Hypofractionated Radiotherapy for Lung Cancer
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Purpose
The purpose of this trial is to pilot reducing the duration of radiation treatment for lung cancer patients from 6 to 5 weeks using tomotherapy. Specific patient doses will be based on tumor volume being treated. Modeling has shown that increased biologically effective dose (BED) to tumors can be achieved by shortening the radiation delivery schedule and increasing the dose per fraction. This requires decreasing the total dose to hold lung toxicity constant at each dose per fraction level. This is a major paradigm shift in the treatment in this disease and is projected to result in significant improvements in patient outcome as well as a substantial cost savings.
| Condition | Intervention | Phase |
|---|---|---|
|
Lung Cancer |
Radiation: radiation therapy (radiotherapy) |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | The Use of Helical Tomotherapy to Achieve Dose-per-fraction Escalation in Lung Cancer |
- Grade 3 pneumonitis lasting greater than 2 weeks [ Time Frame: 90 days post radiotherapy (XRT) ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 60 |
| Study Start Date: | June 2004 |
| Study Completion Date: | December 2012 |
| Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Bin 1
bin assignment based on tumor volume
|
Radiation: radiation therapy (radiotherapy)
Bin assignment based on tumor volume
|
|
Experimental: Bin 2
Bin assignment based on tumor volume
|
Radiation: radiation therapy (radiotherapy)
Bin assignment based on tumor volume
|
|
Experimental: Bin 3
Bin assignment based on tumor volume
|
Radiation: radiation therapy (radiotherapy)
Bin assignment based on tumor volume
|
|
Experimental: Bin 4
Bin assignment based on tumor volume
|
Radiation: radiation therapy (radiotherapy)
Bin assignment based on tumor volume
|
|
Experimental: Bin 5
Bin assignment based on tumor volume
|
Radiation: radiation therapy (radiotherapy)
Bin assignment based on tumor volume
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Thoracic neoplasm requiring at lest 60 Gy conventional radiotherapy
Exclusion Criteria:
- Prior bleomycin or gemcitabine chemotherapy
- Prior thoracic radiotherapy
Contacts and Locations| United States, Wisconsin | |
| University of Wisconsin Hospital and Clinics | |
| Madison, Wisconsin, United States, 53792 | |
| Principal Investigator: | Anne Traynor, MD | University of Wisconsin, Madison |
More Information
No publications provided
| Responsible Party: | University of Wisconsin, Madison |
| ClinicalTrials.gov Identifier: | NCT00214123 History of Changes |
| Other Study ID Numbers: | RO04502 |
| Study First Received: | September 13, 2005 |
| Last Updated: | January 22, 2013 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Lung Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site |
Neoplasms Lung Diseases Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on June 18, 2013