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NCT03623334

Phase I Study of Accelerated Hypofractionated Image-Guided Radiation Therapy

Completed NA Results posted Last updated 4 May 2021
What this trial tests

NA trial testing Image-Guided Radiation Therapy in Non-small Cell Lung Cancer in 55 participants. Completed in 10 February 2018.

Timeline
5 October 2009
Primary endpoint
2 November 2012
10 February 2018

Quick facts

Lead sponsorUniversity of Texas Southwestern Medical Center
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment55
Start date5 October 2009
Primary completion2 November 2012
Estimated completion10 February 2018

Drugs / interventions tested

Conditions studied

Sponsor

University of Texas Southwestern Medical Center

Who can join

Adults 18 to 99, any sex, with Non-small Cell Lung Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Dose Limiting Toxicity Primary · 90 days after start of treatment up to 1 year

A dose limiting toxicity (DLT) is defined as treatment-related (definitely and probably, but not possibly related to treatment\*) grade 3 adverse events (per CTCAE, v.3.0, with the exception of pulmonary function tests)

GroupValue95% CI
Dose Level A: IGRT 3.33Gy x 15 Fractions (50 Gy)1
Dose Level B: IGRT 3.67Gy x 15 Fractions (55 Gy)1
Dose Level C: IGRT 4.00Gy x 15 Fractions (60 Gy)1
Number of Participants With Local Regional Tumor Control at 3 Months Secondary · 3 months

Local control is defined as the absence of isolated progression (stable disease or responsive disease at last follow-up) within the primary tumor. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions.

GroupValue95% CI
Dose Level A: IGRT 3.33Gy x 15 Fractions (50 Gy)4
Dose Level B: IGRT 3.67Gy x 15 Fractions (55 Gy)11
Dose Level C: IGRT 4.00Gy x 15 Fractions (60 Gy)11
Number of Participants With Local Regional Tumor Control at 6 Months Secondary · 6 months

Local control is defined as the absence of isolated progression (stable disease or responsive disease at last follow-up) within the primary tumor. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions.

GroupValue95% CI
Dose Level A: IGRT 3.33Gy x 15 Fractions (50 Gy)2
Dose Level B: IGRT 3.67Gy x 15 Fractions (55 Gy)5
Dose Level C: IGRT 4.00Gy x 15 Fractions (60 Gy)8
Number of Participants With Local Regional Tumor Control at 9 Months Secondary · 9 months

Local control is defined as the absence of isolated progression (stable disease or responsive disease at last follow-up) within the primary tumor. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions.

GroupValue95% CI
Dose Level A: IGRT 3.33Gy x 15 Fractions (50 Gy)2
Dose Level B: IGRT 3.67Gy x 15 Fractions (55 Gy)4
Dose Level C: IGRT 4.00Gy x 15 Fractions (60 Gy)5
Number of Participants With Local Regional Tumor Control at 12 Months Secondary · 12 months

Local control is defined as the absence of isolated progression (stable disease or responsive disease at last follow-up) within the primary tumor. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions.

GroupValue95% CI
Dose Level A: IGRT 3.33Gy x 15 Fractions (50 Gy)1
Dose Level B: IGRT 3.67Gy x 15 Fractions (55 Gy)1
Dose Level C: IGRT 4.00Gy x 15 Fractions (60 Gy)4
Number of Participants With Local Regional Tumor Control at 16 Months Secondary · 16 months

Local control is defined as the absence of isolated progression (stable disease or responsive disease at last follow-up) within the primary tumor. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions.

GroupValue95% CI
Dose Level A: IGRT 3.33Gy x 15 Fractions (50 Gy)1
Dose Level B: IGRT 3.67Gy x 15 Fractions (55 Gy)0
Dose Level C: IGRT 4.00Gy x 15 Fractions (60 Gy)2
Number of Participants With Local Regional Tumor Control at 20 Months Secondary · 20 months

Local control is defined as the absence of isolated progression (stable disease or responsive disease at last follow-up) within the primary tumor. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions.

GroupValue95% CI
Dose Level A: IGRT 3.33Gy x 15 Fractions (50 Gy)1
Dose Level B: IGRT 3.67Gy x 15 Fractions (55 Gy)0
Dose Level C: IGRT 4.00Gy x 15 Fractions (60 Gy)0
Overall Survival at 6 Months Secondary · 6 months

Overall survival is defined as participants alive during the research period.

GroupValue95% CI
Dose Level A: IGRT 3.33Gy x 15 Fractions (50 Gy)11
Dose Level B: IGRT 3.67Gy x 15 Fractions (55 Gy)13
Dose Level C: IGRT 4.00Gy x 15 Fractions (60 Gy)12

Adverse events — posted to ClinicalTrials.gov

Time frame: This was collected over a period of 12 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Dose Level A: IGRT 3.33Gy x 15 Fractions (50 Gy)
Serious: 5/15 (33%)
Deaths: 14/15
Dose Level B: IGRT 3.67Gy x 15 Fractions (55 Gy)
Serious: 4/21 (19%)
Deaths: 14/21
Dose Level C: IGRT 4.00Gy x 15 Fractions (60 Gy
Serious: 4/19 (21%)
Deaths: 11/19

Serious adverse events (2 terms)

ReactionSystemDose Level A: IGRT 3.33Gy …Dose Level B: IGRT 3.67Gy …Dose Level C: IGRT 4.00Gy …
G2 or higher dyspneaCardiac disorders
G2 or higher EsophagitisGeneral disorders
Other adverse events (30 terms — click to expand)

ReactionSystemDose Level A: IGRT 3.33Gy …Dose Level B: IGRT 3.67Gy …Dose Level C: IGRT 4.00Gy …
≤G2 EsophagitisGeneral disorders
≤G2 DyspneaCardiac disorders
PainNervous system disorders
DyspneaRespiratory, thoracic and mediastinal disorders
AnorexiaPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
PneumoniaInfections and infestations
DermatitisSkin and subcutaneous tissue disorders
DysphagiaGeneral disorders
AnemiaBlood and lymphatic system disorders
AtelectasisRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
WheezingRespiratory, thoracic and mediastinal disorders
AnxietyNervous system disorders
CellulitisInfections and infestations
ConfusionNervous system disorders
DehydrationGastrointestinal disorders
DeliriumPsychiatric disorders
DizzinessNervous system disorders
DysarthriaRespiratory, thoracic and mediastinal disorders
HypercalcemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
HypotensionCardiac disorders
NeuropathyMusculoskeletal and connective tissue disorders
Pulmonary fibrosisRespiratory, thoracic and mediastinal disorders
SyncopeNervous system disorders
ThrombosisVascular disorders

Most-reported serious reactions: G2 or higher dyspnea, G2 or higher Esophagitis.

Data from ClinicalTrials.gov NCT03623334 adverse events section.

Sponsor's own description

The study is designed to determine whether daily image guidance and motion assessment/control will allow treatment of poor performance status patients with stage II-IV NSCLC, who would benefit from local therapy, with an accelerated course of hypofractionated radiation therapy.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other recruiting trials for Non-small Cell Lung Cancer

Currently open trials in the same condition.

Other University of Texas Southwestern Medical Center trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03623334.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing