NL-OMON41422招募中2 期
Treatment of larger tumor volumes or >= 2 lung tumors simultaneously in lung cancer patients using SBRT in a mean-lung dose escalation study - Irradiation of large lung tumors or >= two lung tumors
Antoni van Leeuwenhoek Ziekenhuis0 个研究点目标入组 35 人开始时间: 待定最近更新:
适应症
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 35
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- 18 至 99(—)
入选标准
- •Inclusion criteria for riskgroup A and B
- •- Weight loss < 10% in the last three months
- •- WHO-performance status <= 2 (see Appendix II)
- •- Medical inoperable patients or patients refusing surgery
- •- Chemotherapy is allowed in neoadjuvant and adjuvant setting, with exclusion of the period 4 weeks pre-SBRT and 6 weeks post-SBRT.
- •- Before patient registration, written informed consent must be given according to ICH/GCP, national and local regulations (see section 11.3).
- •- Check of inclusion by PI (h.peulen@nki.nl and j.belderbos@nki.nl*) by sending
- •oScreenshot of CT-thorax with tumor location
- •oCase summary
- •oTreatment plan
- •Risk group A specification (large lung tumors):
- •- NSCLC (Cytological or histological proven) patients with one peripheral tumor >5 cm with tumor staging cT2bN0M0 or cT3N0M0 (chest wall infiltration is no exclusion criteria, as long as the tumor diameter is > 5 cm).
- •- In patients without cytological or histological confirmation of NSCLC, a growing FDG-PET positive lesion (SUV >5) is accepted if a contra-indication for invasive diagnostic examination (or refusal) is present
- •- Or a single peripheral lung metastasis in inoperable patients with a diameter of > 5 cm. In case of first presentation of metastatic disease, cytological or histological proof is obligated.
- •Risk group B specification (lung metastases):
- •- Patients with 2 peripheral lprimary NSCLC <= 5 with tumor staging cT1-2aN0M0 (cytological/histological proven or growing and PET positive as described in section 5.2.2)
- •- Patients having two or more peripheral lung tumors without unacceptable dose overlap
- •- Or patients with >= 2 peripheral lung metastases <= 5 cm of any origin at any location in the lung. In case of first presentation of metastatic disease, cytological or histological proof is obligated. This is not necessary in case of a history of an already proven disseminated disease.
排除标准
- •- patients with more lung tumors/metastases who will very likely be retreated within 6 months
- •- Patients with central tumors
- •- Pancoast tumors
- •- Prior radiotherapy treatment to the thorax.
- •- Patients previously treated with adriamycin agents in case of heart involvement within the treatment field
- •- FEV1 and DLCO less than 40 % of the age-adjusted normal value
- •- patients receiving any systemic treatment
- •- pregnancy
- •- patients receiving Bevacizumab within 3 months prior to SBRT or within 1 month post SBRT.
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