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Individualized Dose Prescription in Advanced Stage Lung Cancer Patients Using Modern (Chemo)Radiotherapy (IDEAL-VMAT)

This study has been terminated.
(Lack of accrual)
Information provided by (Responsible Party):
Jan Bussink, Radboud University Identifier:
First received: March 16, 2012
Last updated: November 6, 2015
Last verified: November 2015
The aim of this present study is to test the feasibility and toxicity of individualized hypofractionated radiotherapy, and to report outcome data. In case this phase II trial has favorable results, a phase II/III trial on maximally tolerable, individualized, hypofractionated radiotherapy within a shorter overall-treatment time is aimed for.

Condition Intervention Phase
Stage III Non-small Cell Lung Cancer Individualized Radiation Dose Escalation Radiation: Individualized dose escalation Phase 2

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Individualized Dose Escalation for Non-small Cell Lung Cancer (NSCLC) Using Volumetric Modulated Arc Therapy (VMAT)

Resource links provided by NLM:

Further study details as provided by Jan Bussink, Radboud University:

Primary Outcome Measures:
  • Pulmonary toxicity grade 2-4 [ Time Frame: 2 years ]
  • Esophageal toxicity grade 2-4 [ Time Frame: 2 years ]

Secondary Outcome Measures:
  • Increase in tumor control probability (TCP) [ Time Frame: 2 years ]
  • Local-regional failure [ Time Frame: 2 years ]
  • Progression-free survival [ Time Frame: 2 years ]
  • Quality of life [ Time Frame: 2 years ]
  • Overall survival [ Time Frame: 2 years ]

Enrollment: 6
Study Start Date: March 2012
Study Completion Date: September 2014
Primary Completion Date: September 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Individualized dose escalation
Individualized dose escalation on the basis of the dose to the organs at risk.
Radiation: Individualized dose escalation
Individualized dose escalation on the basis of the maximally tolerable dose to organs at risk - lung, esophagus, spinal cord, heart, brachial plexus

  Show Detailed Description


Ages Eligible for Study:   18 Years to 85 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Histologically or cytologically confirmed stage IIIA/B NSCLC (excluding pleural effusion and mixed pathology)
  2. Irresectable disease (as assessed by multidisciplinary team) or patient refusing surgery
  3. Disease which can be encompassed within a radical radiotherapy treatment plan in keeping with standard practice at the participating center
  4. Proposed treatment consists of radiotherapy alone or concurrent chemoradiation
  5. WHO performance status 0 or 1
  6. Adequate respiratory function: FEV1 ≥ 1.5 L and DLCO > 40%, predicted on baseline pulmonary function tests
  7. Age ≥ 18 years, no upper age limit
  8. Estimated life expectancy of more than 6 months
  9. Patient is available for follow-up
  10. Written informed consent obtained

Exclusion Criteria:

  1. Clinically diagnosed NSCLC
  2. Previous or current malignant disease likely to interfere with the protocol treatment or comparisons
  3. Prior thoracic radiotherapy
  4. Proposed treatment consist of sequential chemoradiation
  5. Prior lobectomy / pneumonectomy
  6. Prior chemotherapy using gemcitabine or bleomycine
  7. Superior sulcus tumors if the brachial plexus is within the high-dose volume
  8. Medically unstable (e.g., ischaemic heart disease, esophageal disorders)
  9. Pregnancy
  10. Connective tissue disorders
  11. Abnormal kidney function interfering with administration of iv contrast agent (GFR<60)
  12. Uncontrolled diabetes mellitus hampering 18FDG-PET
  13. Inability to comply with protocol or trial procedures
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01577212

Radboud University Nijmegen Medical Centre
Nijmegen, Netherlands, 6500 HB
Sponsors and Collaborators
Radboud University
Principal Investigator: Jan Bussink, MD PhD Radboud University
Principal Investigator: Esther GC Troost, MD PhD Radboud University
Principal Investigator: Robin Wijsman, MD Radboud University
Principal Investigator: Aswin L Hoffmann, MSc Maastro Clinic, The Netherlands
Principal Investigator: Lioe-Fee de Geus-Oei, MD PhD Radboud University
  More Information

Responsible Party: Jan Bussink, Associate Professor, Radboud University Identifier: NCT01577212     History of Changes
Other Study ID Numbers: CMO 2011/345
NL nr 35536.091.11 ( Registry Identifier: CCMO )
Study First Received: March 16, 2012
Last Updated: November 6, 2015

Keywords provided by Jan Bussink, Radboud University:
individualized dose-escalation

Additional relevant MeSH terms:
Lung Neoplasms
Carcinoma, Non-Small-Cell Lung
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases
Carcinoma, Bronchogenic
Bronchial Neoplasms processed this record on August 16, 2017