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Hippocampus Avoidance PCI vs PCI (HA-PCI)

Netherlands Cancer Institute (NKI) logo

Netherlands Cancer Institute (NKI)

Status and phase

Completed
Phase 3

Conditions

Small Cell Lung Cancer
Lung Cancer

Treatments

Radiation: Radiation Prophylactic Cranial Irradiation
Radiation: Radiation Hippocampal Avoidance PCI

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Using Intensity Modulated radiotherapy it is possible to treat the entire brain to standard dosages of whole-brain radiation, while keeping the radiation dose to the hippocampus low. However, a clear relationship between radiation dose and damage to the hippocampal stem cells has not been established yet.

This study is initiated to investigate the early and delayed neurotoxicity of PCI and to assess in a randomised design the benefits and risks of sparing the hippocampus in Small Cell Lung Cancer patients who receive PCI.

Enrollment

168 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

    • Small Cell Lung Cancer patients (stage I-III or stage IV without clinical or radiological evidence of brain metastases) candidate for PCI, i.e. without progressive disease after chemo-radiotherapy in stage I-III or after a remission after chemotherapy in stage IV
  • Sufficient proficiency in Dutch

Exclusion criteria

  • Prior radiotherapy to the brain
  • Clinical evidence for brain metastases or primary brain tumors- Evidence of progressive extracranial metastatic disease
  • Previous malignancy < 2 years ago except for adequately treated basal cell carcinoma of the skin and carcinoma in situ of the cervix
  • Any systemic anticancer treatment during PCI or within 3 weeks before start PCI
  • Pregnancy or lactation

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

Single Blind

168 participants in 2 patient groups

Prophylactic Cranial Irradiation
Active Comparator group
Description:
Radiation. Prophylactic Cranial Irradiation: 10 times 2.5 Gy (total 25 Gy)
Treatment:
Radiation: Radiation Prophylactic Cranial Irradiation
Hippocampal Avoidance PCI
Experimental group
Description:
Radiation. Hippocampal Avoidance PCI. 10 times 2.5 Gy (total 25 Gy).
Treatment:
Radiation: Radiation Hippocampal Avoidance PCI

Trial contacts and locations

9

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Data sourced from clinicaltrials.gov

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