Shrinking Target Adaptive Radiotherapy for Locally Advanced Non-Small Cell Lung Cancer

Lawson Health Research Institute

Status

Terminated

Conditions

Non Small Cell Lung Cancer

Treatments

Radiation: Adaptive radiotherapy

Study type

Interventional

Funder types

Other

Identifiers

NCT01647334

Lung-START

Details and patient eligibility

About

This study aims to use a type of radiation (adaptive radiotherapy) to deliver curative-intent treatment to patients with non-small cell lung cancer, whose tumors would otherwise be too large for standard curative treatment. The study will use adaptive radiotherapy to achieve these goals. Adaptive radiotherapy is a process whereby treatment plans are modified during the course of treatment due to patient and tumor variations (ie. weight loss or tumor shrinkage). This may allow for dose escalation, while limiting the side effects.

Enrollment

29 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age 18 or older
Willing to provide informed consent
ECOG performance status 0-2
Histologically confirmed non-small cell lung carcinoma
Locally advanced stage IIIA or IIIB lung carcinoma according to AJCC 7th edition
Expected lung V20 of 35-60%, as determined at the time of 4D-CT simulation
Assessment by medical oncologist and radiation oncologist, with adequate hepatic and renal function for administration of cisplatin-based doublet chemotherapy, at the discretion of the medical oncologist

Exclusion criteria

Serious medical comorbidities or other contraindications to radiotherapy or chemotherapy
Prior history of lung cancer within 5 years
Prior thoracic radiation at any time
Metastatic disease
in some select cases, patients with a solitary metastasis (i.e. brain metastasis) may receive radical chemoradiotherapy after resection/ablation of their metastatic lesion, as standard practice. In such cases, the patient may be enrolled onto this study at the discretion of the local principle investigator once the metastasis has been treated.
inability to attend full course of radiotherapy of follow-up visits
Pregnant or lactating women