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临床试验/NL-OMON41422
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.

研究者

发起方
Antoni van Leeuwenhoek Ziekenhuis

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