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Prophylactic Cranial Irradiation (PCI) versus observation in radically treated patients with stage III non-small cell lung cancer: A phase III randomized study.

Recruiting
Conditions
on small cell lung cancer (NSCLC).Patients should either be registered after diagnosis of stage III NSCLC, when potential radical therapy is envisaged, or after radical therapy. After radical treatment, non-progressing patients will be randomized to receive PCI of no PCI.
Registration Number
NL-OMON25846
Lead Sponsor
VALT-oncology en DLCRG
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
300
Inclusion Criteria

Registration:

1. UICC stage III A or IIIB (without malignant pleural or pericardial effusion) non-small cell lung cancer (histology or cytology);

Exclusion Criteria

Registration:

1. Pregnant women are ineligible as treatment involves unforeseen risks to the participant and to the embryo or fetus;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To determine whether PCI decreases the proportion of patients developing symptomatic brain metastases in patients with radically treated stage III NSCLC.<br /><br>Symptomatic brain metastases are defined as a combination of at least key symptom suggesting brain metastases (signs of increased intracranial pressure, headache, nausea and vomiting, cognitive or affective disturbances, seizures and focal neurological symptoms) and MRI or CT proving the existence of brain metastasis.<br>
Secondary Outcome Measures
NameTimeMethod
1. To determine the time to develop neurological symptoms (confirmed or unconfirmed by imaging);<br /><br>2. To determine the side effects and effects on the general condition of PCI with the CTCAE 3.0 scoring system, assessed by the patient;<br /> <br>3. To determine the Quality of Life (QoL) (QLQ-C30 and EuroQol 5D);<br /><br>4. To determine the effect of PCI on the overall survival;<br /><br>5. To find out whether PCI is cost-effective as opposed to observation in this setting. This part of the study will only be performed in Maastricht.
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