Inoperable Locally Advanced Non Small Cell Lung Cancer
Conditions
Brief summary
A phase I trial is being conducted in patients with inoperable locally advanced NSCLC to treat with a combination of Conventional Fractionated Radiotherapy (CFRT) on the mediastinal lymph nodes and Stereotactic Ablative Radiotherapy (SABR)on the primary tumor with concurrent chemotherapy. It is hypothesized that this will lead to an increase of local control and overall survival
Detailed description
In locally advanced NSCLC local control has been poor, but with SABR remarkable high local control rates with low toxicity have been reported. Currently stage III and inoperable II NSCLC patients have been treated with IMRT and concurrent chemotherapy at out institute. In this study we will explore the combination of SABR and CFRT with concurrent chemotherapy
Interventions
combined CFRT and SABR with concurrent cisplatin
combined CFRT and SABR with concurrent cisplatin
Sponsors
Study design
Eligibility
Inclusion criteria
* Cytological or histological proven NSCLC stage III or inoperable stage II, cT1-2a-3N1-3M0 with peripheral tumors \< 5 cm (chest wall infiltration is no
Exclusion criteria
if the tumor diameter is \< 5 cm). * Weight loss \< 10% in the last three months * WHO-performance status ≤ 2 * Patients that receive concurrent chemoradiotherapy, with the exception of adriamycin and gemcitabine * FEV1 and DLCO \> 40 % of the age-adjusted normal value * Minimum required laboratory data bone marrow reserve and hepatic- and renal function * Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule * Before patient registration, written informed consent must be given according to GCP and national regulations
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The mean-lung dose that is associated with a 15% probability of dose limiting toxicity, defined according to the CTCAE v4; radiation pneumonitis ≥ grade 3 and radiation induced dyspnea ≥ grade 3. | 2 yrs |
Countries
Netherlands