Non Small Cell Lung Cancer, Small Cell Lung Cancer
Conditions
Keywords
non-small cell lung cancer, small cell lung cancer, esophagitis, immunonutrition, radiotherapy
Brief summary
This study aims to evaluate the efficacy of immunonutrition in reducing acute esophagitis after thoracic radiotherapy in lung cancer.
Detailed description
This is a prospective, randomized, controlled, open-label clinical trial, which aimed to explore the efficacy and safety of oral immunonutrition therapy in reducing acute esophagitis after thoracic radiotherapy in lung cancer patients.
Interventions
DIETARY_SUPPLEMENTOral immunonutrition
Oral immunonutrition (Oral Impact®, Nestlé), 250 ml per bottle, with a dosage of 2 bottles per day, starting on the day of radiotherapy and continuing for three weeks after radiotherapy.
Sponsors
Hunan Cancer Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. The subject voluntarily participates in this clinical study, understands the study procedures, and is able to provide written informed consent. 2. Age ≥ 18 years. 3. Pathologically confirmed diagnosis of lung cancer, including non-small cell lung cancer and small cell lung cancer. 4. Indication for thoracic radiotherapy, with the esophagus within 1 cm of the PTV. 5. Prescription dose for the PTV: 60-70 Gy once daily (2 Gy/Fx), 45 Gy twice daily (1.5 Gy/Fx, with intervals exceeding 6 hours), or 45 Gy once daily (3 Gy/Fx). 6. Ability to orally intake food normally. 7. Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1. 8. The volume of both lungs receiving more than 20 Gy (V20) should not exceed 30% of the total lung volume. 9. Expected survival of more than 3 months. 10. Laboratory test results during the screening period: Complete blood count: ANC ≥ 1.5 × 10\^9/L; PLT ≥ 80 × 10\^9/L; Hb ≥ 90 g/L. Blood biochemistry: TBIL ≤ 1.5 × ULN; ALT and AST ≤ 2 × ULN; BUN and Cr ≤ 1.5 × ULN, with creatinine clearance ≥ 50 mL/min (calculated using the Cockcroft-Gault formula). 11. Female subjects of childbearing potential, male subjects, and partners of male subjects agree to use reliable contraceptive methods during the study period (such as abstinence, sterilization, oral contraceptives, or other contraceptive measures).
Exclusion criteria
1. Previous history of thoracic radiotherapy. 2. Suspected or confirmed tumor invasion of the esophagus. 3. Patients with other primary tumors. 4. History of esophageal cancer, gastric cancer, or prior esophageal surgery. 5. Concurrent active reflux esophagitis. 6. Current regular use of immunonutrition (e.g., Oral Impact®). 7. Patients with severe cardiovascular or cerebrovascular diseases, or comorbidities such as liver or kidney diseases. 8. Female subjects who are pregnant, breastfeeding, or planning to become pregnant during the study period. 9. Concurrent active autoimmune diseases requiring treatment. 10. Known history of human immunodeficiency virus (HIV) positivity or acquired immunodeficiency syndrome (AIDS). 11. Any medical (e.g., pulmonary, metabolic, endocrine, or neurological diseases, congenital disorders, etc.), psychiatric, or social condition that, in the investigator's judgment, may interfere with the subject's rights, safety, health, or ability to provide informed consent, cooperate and participate in the study, or interfere with the evaluation of the study drug, interpretation of patient safety, or study results.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence rate of grade 2 or higher acute esophagitis | 3 months | Assessed according to National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence rate of grade 2 or higher acute esophagitis | 3 months | Assessed according to RTOG toxicity criteria. |
| Incidence rate of grade 3 or higher acute esophagitis assessed according to NCI-CTCAE v5.0 criteria | 3 months | Assessed according to NCI-CTCAE v5.0 criteria |
| Incidence rate of grade 3 or higher acute esophagitis assessed according to RTOG toxicity criteria | 3 months | Assessed according to RTOG toxicity criteria |
| Nutritional Assessment according to the Patient-Generated Subjective Global Assessment（PG-SGA） | 3 months | PG-SGA scores range from 0 to 35, with higher scores indicating a greater risk of severe malnutrition. |
| Body weight | 3 months | — |
| Nutritional Risk | 3 months | Assessed according to Nutritional Risk Screening 2002 (NRS 2002) |
| The duration period of esophagitis | 3 months | The number of days of grade 2 or higher esophagitis |
| Opioid use | 3 months | Measured by documented opioid use |
| Quality of life assessed by EORTC QLQ-C30 | 3 months | EORTC QLQ-C30 scores range from 0 to 100, with higher scores indicating a better quality of life. |
| Quality of life assessed by FACT-L | 3 months | FACT-L scores range from 0 to 108, with higher scores indicating a better quality of life. |
| Quality of life assessed by FACT-E Eating and Swallowing Subscales | 3 months | FACT-E Eating and Swallowing Subscales scores range from 0 to 68, with higher scores indicating a better quality of life. |
Countries
China
Contacts
CONTACTHuai Liu, M.D.
PRINCIPAL_INVESTIGATORHuai Liu, M.D.
Hunan Cancer Hospital
Outcome results
None listed