Concurrent Chemotherapy Plus HFR Radiation Therapy in Inoperable NSCLC
Pilot Study of the Safety and Feasibility of Administering Concurrent Chemotherapy and Accelerated Hypofractionated Radiation Therapy in the Treatment of Medically Inoperable T2A-T4 N0 Non-small Cell Lung Cancer.
State University of New York - Upstate Medical University
12 participants
Dec 1, 2014
INTERVENTIONAL
Conditions
Summary
The standard treatment for patients with Non-Small Cell Lung Cancer (NSCLC) and clinically negative lymph nodes remains surgery per current guidelines. Five year survival for patients with stage I non-small cell lung cancer is generally greater than 50% after surgery. Many of these patients have heart and lung issues or other diseases which keep them from undergoing curative surgery. Studies have shown that majority of these patients die from their cancer and not from their other diseases. This is the reason for treating early stage lung cancer patients with definitive therapy, when they cannot have surgery. This study will enroll twelve subjects to evaluate the side effects of this treatment, and decide if it is a good option for the patients that cannot have surgery.
Eligibility
Inclusion Criteria9
- Pathologically or cytologically proven diagnosis of non-small cell lung carcinoma.
- Solitary \[T1bN0M0, T2aN0M0, T2bN0M0\] lesion measuring 2-7cm in size. Staging is per AJCC 7th edition of TNM classification.
- Patient must meet criteria for receipt of hypofractionated radiation therapy
- Medically inoperable pulmonary status, cardiac status, or other serious co-morbidity, or patient refusal of primary surgery for lung cancer.
- ECOG Performance status of 0-2.
- Patients may have prior treatment for lung cancer based on the following criteria:
- Surgical resection is allowed if surgery was \> 12 months ago.
- Patients treated with prior radiation are eligible if radiation was \> 12 months ago and there is no evidence of progression and if the lesion is in a different lobe.
- Prior chemotherapy if \> 18 months ago
Exclusion Criteria5
- Node positive or metastatic disease.
- Other active malignancy (specifically, risk of recurrence in 3 years estimated to be greater than 50%) except for non-melanoma skin cancer, in-situ cervical carcinoma (CIN), or low-risk prostate carcinoma on active surveillance are to be excluded.
- Inability to receive systemic therapy or radiation therapy per protocol.
- Inability to fulfill requirements of the protocol.
- Any co-morbidity or condition which, in the opinion of the investigator, may interfere with the assessments and procedures of this protocol.
Interventions
chemotherapy
chemotherapy
accelerated hypofractionated RT
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT02619448