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SBRTPhase 2/3PEGASUSNCT04942275

Lung Perfusion PET / CT Using Ga68-MAA for Preservation of Lung Function During Stereotactic Pulmonary Radiation Therapy

A Phase 2/3 study testing Pre-therapeutic imaging test in people with SBRT and Non-small Cell Lung Cancer, run by University Hospital, Brest at 1 site in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a prospective study evaluating the feasibility of treatment planning integrating lung perfusion PET/CT using Ga68-MAA to preserve functional lung areas during stereotactic body radiation therapy (SBRT). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
SBRT, Non-small Cell Lung Cancer, Lung Metastasis
What is being tested?
Pre-therapeutic imaging test
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteFrance
Study dates
15 Jul 2021to 30 Sep 2023
Phase
Phase 2/3
Are there results?
None posted in the registry

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

  • Age >18 years
  • Insured patient
  • Patient treated at the Brest CHRU for SBRT of a primary or secondary pulmonary lesion

Who cannot join

  • Unable/unwilling to give informed consent
  • Pregnancy / breast-feeding patient
  • Patient under guardianship or curatorship
  • Patient with contraindication to the administration of macroaggregates of human albumin

Trial locations and contacts

1 site in 1 country.

France1 site
  • CHRU de Brest

    Brest, Brest Cedex, 29609

Other trials in France

About this study

Official title: Lung Perfusion PET / CT Using Gallium68-MMA for Preservation of Lung Function During Stereotactic Pulmonary Radiation Therapy

This is a prospective study evaluating the feasibility of treatment planning integrating lung perfusion PET/CT using Ga68-MAA to preserve functional lung areas during stereotactic body radiation therapy (SBRT).

Read the detailed description

Lung perfusion PET / CT is a new imaging modality based on the use of the same cold molecules as those used for a conventional perfusion lung scan. Similartly, perfusion images are obtained after intravenous administration of human albumin macroaggregates, which are embolized in pulmonary capillaries according to pulmonary blood flow. However, these cold molecules are radiolabeled, not with Technetium99m, but with Gallium68, a ß + isotope, allowing image acquisition with PET technology. The same physiological processes are therefore observed with conventional scintigraphy PET imaging, but PET is an intrinsically superior technique for image acquisition, with greater sensitivity, better spatial and temporal resolutions and the possibility to perform respiratory-gated acquisition, allowing a better definition of the pulmonary functional volumes.

The aim is to evaluate the feasability of functional lung avoidance planification using lung perfusion PET/CT imaging during SBRT.

Patients will benefit from a pre-treatment functional assessment including PET/CT imaging.

The treatment planning will be carried out in 2 stages:

  • First, an anatomical planning will be carried out, blinded to the PET results.
  • Then, a functional planning, respecting the standard constraints applied during anatomical planning, but also incorporating a new "functional lung volume" constraint defined by PET/CT images, will be carried out.

A follow-up will be carried out for 12 months, including repeated perfusion PET/CT imaging at 3 and 12 months.

Being tested
Pre-therapeutic imaging test
Keywords
Perfusion imaging, Positron EmissionTomography, Lung cancer, SBRT, Radiation induced lung injury
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Lung Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pre-therapeutic imaging testDrug

    The radiopharmaceutical used for lung perfusion PET consists in human albumin macroaggregates labeled with Ga-68 (68Ga-MAA). 68Ga- MAA are administrated intravenously.

Study groups in NCT04942275
Study groupRoleWhat they receive
Intervention : Lung perfusion PET/CT using Ga68-MAA and SBRT planificationExperimentalAll patients included for treatment with stereotactic radiotherapy for non-small cell lung cancer or lung metastasis will benefit from a pre-therapeutic functional assessment including: * The standard functional assessment recommended before performing an SBRT. * A perfusion PET/CT scan The treatment planning will be carried out in 2 stages: * First, an anatomical planning will be carried out, blinded to the PET results. * Then, a functional planning, respecting the standard constraints applied during anatomical planning, but also incorporating a new "functional lung volume" constraint defined by pulmonary PET, will then be carried out. A follow-up will be carried out for 12 months, including repeated perfusion PET/CT imaging at 3 and 12 months
Receives: Drug: Pre-therapeutic imaging test

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Patients with a dose reduction to the functional lung (estimated during functional planning).

    Percentage of patients for whom it is possible to reduce the dose to the functional lung (estimated during the functional planning).

    A reduction in the dose to the functional lung will be defined by:

    • A decrease of at least 5% in functional lung volume included in V20Gy. or
    • A decrease of at least 5% in total relative lung function included in the V20G.

    Measured: Baseline, one week after lung perfusion PET / CT scan using Ga68-MAA

Secondary outcomes (30)
  1. Impact of lung perfusion PET / CT scan on lung activity during SBRT (stereotactic body radiation therapy) planning

    Percentage of activity included in the V20Gy with the anatomical planning and the functional planning.

    Measured: Baseline, one week after lung perfusion PET / CT scan using Ga68-MAA

  2. Impact of lung perfusion PET / CT scan on lung activity during SBRT (stereotactic body radiation therapy) planning

    Percentage of functional lung volume included in the V20Gy with anatomical planning and during functional planning

    Measured: Baseline, one week after lung perfusion PET / CT scan using Ga68-MAA

  3. Pulmonary toxicity at 3 months

    Pulmonary toxicity defined according to EORTC (European Organisation for Research and Treatment of Cancer) criteria (Common Terminology Criteria for Adverse Events 5.0, EORTC QLQ-C30 : European Organisation for Research and Treatment of Cancer - Quality of Life Questionnaire - Cancer module 30) at 3 months

    Measured: At 3 months after SBRT (stereotactic body radiation therapy)

  4. Pulmonary toxicity at 3 months

    Pulmonary toxicity defined according to EORTC (European Organisation for Research and Treatment of Cancer) criteria (Common Terminology Criteria for Adverse Events 5.0, EORTC QLQ-LC13 :European Organisation for Research and Treatment of Cancer- Quality of Life Questionnaire - Lung Cancer module 13) at 3 months

    Measured: At 3 months after SBRT( stereotactic body radiation therapy)

  5. Pulmonary toxicity at 6 months

    Pulmonary toxicity defined according to EORTC (European Organisation for Research and Treatment of Cancer) criteria (Common Terminology Criteria for Adverse Events 5.0, EORTC QLQ-C30 : European Organisation for Research and Treatment of Cancer - Quality of Life Questionnaire -Cancer module 30) at 6 months

    Measured: At 6 months after SBRT (stereotactic body radiation therapy)

  6. Pulmonary toxicity at 6 months

    Pulmonary toxicity defined according to EORTC (European Organisation for Research and Treatment of Cancer) criteria (Common Terminology Criteria for Adverse Events 5.0, EORTC QLQ-LC13 : European Organisation for Research and Treatment of Cancer - Quality of Life Questionnaire - Lung Cancer module 13) at 6 months

    Measured: At 6 months after SBRT (stereotactic body radiation therapy)

  7. Pulmonary toxicity at 9 months

    Pulmonary toxicity defined according to EORTC (European Organisation for Research and Treatment of Cancer) criteria (Common Terminology Criteria for Adverse Events 5.0, EORTC QLQ-C30 : European Organisation for Research and Treatment of Cancer -Quality of Life Questionnaire - Cancer module 30) at 9 months

    Measured: At 9 months after SBRT (stereotactic body radiation therapy)

  8. Pulmonary toxicity at 9 months

    Pulmonary toxicity defined according to EORTC (European Organisation for Research and Treatment of Cancer) criteria (Common Terminology Criteria for Adverse Events 5.0, EORTC QLQ-LC13 : European Organisation for Research and Treatment of Cancer -Quality of Life Questionnaire - Lung Cancer module 13) at 9 months

    Measured: At 9 months after SBRT (stereotactic body radiation therapy)

  9. Pulmonary toxicity at 12 months

    Pulmonary toxicity defined according to EORTC (European Organisation for Research and Treatment of Cancer) criteria (Common Terminology Criteria for Adverse Events 5.0, EORTC QLQ-C30 : European Organisation for Research and Treatment of Cancer - Quality of Life Questionnaire - Cancer module 30) at 12 months

    Measured: At 12 months after SBRT (stereotactic body radiation therapy)

  10. Pulmonary toxicity at 12 months

    Pulmonary toxicity defined according to EORTC (European Organisation for Research and Treatment of Cancer) criteria (Common Terminology Criteria for Adverse Events 5.0, EORTC QLQ-LC13 : European Organisation for Research and Treatment of Cancer - Quality of Life Questionnaire - Lung Cancer module 13) at 12 months

    Measured: At 12 months after SBRT (stereotactic body radiation therapy)

  11. Dyspnea at Day 0 (inclusion)

    Results of EuroQol (EQ-5D-5L) questionnaire

    Measured: Baseline, Day 0

  12. Dyspnea at Day 0 (inclusion)

    Results of Pulmonary Function testing (PFT) : FEV1

    Measured: Baseline, Day 0

  13. Dyspnea at Day 0 (inclusion)

    Results of Pulmonary Function testing (PFT) : FEV1/FVC

    Measured: Baseline, Day 0

  14. Dyspnea at Day 0 (inclusion)

    Results of 6 minutes Walk Test (6MWT)

    Measured: Baseline, Day 0

  15. Dyspnea at 3 months

    Results of EuroQol (EQ-5D-5L) questionnaire

    Measured: At 3 months after SBRT (stereotactic body radiation therapy)

  16. Dyspnea at 3 months

    Results of Pulmonary Function testing (PFT) : FEV1

    Measured: At 3 months after SBRT (stereotactic body radiation therapy)

  17. Dyspnea at 3 months

    Results of Pulmonary Function testing (PFT) : FEV1/FVC

    Measured: At 3 months after SBRT (stereotactic body radiation therapy)

  18. Dyspnea at 3 months

    Results of 6 minutes Walk Test (6MWT)

    Measured: At 3 months after SBRT (stereotactic body radiation therapy)

  19. Dyspnea at 6 months

    Results of EuroQol (EQ-5D-5L) questionnaire

    Measured: At 6 months after SBRT (stereotactic body radiation therapy)

  20. Dyspnea at 6 months

    Results of Pulmonary Function testing (PFT) : FEV1

    Measured: At 6 months after SBRT (stereotactic body radiation therapy)

  21. Dyspnea at 6 months

    Results of Pulmonary Function testing (PFT) : FEV1/FVC

    Measured: At 6 months after SBRT (stereotactic body radiation therapy)

  22. Dyspnea at 6 months

    Results of 6 minutes Walk Test (6MWT)

    Measured: At 6 months after SBRT (stereotactic body radiation therapy)

  23. Dyspnea at 9 months

    Results of EuroQol (EQ-5D-5L) questionnaire

    Measured: At 9 months after SBRT (stereotactic body radiation therapy)

  24. Dyspnea at 9 months

    Results of Pulmonary Function testing (PFT) : FEV1

    Measured: At 9 months after SBRT (stereotactic body radiation therapy)

  25. Dyspnea at 9 months

    Results of Pulmonary Function testing (PFT) : FEV1/FVC

    Measured: At 9 months after SBRT (stereotactic body radiation therapy)

  26. Dyspnea at 9 months

    Results of 6 minutes Walk Test (6MWT)

    Measured: At 9 months after SBRT (stereotactic body radiation therapy)

  27. Dyspnea at 12 months

    Results of EuroQol (EQ-5D-5L) questionnaire

    Measured: At 12 months after SBRT (stereotactic body radiation therapy)

  28. Dyspnea at 12 months

    Results of Pulmonary Function testing (PFT) : FEV1

    Measured: At 12 months after SBRT (stereotactic body radiation therapy)

  29. Dyspnea at 12 months

    Results of Pulmonary Function testing (PFT) : FEV1/FVC

    Measured: At 12 months after SBRT (stereotactic body radiation therapy)

  30. Dyspnea at 12 months

    Results of 6 minutes Walk Test (6MWT)

    Measured: At 12 months after SBRT (stereotactic body radiation therapy)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jun 2021
  2. Study start15 Jul 2021
  3. Primary completion30 Jul 2022
  4. Study completion30 Sep 2023 (estimated)

Resources

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 2/3
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04942275
Sponsor's protocol ID
29BRC21.0131
Acronym
PEGASUS
Status last verified
Sep 2022
First submitted
9 Jun 2021
Last updated
19 Sep 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All collected data that underlie results in a publication

Publications

  • Le Roux PY, Le Pennec R, Bourbonne V, Blanc-Beguin F, Pavoine M, Kerleguer K, Mauguen M, Pradier O, Salaun PY, Lucia F, Bourhis D. Pulmonary uptake value (PUV): a new quantification method for lung PET/CT imaging. EJNMMI Res. 2025 Jul 1;15(1):79. doi: 10.1186/s13550-025-01274-y.

    PubMed 40591115

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Pre-therapeutic imaging test in people with SBRT and Non-small Cell Lung Cancer, run by University Hospital, Brest at 1 site in France.

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 3 inclusion and 4 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: status not confirmed, as of the sponsor's last update on 19 Sep 2022. 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 France. 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.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

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?

Patients with a dose reduction to the functional lung (estimated during functional planning). (time frame: Baseline, one week after lung perfusion PET / CT scan using Ga68-MAA). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04942275, which also lists 1 linked publication.

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 19 Sep 2022.

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