Radiation Therapy in Preventing CNS Metastases in Patients With Non-Small Cell Lung Cancer

This study has been completed.
Eastern Cooperative Oncology Group
Information provided by:
National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:
First received: November 12, 2002
Last updated: June 17, 2011
Last verified: January 2009

November 12, 2002
June 17, 2011
September 2002
January 2011   (final data collection date for primary outcome measure)
Overall survival [ Designated as safety issue: No ]
Not Provided
Complete list of historical versions of study NCT00048997 on ClinicalTrials.gov Archive Site
  • Neuropsychological impact of prophylactic cranial irradiation (PCI) [ Designated as safety issue: No ]
  • Impact of PCI on quality of life [ Designated as safety issue: No ]
  • Impact of PCI on incidence of CNS metastases [ Designated as safety issue: No ]
Not Provided
Not Provided
Not Provided
Radiation Therapy in Preventing CNS Metastases in Patients With Non-Small Cell Lung Cancer
A Phase III Comparison Of Prophylactic Cranial Irradiation Versus Observation In Patients With Locally Advanced Non-Small Cell Lung Cancer

RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known if giving radiation therapy to the head is effective in preventing CNS metastases in patients who have stage III non-small cell lung cancer.

PURPOSE: This randomized phase III trial is studying how well radiation therapy to the head works in preventing CNS metastases in patients who have been previously treated for stage III non-small cell lung cancer.


  • Determine whether prophylactic cranial irradiation improves survival after effective locoregional/systemic therapy in patients with stage IIIA or IIIB non-small cell lung cancer.
  • Determine the neuropsychologic impact of this therapy in these patients.
  • Assess quality of life of patients receiving this therapy.
  • Determine the impact of this therapy on the incidence of CNS metastases in these patients.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to disease stage (IIIA vs IIIB), histology (non-squamous cell vs squamous cell), and prior surgery (yes vs no). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients undergo prophylatctic cranial irradiation 5 days a week for 3 weeks.
  • Arm II: Patients undergo observation. Quality of life is assessed at baseline and at months 6, 12, 24, 36, and 48.

Patients are followed 3 months during the first year, every 6 months for 2-3 years and then annually thereafter.

PROJECTED ACCRUAL: A total of 1,058 patients (529 per treatment arm) will be accrued for this study within 36 months.

Phase 3
Allocation: Randomized
Primary Purpose: Treatment
Lung Cancer
  • Other: clinical observation
    Patients undergo observation.
  • Radiation: radiation therapy
    Given 5 days a week for 3 weeks
  • Experimental: Arm I
    Patients undergo prophylactic cranial irradiation 5 days a week for 3 weeks.
    Intervention: Radiation: radiation therapy
  • No Intervention: Arm II
    Patients undergo observation.
    Intervention: Other: clinical observation

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
Not Provided
January 2011   (final data collection date for primary outcome measure)


  • Diagnosis of stage IIIA or IIIB non-small cell lung cancer

    • Complete response, partial response, or stable disease after definitive locoregional therapy (thoracic radiotherapy) with or without systemic chemotherapy and/or surgery (chemotherapy alone is not considered definitive therapy)

      • No more than 16 weeks since prior therapy
  • No progressive disease
  • No extracranial distant metastatic disease
  • No suspicion of CNS metastases by MRI or CT scan



  • 18 and over

Performance status

  • Not specified

Life expectancy

  • Not specified


  • Not specified


  • Not specified


  • Not specified


  • No other malignancy within the past 3 years except nonmelanoma skin cancer
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception


Biologic therapy

  • No concurrent anticancer biologic therapy


  • See Disease Characteristics
  • No concurrent anticancer cytotoxic chemotherapy

Endocrine therapy

  • Not specified


  • See Disease Characteristics
  • No prior cranial irradiation


  • See Disease Characteristics


  • Recovered from all prior therapies
  • No concurrent enrollment on any other phase III study that has progression-free, disease-free, or overall survival as an endpoint
18 Years and older
Contact information is only displayed when the study is recruiting subjects
United States
CDR0000257200, RTOG-0214, ECOG-RTOG-0214
Not Provided
Walter John Curran, Jr, Radiation Therapy Oncology Group
Radiation Therapy Oncology Group
  • National Cancer Institute (NCI)
  • Eastern Cooperative Oncology Group
Study Chair: Elizabeth M. Gore, MD Medical College of Wisconsin
Study Chair: James A. Bonner, MD University of Alabama at Birmingham
National Cancer Institute (NCI)
January 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP