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Sponsors and Collaborators: |
Wake Forest University National Cancer Institute (NCI) |
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Information provided by: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00471835 |
RATIONALE: Stereotactic body radiation therapy may be able to send x-rays directly to the tumor and cause less damage to normal tissue.
PURPOSE: This phase I/II trial is studying the side effects and best dose of stereotactic body radiation therapy and to see how well it works in treating patients with stage I or stage II non-small cell lung cancer.
Condition | Intervention | Phase |
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Lung Cancer |
Procedure: computed tomography Procedure: positron emission tomography Radiation: stereotactic body radiation therapy |
Phase I Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Open Label |
Official Title: | A Phase I/II Study of Hypofractionated Stereotactic Body Radiotherapy for Stage I/II Non-Small Cell Lung Cancer Within the Central Lung Region and the Prognostic Impact of FDG Positron Emission Tomography |
Estimated Enrollment: | 90 |
Study Start Date: | January 2007 |
OBJECTIVES:
Primary
Secondary
OUTLINE: This is a phase I dose-escalation study followed by a phase II open-label study.
Cohorts of 3-6 patients receive escalating doses of hypofractionated SBRT until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.
After completion of study treatment, patients are followed periodically for 4 years.
PROJECTED ACCRUAL: A total of 90 patients will be accrued for this study.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically or cytologically confirmed stage I or II non-small cell lung cancer meeting the following criteria:
Maximum T2 or T3 tumor size ≤ 5 cm
Primary tumor of any T stage must be within or touching the zone of the trachea or proximal bronchial tree, defined as a volume of 2 cm in all directions around the trachea and proximal bronchial tree (carina, right and left main bronchi, right and left upper lobe bronchi, intermedius bronchi, right middle lobe bronchus, right and left lower lobe bronchi)
Mediastinal lymph nodes must be ≤ 1 cm and no abnormal uptake on FDG-PET scan in those areas
No evidence of distant metastases
Suspected M1 disease based on pre-treatment PET imaging must be biopsied
If the biopsy is non-diagnostic, consideration should be given to repeat biopsy
Technically resectable disease
PATIENT CHARACTERISTICS:
PRIOR CONCURRENT THERAPY:
United States, North Carolina | |
Wake Forest University Comprehensive Cancer Center | |
Winston-Salem, North Carolina, United States, 27157-1096 |
Study Chair: | Volker W. Stieber, MD | Wake Forest University |
Study ID Numbers: | CDR0000543743, CCCWFU-62206, CCCWFU-IRB00000578 |
Study First Received: | May 8, 2007 |
Last Updated: | March 7, 2009 |
ClinicalTrials.gov Identifier: | NCT00471835 History of Changes |
Health Authority: | United States: Federal Government |
stage II non-small cell lung cancer stage I non-small cell lung cancer adenocarcinoma of the lung |
adenosquamous cell lung cancer large cell lung cancer squamous cell lung cancer |
Thoracic Neoplasms Respiratory Tract Diseases Lung Neoplasms Lung Diseases Non-small Cell Lung Cancer |
Adenocarcinoma of Lung Adenocarcinoma Carcinoma, Non-Small-Cell Lung Neoplasms, Glandular and Epithelial Carcinoma |
Thoracic Neoplasms Respiratory Tract Neoplasms Neoplasms Neoplasms by Site Neoplasms by Histologic Type Respiratory Tract Diseases |
Lung Neoplasms Lung Diseases Carcinoma, Non-Small-Cell Lung Neoplasms, Glandular and Epithelial Carcinoma |