Hypofractionated, Image-Guided Radiation Therapy With Proton Therapy for Stage I Non-Small Cell Lung Cancer
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Non-Small Cell Lung Cancer
- Sponsor
- University of Florida
- Enrollment
- 23
- Locations
- 1
- Primary Endpoint
- Confirm Grade 3 or higher toxicity rate of hypoIGRT proton therapy in patients with stage I non-small cell lung cancer.
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This is a research study to determine if hypofractionated image guided radiation therapy (hypoIGRT) with proton therapy is a good way to treat early stage lung tumors for patients who will not have surgery. HypoIGRT delivers higher daily doses of radiation over a shorter period of time compared with conventional radiation. This is thought to deliver a more lethal dose of radiation to the tumor and is more convenient with treatment being completed within 2-3 weeks compared to the typical 7-8 week course of conventional radiotherapy.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Pathologically confirmed, by biopsy or cytology, non-small cell lung carcinoma diagnosed within 3 months prior to study enrollment.
- •T1, N0, M0 or T2, N0, M
- •(AJCC Lung 7th Edition)
- •At least 18 years old at the time of consent.
- •Adequate bone marrow function.
- •Medically inoperable. Medically operable candidates are allowed if they refuse surgical resection.
- •If the patient has a large pleural effusion, it must be biopsy negative.
Exclusion Criteria
- •Evidence of distant metastasis (M1) and/or nodal involvement (N1, N2, N3).
- •Synchronous primary.
- •T2 tumors \> 5 cm; T3, T4 primary tumor.
- •Previous radiotherapy for lung cancer.
- •Concomitant local, regional, and/or systemic therapy during radiotherapy.
- •Active systemic, pulmonary, and/or pericardial infection.
Outcomes
Primary Outcomes
Confirm Grade 3 or higher toxicity rate of hypoIGRT proton therapy in patients with stage I non-small cell lung cancer.
Time Frame: 1 year after the end of radiation therapy
Secondary Outcomes
- Collect and analyze outcome data on tumor control and survival(When each patient has been followed for a minimum of 12 months to a maximum of 5 years)
- Assess differences in dosimetric values compared with photons for lung, heart, esophagus, spinal cord, skin and brachial plexus(When each patient has been followed for a minimum of 12 months to a maximum of 5 years)
- Assess changes in quality of life before and after treatment(Before treatment and then when each patient has been followed for a minimum of 12 months to a maxiumum of 5 years)