Lung CancerNCT00852644
Stereotactic Radiosurgery in Treating Patients With Stage I or Stage II Non-Small Cell Lung Cancer
A study testing computed tomography, fludeoxyglucose F 18 and hypofractionated radiation therapy in people with Lung Cancer, run by Boston Medical Center at 1 site in United States.
Trial summary
RATIONALE: Stereotactic radiosurgery can send x-rays directly to the tumor and cause less damage to normal tissue. PURPOSE: This phase I trial is studying the side effects and best dose of stereotactic radiosurgery in treating patients with stage I or stage II non-small cell lung cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lung Cancer
- What is being tested?
- computed tomography, fludeoxyglucose F 18 and hypofractionated radiation therapy
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 9 participants
- Where
- 1 siteUnited States
- Study dates
- Jan 2009to Aug 2016
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- DISEASE CHARACTERISTICS:
- Histologically confirmed non-small cell lung cancer
- Stage I or II disease (T1-3, N0, M0)
- T2 or T3 tumor ≤ 5 cm
- No T3 tumors involving the central chest or mediastinum (only chest wall involvement allowed)
- Tumor deemed technically resectable, in the opinion of an experienced thoracic surgeon, AND patient deemed "medically inoperable"
Show all 11Show fewer
- Patients with fluorodeoxyglucose (FDG)-avidity in mediastinal lymph nodes are eligible provided they are able to undergo mediastinoscopy to confirm N0 status
- PATIENT CHARACTERISTICS:
- Eastern Cooperative Oncology Group (ECOG) performance status 0-2
- Not pregnant or nursing
- Fertile patients must use effective contraception during and for ≥ 6 months after completion of study treatment
Who cannot join
- No history of contrast allergy
- No psychological issues that would preclude the completion of study treatment
- PRIOR CONCURRENT THERAPY:
- No prior radiotherapy or chemotherapy
- No suspected nodal metastasis that cannot be falsified by mediastinoscopy (i.e., hilar or mediastinal nodes that are either fludeoxyglucose F 18 [FDG]-avid or measure > 1 cm in short axis diameter on CT scan)
- No tumor within or touching the proximal bronchial tree, defined as a volume of 2 cm in all directions around the proximal bronchial tree (carina, right and left main stem bronchi, right and left upper lobe bronchi, bronchus intermedius, right middle lobe bronchus, lingular bronchus, right and left lower lobe bronchi)
Trial locations and contacts
1 site in 1 country.
United States1 site
Boston University Cancer Research Center
Boston, Massachusetts, 02118
About this study
Official title: Feasibility and Outcome of Cyberknife® Precision Hypofractionated Radiosurgery for the Curative Management of Non-Small Cell Lung Cancer
RATIONALE: Stereotactic radiosurgery can send x-rays directly to the tumor and cause less damage to normal tissue.
PURPOSE: This phase I trial is studying the side effects and best dose of stereotactic radiosurgery in treating patients with stage I or stage II non-small cell lung cancer.
Read the detailed description
OBJECTIVES:
- To establish the maximum tolerated dose of CyberKnife® hypofractionated stereotactic radiosurgery in patients with medically inoperable, stage I or II non-small cell lung cancer.
- To establish the relationship between positron emission tomography (PET) response and local control and survival using fludeoxyglucose F 18 PET/CT imaging before treatment and at 1, 3, 6, and 12 months after treatment.
OUTLINE: Patients undergo placement of 3 gold fiducial markers by CT-guidance or bronchoscopy. Patients then undergo CyberKnife® hypofractionated stereotactic radiosurgery over 45-120 minutes twice weekly for 2 weeks.
Patients undergo fludeoxyglucose F 18 PET/CT scan at baseline and at 1, 3, 6, and 12 months after completion of treatment.
After completion of study treatment, patients are followed periodically for up to 4 years.
- Conditions
- Lung Cancer
- Being tested
- computed tomography, fludeoxyglucose F 18, hypofractionated radiation therapy, stereotactic radiosurgery
- Keywords
- stage I non-small cell lung cancer, stage II non-small cell lung cancer
- Medical subject headings
- Lung Neoplasms, Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
computed tomographyProcedure or surgery
Standard CT scans
fludeoxyglucose F 18Radiation
standard doses with CT scans
hypofractionated radiation therapyRadiation
4 doses over 2 weeks
stereotactic radiosurgeryRadiation
CyberKnife radiosurgery
| Study group | Role | What they receive |
|---|---|---|
| 56 Gray (LESS than 3 centimeter cohort) | Experimental | Intervention:
Procedure/Surgery: computed tomography Standard CT scans
Intervention:
Radiation: fludeoxyglucose F 18 standard doses with CT scans
Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 56 Gray
Radiation: stereotactic radiosurgery CyberKnife radiosurgery Receives: Procedure: computed tomography; Radiation: fludeoxyglucose F 18; Radiation: hypofractionated radiation therapy; Radiation: stereotactic radiosurgery |
| 62 Gray (LESS than 3 centimeter cohort) | Experimental | Intervention:
Procedure/Surgery: computed tomography Standard CT scans
Intervention:
Radiation: fludeoxyglucose F 18 standard doses with CT scans
Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 62 Gray
Radiation: stereotactic radiosurgery CyberKnife radiosurgery Receives: Procedure: computed tomography; Radiation: fludeoxyglucose F 18; Radiation: hypofractionated radiation therapy; Radiation: stereotactic radiosurgery |
| 68 Gray (LESS than 3 centimeter cohort) | Experimental | Intervention:
Procedure/Surgery: computed tomography Standard CT scans
Intervention:
Radiation: fludeoxyglucose F 18 standard doses with CT scans
Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 68 Gray
Radiation: stereotactic radiosurgery CyberKnife radiosurgery Receives: Procedure: computed tomography; Radiation: fludeoxyglucose F 18; Radiation: hypofractionated radiation therapy; Radiation: stereotactic radiosurgery |
| 56 Gray (MORE than 3 centimeter cohort) | Experimental | Intervention:
Procedure/Surgery: computed tomography Standard CT scans
Intervention:
Radiation: fludeoxyglucose F 18 standard doses with CT scans
Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 56 Gray
Radiation: stereotactic radiosurgery CyberKnife radiosurgery Receives: Procedure: computed tomography; Radiation: fludeoxyglucose F 18; Radiation: hypofractionated radiation therapy; Radiation: stereotactic radiosurgery |
| 62 Gray (MORE than 3 centimeter cohort) | Experimental | Intervention:
Procedure/Surgery: computed tomography Standard CT scans
Intervention:
Radiation: fludeoxyglucose F 18 standard doses with CT scans
Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 62 Gray
Radiation: stereotactic radiosurgery CyberKnife radiosurgery Receives: Procedure: computed tomography; Radiation: fludeoxyglucose F 18; Radiation: hypofractionated radiation therapy; Radiation: stereotactic radiosurgery |
| 68 Gray (MORE than 3 centimeter cohort) | Experimental | Intervention:
Procedure/Surgery: computed tomography Standard CT scans
Intervention:
Radiation: fludeoxyglucose F 18 standard doses with CT scans
Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 68 Gray
Radiation: stereotactic radiosurgery CyberKnife radiosurgery Receives: Procedure: computed tomography; Radiation: fludeoxyglucose F 18; Radiation: hypofractionated radiation therapy; Radiation: stereotactic radiosurgery |
What is being measured
The primary outcome is the main question the study is designed to answer.
Participants Who Did Not Experience a Dose Limiting Toxicity in the Less Than 3 Centimeter Cohort
Number of Participants Who Did Not Experience a Dose Limiting Toxicity in the less than 3 centimeter cohort
Measured: 6 weeks
Maximum Tolerated Dose in the Less Than 3 Centimeter Cohort
The highest tolerable dose between 56 gray, 62 gray and 68 gray has not been established as the protocol was terminated early.
Measured: 6 weeks
Participants Who Did Not Experience a Dose Limiting Toxicity in the More Than 3 Centimeter Cohort
The number of participants that did not experience a dose-limiting toxicity in the greater than 3 centimeter cohort
Measured: 6 weeks
Maximum Tolerated Dose - More Than 3 Centimeter Cohort.
The highest tolerable dose between 56 gray, 62 gray and 68 gray has not been established as the protocol was terminated early.
Measured: 6 weeks
Secondary outcomes (1)
Relationship Between Positron Emission Tomography (PET) Response and Local Control and Survival
Relationship between positron emission tomography (PET) response and local control and survival as measured by fludeoxyglucose F 18 PET/CT imaging
Measured: before treatment and at 1, 3, 6, and 12 months after treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2009 (estimated)
- Study startJan 2009
- Primary completionJun 2013
- Study completionAug 2016
Why it stopped: poor accrual
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Lung CancerStudies of the same condition, open and under way.
- More trials run by Boston Medical CenterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Model description
- Participants to receive Cyberknife radiation therapy in 4 doses over two weeks. Dose will be determined using a dose-escalation plan.
- Masking
- None (open label)
- Enrolment
- 9 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boston Medical Center
- Sponsor type
- University, hospital or other
- Collaborators
- United States Department of Defense
- Responsible party
- Principal investigator, Minh Tam Truong, Boston Medical Center
- Investigators
- Minh Tam Truong, MD, Principal investigator, Boston Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00852644
- Sponsor's protocol ID
- H-26701
- Other IDs
- CDR0000635119
- Status last verified
- Apr 2018
- First submitted
- 26 Feb 2009
- Last updated
- 11 May 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 May 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Feasibility and Outcome of Cyberknife® Precision Hypofractionated Radiosurgery for the Curative Management of Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT00852644
- Acronym / sponsor ID
- H-26701
- Conditions
- Lung Cancer
- Keywords
- stage I non-small cell lung cancer, stage II non-small cell lung cancer
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: poor accrual
- Enrolment
- 9 participants (actual)
- Lead sponsor
- Boston Medical CenterUniversity, hospital or other
- Collaborators
- United States Department of Defense
- Study start
- Jan 2009 (actual)
- Primary completion
- Jun 2013 (actual)
- Study completion
- Aug 2016 (actual)
- First posted
- 27 Feb 2009 (estimated)
- Results
- Posted 9 Jan 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Stereotactic radiosurgery can send x-rays directly to the tumor and cause less damage to normal tissue.
PURPOSE: This phase I trial is studying the side effects and best dose of stereotactic radiosurgery in treating patients with stage I or stage II non-small cell lung cancer.
Detailed description
OBJECTIVES:
- To establish the maximum tolerated dose of CyberKnife® hypofractionated stereotactic radiosurgery in patients with medically inoperable, stage I or II non-small cell lung cancer.
- To establish the relationship between positron emission tomography (PET) response and local control and survival using fludeoxyglucose F 18 PET/CT imaging before treatment and at 1, 3, 6, and 12 months after treatment.
OUTLINE: Patients undergo placement of 3 gold fiducial markers by CT-guidance or bronchoscopy. Patients then undergo CyberKnife® hypofractionated stereotactic radiosurgery over 45-120 minutes twice weekly for 2 weeks.
Patients undergo fludeoxyglucose F 18 PET/CT scan at baseline and at 1, 3, 6, and 12 months after completion of treatment.
After completion of study treatment, patients are followed periodically for up to 4 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 6
- Model description
- Participants to receive Cyberknife radiation therapy in 4 doses over two weeks. Dose will be determined using a dose-escalation plan.
| Arm | Type | Receives |
|---|---|---|
| 56 Gray (LESS than 3 centimeter cohort) | Experimental | Procedure: computed tomography, Radiation: fludeoxyglucose F 18, Radiation: hypofractionated radiation therapy, Radiation: stereotactic radiosurgeryIntervention: Procedure/Surgery: computed tomography Standard CT scans Intervention: Radiation: fludeoxyglucose F 18 standard doses with CT scans Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 56 Gray Radiation: stereotactic radiosurgery CyberKnife radiosurgery |
| 62 Gray (LESS than 3 centimeter cohort) | Experimental | Procedure: computed tomography, Radiation: fludeoxyglucose F 18, Radiation: hypofractionated radiation therapy, Radiation: stereotactic radiosurgeryIntervention: Procedure/Surgery: computed tomography Standard CT scans Intervention: Radiation: fludeoxyglucose F 18 standard doses with CT scans Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 62 Gray Radiation: stereotactic radiosurgery CyberKnife radiosurgery |
| 68 Gray (LESS than 3 centimeter cohort) | Experimental | Procedure: computed tomography, Radiation: fludeoxyglucose F 18, Radiation: hypofractionated radiation therapy, Radiation: stereotactic radiosurgeryIntervention: Procedure/Surgery: computed tomography Standard CT scans Intervention: Radiation: fludeoxyglucose F 18 standard doses with CT scans Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 68 Gray Radiation: stereotactic radiosurgery CyberKnife radiosurgery |
| 56 Gray (MORE than 3 centimeter cohort) | Experimental | Procedure: computed tomography, Radiation: fludeoxyglucose F 18, Radiation: hypofractionated radiation therapy, Radiation: stereotactic radiosurgeryIntervention: Procedure/Surgery: computed tomography Standard CT scans Intervention: Radiation: fludeoxyglucose F 18 standard doses with CT scans Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 56 Gray Radiation: stereotactic radiosurgery CyberKnife radiosurgery |
| 62 Gray (MORE than 3 centimeter cohort) | Experimental | Procedure: computed tomography, Radiation: fludeoxyglucose F 18, Radiation: hypofractionated radiation therapy, Radiation: stereotactic radiosurgeryIntervention: Procedure/Surgery: computed tomography Standard CT scans Intervention: Radiation: fludeoxyglucose F 18 standard doses with CT scans Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 62 Gray Radiation: stereotactic radiosurgery CyberKnife radiosurgery |
| 68 Gray (MORE than 3 centimeter cohort) | Experimental | Procedure: computed tomography, Radiation: fludeoxyglucose F 18, Radiation: hypofractionated radiation therapy, Radiation: stereotactic radiosurgeryIntervention: Procedure/Surgery: computed tomography Standard CT scans Intervention: Radiation: fludeoxyglucose F 18 standard doses with CT scans Radiation: hypofractionated radiation therapy 4 doses over 2 weeks - 68 Gray Radiation: stereotactic radiosurgery CyberKnife radiosurgery |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Histologically confirmed non-small cell lung cancer
- Tumor deemed technically resectable, in the opinion of an experienced thoracic surgeon, AND patient deemed "medically inoperable"
- Eastern Cooperative Oncology Group (ECOG) performance status 0-2
- Not pregnant or nursing
- Fertile patients must use effective contraception during and for ≥ 6 months after completion of study treatment
Key exclusion criteria (6 listed)
- No history of contrast allergy
- No psychological issues that would preclude the completion of study treatment
- No prior radiotherapy or chemotherapy
- No suspected nodal metastasis that cannot be falsified by mediastinoscopy (i.e., hilar or mediastinal nodes that are either fludeoxyglucose F 18 [FDG]-avid or measure > 1 cm in short axis diameter on CT scan)
- No tumor within or touching the proximal bronchial tree, defined as a volume of 2 cm in all directions around the proximal bronchial tree (carina, right and left main stem bronchi, right and left upper lobe bronchi, bronchus intermedius, right middle lobe bronchus, lingular bronchus, right and left lower lobe bronchi)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| computed tomographyStandard CT scans | Procedure or surgery | 56 Gray (LESS than 3 centimeter cohort), 56 Gray (MORE than 3 centimeter cohort), 62 Gray (LESS than 3 centimeter cohort), 62 Gray (MORE than 3 centimeter cohort), 68 Gray (LESS than 3 centimeter cohort), 68 Gray (MORE than 3 centimeter cohort) |
| fludeoxyglucose F 18standard doses with CT scans | Radiation | 56 Gray (LESS than 3 centimeter cohort), 56 Gray (MORE than 3 centimeter cohort), 62 Gray (LESS than 3 centimeter cohort), 62 Gray (MORE than 3 centimeter cohort), 68 Gray (LESS than 3 centimeter cohort), 68 Gray (MORE than 3 centimeter cohort) |
| hypofractionated radiation therapy4 doses over 2 weeks | Radiation | 56 Gray (LESS than 3 centimeter cohort), 56 Gray (MORE than 3 centimeter cohort), 62 Gray (LESS than 3 centimeter cohort), 62 Gray (MORE than 3 centimeter cohort), 68 Gray (LESS than 3 centimeter cohort), 68 Gray (MORE than 3 centimeter cohort) |
| stereotactic radiosurgeryCyberKnife radiosurgery | Radiation | 56 Gray (LESS than 3 centimeter cohort), 56 Gray (MORE than 3 centimeter cohort), 62 Gray (LESS than 3 centimeter cohort), 62 Gray (MORE than 3 centimeter cohort), 68 Gray (LESS than 3 centimeter cohort), 68 Gray (MORE than 3 centimeter cohort) |
Primary outcome
Participants Who Did Not Experience a Dose Limiting Toxicity in the Less Than 3 Centimeter Cohort
Time frame: 6 weeks
Number of Participants Who Did Not Experience a Dose Limiting Toxicity in the less than 3 centimeter cohort
Maximum Tolerated Dose in the Less Than 3 Centimeter Cohort
Time frame: 6 weeks
The highest tolerable dose between 56 gray, 62 gray and 68 gray has not been established as the protocol was terminated early.
Participants Who Did Not Experience a Dose Limiting Toxicity in the More Than 3 Centimeter Cohort
Time frame: 6 weeks
The number of participants that did not experience a dose-limiting toxicity in the greater than 3 centimeter cohort
Maximum Tolerated Dose - More Than 3 Centimeter Cohort.
Time frame: 6 weeks
The highest tolerable dose between 56 gray, 62 gray and 68 gray has not been established as the protocol was terminated early.
1 secondary outcome
Relationship Between Positron Emission Tomography (PET) Response and Local Control and Survival
Time frame: before treatment and at 1, 3, 6, and 12 months after treatment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 May 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Minh Tam Truong, MD principal investigator
Boston Medical Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing computed tomography, fludeoxyglucose F 18 and hypofractionated radiation therapy in people with Lung Cancer, run by Boston Medical Center at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 11 May 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 9 Jan 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Participants Who Did Not Experience a Dose Limiting Toxicity in the Less Than 3 Centimeter Cohort (time frame: 6 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 May 2018.