherapy approach will be measured in centigray
Time Frame
12-24 months
Secondary Outcome Measure Information:
Title
Local control and patterns of failure
Description
Local control and patterns of failure
Time Frame
12-24 months
Title
Survival
Time Frame
12-24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: patients with histologically or cytologically proven newly diagnosed small cell lung cancer chest-confined disease (including bulky intrathoracic disease) adequate pulmonary function tests (FEV-1>1.0 L, DLCO>50%) patients of childbearing potential must practice adequate contraception Age > or = 18 years Karnofsky performance status > or = 70 eligible for concurrent chemoradiotherapy Exclusion Criteria: patients who have undergone complete or subtotal tumour resection evidence of non-small cell histology prior or concurrent malignancy except non-melanomatous skin cancer unless disease-free for at least 5 years prior RT to the thorax or neck compromised lung function with inadequate pulmonary function tests (FEV-1<1.0,DLCO<50%) pregnant women
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Don Yee, MD, FRCPC
Organizational Affiliation
Cross Cancer Institute, Alberta Health Services
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cross Cancer Institute
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1Z2
Country
Canada

12. IPD Sharing Statement

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Pilot Project of Adaptive Thoracic Radiotherapy for Small Cell Lung Cancer

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