Stage II-III Non small lung cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Histologically proven NSCLC • Non resectable stage III or medically inoperable stage II disease when a stereotactic treatment cannot be proposed • No contraindication for induction or concomitant chemotherapy • No prior thoracic radiation • Moderate-to-good lung function with : o FEV1/DLCO = 30% of the predicted value o FEV1 = 1L Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 20 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 20
Exclusion criteria
Exclusion criteria: None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: •To assess the impact of individualized and escalated dose prescription based on FDG-PET on the tumor local control, the local progression-free survival and overall survival. •To secondarily assess early and late radio-induced toxicities ;Secondary Objective: To appraise the impact of potential tumor modifications during the treatment course for both volumetric and dosimetric changes by using repeated PET imaging with conventional tracer (FDG) and tracer of hypoxia (FAZA) ;Primary end point(s): a) Assess the metabolic response b) Acute toxicity and assessment of quality of life c) Follow up: history, physical examination, evaluation of quality of life and toxicities;Timepoint(s) of evaluation of this end point: Post-treatment FDG-PET will be obtained to assess the metabolic response after 4-8 weeks, 1 and 2 years. FDG-PET will allow to evaluate the local control, the regional control, the distant metastasis, and thus to estimate the progression-free survival rate. Acute toxicity and assessment of quality of life will be scored before the start of radiotherapy (baseline) and weekly during radiation treatment. After the last fraction, patients will be followed up regularly, after 2 weeks, 1 month, 3 months, 6 months, and afterwards at 6-month intervals until 2 years consisting of history, physical examination, evaluation of quality of life and toxicities. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): None;Timepoint(s) of evaluation of this end point: None | — |
Countries
Belgium