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NCT04273893

Lymphocyte Depletion and Change in Lymphocyte Functionality

Active, enrolled NA Results posted Last updated 10 December 2024
What this trial tests

NA trial testing SBRT with additional treatment planning dose optimization in Lymphocyte Depletion in 55 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
12 February 2020
Primary endpoint
15 May 2023
1 June 2025

Quick facts

Lead sponsorUniversity of Virginia
PhaseNA
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposeprevention
Enrollment55
Start date12 February 2020
Primary completion15 May 2023
Estimated completion1 June 2025
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Virginia

Who can join

18 and older, any sex, with Lymphocyte Depletion. 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.

Impact of Lymphocyte-Sparing SBRT Planning Objectives on Post-SBRT Lymphocyte Count Primary · Baseline to End of SBRT (up to 12 days), 4 weeks after SBRT (up to 1.5 months) and 6 months after SBRT (up to 10 months)

Mean percentage difference of measured absolute lymphocyte counts between the baseline and at each time points for the two separate arms

Between Baseline and End of SBRT
GroupValue95% CI
SBRT Additional Treatment Planning Dose Optimization-15± 18
SBRT With Standard of Care Planning Only-30± 21
Between Baseline and 4 weeks after SBRT
GroupValue95% CI
SBRT Additional Treatment Planning Dose Optimization-22± 24
SBRT With Standard of Care Planning Only-34± 18
Between Baseline and 6 months after SBRT
GroupValue95% CI
SBRT Additional Treatment Planning Dose Optimization-15± 29
SBRT With Standard of Care Planning Only-24± 22
Determine if an Algorithm Can Predict the Magnitude of Post SBRT Lymphocyte Depletion Prospectively for Participants With NSCLC Primary · Baseline to End of SBRT (up to 12 days), 4 weeks after SBRT (up to 1.5 months) and 6 months after SBRT (up to 10 months)

Median of the difference between predicted value and observed measurement of lymphocyte absolute counts.

End of SBRT
GroupValue95% CI
SBRT Additional Treatment Planning Dose Optimization0.140.06 – 0.27
SBRT With Standard of Care Planning Only0.180.08 – 0.38
4 Weeks after SBRT
GroupValue95% CI
SBRT Additional Treatment Planning Dose Optimization0.270.18 – 0.40
SBRT With Standard of Care Planning Only0.180.08 – 0.30
6 Months after SBRT
GroupValue95% CI
SBRT Additional Treatment Planning Dose Optimization0.230.14 – 0.41
SBRT With Standard of Care Planning Only0.210.14 – 0.46

Adverse events — posted to ClinicalTrials.gov

Time frame: From the time informed consent is obtained until 6 months after completion of SBRT (up to 11months). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

SBRT Additional Treatment Planning Dose Optimization
Serious: 10/26 (38%)
Deaths: 1/26
SBRT With Standard of Care Planning Only
Serious: 7/27 (26%)
Deaths: 2/27

Serious adverse events (25 terms)

ReactionSystemSBRT Additional Treatment …SBRT With Standard of Care…
Lung infectionInfections and infestations
DyspneaRespiratory, thoracic and mediastinal disorders
Intracranial hemorrhageNervous system disorders
Productive coughRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
AspirationRespiratory, thoracic and mediastinal disorders
DizzinessNervous system disorders
EncephalopathyNervous system disorders
Flu like symptomsGeneral disorders
Heart failureCardiac disorders
HyperglycemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Mobitz (type) II atrioventricular blockCardiac disorders
Myocardial infarctionCardiac disorders
Non-cardiac chest painGeneral disorders
Pulmonary edemaRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
SepsisInfections and infestations
StrokeNervous system disorders
Upper respiratory infectionInfections and infestations
Urinary tract infectionInfections and infestations
Metabolism and nutrition disorders - Other, specifyMetabolism and nutrition disorders
Gastrointestinal disorders - Other, specifyGastrointestinal disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
Other adverse events (45 terms — click to expand)

ReactionSystemSBRT Additional Treatment …SBRT With Standard of Care…
PneumonitisRespiratory, thoracic and mediastinal disorders
Pulmonary fibrosisRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
AtelectasisRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Productive coughRespiratory, thoracic and mediastinal disorders
Edema limbsGeneral disorders
Non-cardiac chest painGeneral disorders
FractureInjury, poisoning and procedural complications
HeadacheNervous system disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
AnorexiaMetabolism and nutrition disorders
DiarrheaGastrointestinal disorders
DizzinessNervous system disorders
Sore throatRespiratory, thoracic and mediastinal disorders
Weight lossInvestigations
Abdominal painGastrointestinal disorders
Anal hemorrhageGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
LymphadenopathyBlood and lymphatic system disorders
Cardiac disorders - Other, specifyCardiac disorders
Chest wall painMusculoskeletal and connective tissue disorders
ConstipationGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Dry skinSkin and subcutaneous tissue disorders
DysgeusiaNervous system disorders
Endocrine disorders - Other, specifyEndocrine disorders
FeverGeneral disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
HoarsenessRespiratory, thoracic and mediastinal disorders
Lung infectionInfections and infestations
Musculoskeletal and connective tissue disorder - Other, specifyMusculoskeletal and connective tissue disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
PainGeneral disorders
ParesthesiaNervous system disorders
Pulmonary edemaRespiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specifyRespiratory, thoracic and mediastinal disorders
Retinal detachmentEye disorders

Most-reported serious reactions: Lung infection, Dyspnea, Intracranial hemorrhage, Productive cough, Abdominal pain, Aspiration, Dizziness, Encephalopathy.

Data from ClinicalTrials.gov NCT04273893 adverse events section.

Sponsor's own description

Lymphocytes are a type of white blood cell (WBC) responsible for adaptive immunity. Thoracic tumors are adjacent to many blood/immune rich organs including the great vessels, heart, thoracic-spine, and lymph-node-stations. During radiation treatment the impact to lymphocytes can be significant. This may cause a decrease in the amount of lymphocytes. A researcher at UVA has created a system to predict and reduce the immune cell reduction following lung SBRT treatments beyond standard of care. The predicted decrease in lymphocytes will be compared to the actual decrease in lymphocytes found in peripheral blood. Researchers have found a way to give radiation that they think will result in a smaller decrease in lymphocytes after radiation. There will be two groups in this study, about half of the participants will have their radiation designed to decrease radiation to organs with a lot of blood and the other half will receive standard radiation therapy. Participants are being asked to take part in this study because the participants have been diagnosed with NSCLC and will be receiving a type of radiation therapy called stereotactic body radiation therapy (SBRT) where high doses of radiation will be delivered to the tumor, while minimizing damage to healthy surrounding tissues.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Predicting radiation-induced immune suppression in lung cancer patients treated with stereotactic body radiation therapy.
    Colen J, Nguyen C, Liyanage SW, Aliotta E, et al · · 2024 · cited 5× · PMID 38837261 · DOI 10.1002/mp.17181
  2. First Measurement: Proactive Immune Cell Sparing in Radiation Therapy
    Wijesooriya K, Nguyen C, Conaway MR, Read PW, et al · · 2025 · DOI 10.1101/2025.01.05.25320011

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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/NCT04273893.

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