RecruitingNot ApplicableNCT06037733

Primary Tumor Radiotherapy Omitting CTV for Patients With Advanced NSCLC Responded to Immunotherapy and Chemotherapy

Primary Tumor Radiotherapy Omitting Clinical Target Volume for Patients With Advanced Non Small Cell Lung Cancer Responded to Immunotherapy and Chemotherapy


Sponsor

Hubei Cancer Hospital

Enrollment

134 participants

Start Date

Mar 13, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The aim of this randomized study is to investigate pneumonitis, local tumor control, and survival outcomes of primary tumor radiotherapy omitting CTV for patients with advanced NSCLC responded to immunotherapy and chemotherapy


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria6

  • Histologically or cytologically confirmed advanced non-small cell lung cancer (according to the 8th edition of the TNM cancer staging system of AJCC and UICC);
  • After over two cycles of chemotherapy combined with immunotherapy, the efficacy was CR, PR or SD (with a decreasing trend);
  • Age 18 to 80 years old, performance status 0-1;
  • measurable or evaluable lesions;
  • Survival expectancy is not less than 6 months;
  • adequate cardiac, pulmonary, renal, and hepatic and bone marrow function

Exclusion Criteria10

  • tumor progress after therapy with immunotherapy and chemotherapy
  • EGFR, ALK, or ROS1 mutation;
  • Previous thoracic radiotherapy;
  • grade 2 or more immune-related adverse events after induction immunotherapy
  • Previous malignancies (except stage I non-melanic skin cancer or cervical carcinoma in situ);
  • Pregnant or lactating women
  • undergoing other clinical trials;
  • Have serious comorbidities, including myocardial infarction, severe arrhythmia, severe cerebrovascular disease, ulcer disease, psychosis and uncontrollable diabetes;
  • Patients with HIV positive and undergoing antiviral therapy;
  • Active tuberculosis

Interventions

RADIATIONCTV omitted or delineated

Patients who responded to the therapy (immunotherapy and chemotherapy) were randomly (1:1) assigned into CTV-omitted radiotherapy group or CTV-delineated radiotherapy group.


Locations(1)

Hubei Cancer Hospital

Wuhan, Hubei, China

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NCT06037733


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