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临床试验/NCT03214003
NCT03214003已完成不适用

Twice-daily Radiotherapy by Simultaneous Integrated Boosting Technique Versus Twice-daily Standard Radiotherapy for Patients With Limited-stage Small Cell Lung Cancer: a Multicenter, Randomized, Controlled, Phase III Study

Anhui Shi, MD1 个研究点 分布在 1 个国家目标入组 235 人开始时间: 2017年6月30日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
235
试验地点
1
主要终点
Overall survival

研究概览

简要总结

This trial is a multicenter, perspective, non-blinded, randomized controlled phase 3 trial. In order to establish whether the SIB technique can improve the results of twice-daily chemo-RT for patients with LS-SCLC, the investigators will primarily compare survival of patients treated with standard chemotherapy (cisplatin and etoposide) and either SIB twice-daily RT or standard dose twice-daily RT.

详细描述

Three hundred and twenty-six patients with a histological or cytological proven diagnosis of SCLC will be recruited from 35 centers in 14 areas including provinces, municipalities and autonomous region, from May 2017 to May 2020.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Read the patient information and Sign the informed consent before enrollment
  • Either sex, age ≥18 and ≤70
  • Histologically or cytologically confirmed SLCL
  • Limited stage disease(AJCC, 2009 version 7), stage I-III(T any, N any, M0) that can be safely treated with definitive radiation doses, excludes T3-4 due to multiple lung nodules that are too extensive or have tumor/nodal volume that is too large to be encompassed in a tolerable radiation plan, clinical nonmalignant diagnosis by investigator when the pleural is too few to obtain cytological evidence.
  • measurable lesion according RECIST 1.1
  • PS ECOG 0-1
  • having zero to two cycles of systemic chemotherapy with etoposide and cisplatin (cisplatin 60-80 mg/m2 at day1 or divided into two to three days, etoposide 100-120 mg/m2 at day 1 to 3, Q21d, and the treatment delay between two cycles shouldn't be more than 14days).
  • patients especially female patients must satisfy the investigator that they are not pregnant, or are not of childbearing potential, or are using adequate contraception. Man must also use adequate contraception
  • adequate haematological function: white blood cell ≥3.0×109/L , neutrophils ≥1.5×109/L, platelet ≥100×109/L, hemoglobin ≥90g/L.
  • adequate liver and renal function: total bilirubin ≤1.5 ×upper limit normal , alanine transaminase and aspartate aminotransferase ≤1.5 ×upper limit normal, normal serum creatinine and/or calculated creatinine clearance ≥60ml/min.

排除标准

  • prior surgical resection of the primary tumor or prior RT for lung cancer
  • mixed small-cell and non-small-cell histological features
  • contemporaneous immunotherapy or target therapy
  • pregnancy or lactation
  • physical or mental disease that could impact treatment plan
  • unable to understand the trial, or could not follow the process
  • to refuse the sign the informed consent.
  • no history of previous malignancy in the past 5 years (except non-melanomatous skin or in situ servix carcinoma)
  • be allergic to any known protocol in this trail
  • be enrolled in other clinical trial in past 30days

结局指标

主要结局

Overall survival

时间窗: 5 years

from the starting date of treatment until the date of death from any cause

次要结局

  • Local Progression Free Survival(5 years)
  • health related quality of life(from baseline, immediately after radiotherapy and an average of 3 months up to 24 months. Then through study completion, an average of 6 months.From date of randomization until the date of death from any cause, assessed up to 120 months.)
  • Metastasis Free Survival(5 years)
  • acute and late toxicity(from baseline, immediately after radiotherapy and an average of 1 week up to 12 weeks, an average of 3 months up to 24 months. Up to 120 weeks.)

研究者

发起方
Anhui Shi, MD
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Anhui Shi, MD

associate chief physician

Peking University Cancer Hospital & Institute

研究点 (1)

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