UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000019279
Receipt number R000022294
Scientific Title Phase II trial of individualized lung tumor stereotactic ablative radiotherapy (iSABR)
Date of disclosure of the study information 2015/10/13
Last modified on 2022/02/14 16:02:12

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Phase II trial of individualized lung tumor stereotactic ablative radiotherapy (iSABR)

Acronym

Phase II trial of individualized lung tumor stereotactic ablative radiotherapy (iSABR)

Scientific Title

Phase II trial of individualized lung tumor stereotactic ablative radiotherapy (iSABR)

Scientific Title:Acronym

Phase II trial of individualized lung tumor stereotactic ablative radiotherapy (iSABR)

Region

Japan


Condition

Condition

Primary or metastatic lung cancer

Classification by specialty

Medicine in general Radiology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

The primary objective is to evaluate the local control of individually optimized lung tumor SABR. Secondary objectives include evaluation of toxicity and evaluation of the feasibility of anatomically optimized AVB-coached breath-hold technique assisted by fast delivery using gated RapidArc with FFF in a subset of patients. Additional secondary objectives include determining progression free, metastasis free, and overall survival in patients treated with individually optimized lung tumor SABR.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Local tumor control of individually optimized lung tumor SABR at 12 months after treatment. Local failure will be defined as tumor biopsy and/or radiographic progression on CT and/or PET/CT.

Key secondary outcomes

Toxicity of individually optimized lung tumor SABR

Feasibility of anatomically optimized AVB-coached breath-hold technique assisted by fast delivery using gated RapidArc with FFF in a subset of patients. Feasibility will be assessed based on:
(1) The proportion of patients able to reproduce an anatomically-optimized breath-hold with AVB-coaching during treatment.
(2) The reduction in treatment delivery time compared to gated free-breathing treatment.

Metastasis free and overall survival in patients treated with SABR.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Stereotactic body radiotherapy

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Limited primary NSCLCs (T1aN0M0, T1bN0M0, T2aN0M0, T2bN0M0, or T3N0M0) or metastatic lung tumors with no evidence of uncontrolled extrathoracic metastases.
2) Up to 4 lesions may be included. For a single lesion the sum of three orthogonal diameters can be no more than 20 cm. For multiple lesions, no lesion can have a sum of orthogonal diameters greater than 15 cm.
3) Both peripheral and central tumors are accepted for this trial.
4) Age > 18 years old
5) Both men and women and members of all races and ethnic groups are eligible for this trial.

Note: Patients may be enrolled more than once (eg, for a new tumor)

Key exclusion criteria

1) Evidence of uncontrolled extrathoracic metastases
2) Contraindication to receiving radiotherapy
3) Age < 18 years old. Children are excluded because lung malignancies rarely occur in this age group. Furthermore, treatment requires a great deal of patient cooperation including the ability to lie still for several hours in an isolated room.
4) Pregnant and breastfeeding women are excluded; as well as women of child-bearing potential who are unwilling or unable to use an acceptable method of birth control (hormonal or barrier method of birth control; abstinence) to avoid pregnancy for the duration of the study. Male subjects must also agree to use effective contraception for the same period as above. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
5) Prior radiation therapy is allowed but there should not be overlap with the prior high dose regions unless approved by the protocol directors.

Target sample size

260


Research contact person

Name of lead principal investigator

1st name Hiroki
Middle name
Last name Shirato

Organization

Hokkaido University Graduate School

Division name

Graduate school of medicine

Zip code

0608646

Address

North 14 West 5, Kita-Ku, Sapporo, Hokkaido

TEL

+81-11-706-8517

Email

shirato@med.hokudai.ac.jp


Public contact

Name of contact person

1st name Hiroki
Middle name
Last name Shirato

Organization

Hokkaido University Graduate School

Division name

Graduate School of Medicine

Zip code

0608646

Address

North 14 West 5, Kita-Ku, Sapporo, Hokkaido

TEL

+81-11-706-8517

Homepage URL


Email

shirato@med.hokudai.ac.jp


Sponsor or person

Institute

Stanford Cancer Center
875 Blake Wilbur Drive
Stanford, CA 94305

Institute

Department

Personal name



Funding Source

Organization

Global Institution for Collaborative Research and Education GI-CoRE

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hokkaido University Hospital Division of Clinical Research Administration

Address

North 14 West 5, Kita-Ku, Sapporo, Hokkaido

Tel

+81-11-706-7636

Email

crjimu@huhp.hokudai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2015 Year 10 Month 13 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

217

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 09 Month 25 Day

Date of IRB

2015 Year 09 Month 24 Day

Anticipated trial start date

2016 Year 05 Month 09 Day

Last follow-up date

2021 Year 10 Month 31 Day

Date of closure to data entry

2022 Year 02 Month 09 Day

Date trial data considered complete

2022 Year 02 Month 09 Day

Date analysis concluded

2022 Year 02 Month 09 Day


Other

Other related information



Management information

Registered date

2015 Year 10 Month 08 Day

Last modified on

2022 Year 02 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022294