At a glance
ClinicalIndex Comparison Record- ✓Histologically or cytologically confirmed limited-stage (I-IIIB) small cell lung cancer confined to one hemithorax, without T4 disease (malignant pleural effusion) or N3 disease (contralateral involvement)
- ✓Complete response achieved after induction chemotherapy with or without thoracic radiotherapy
- ✓Normal brain imaging (CT or MRI) obtained within 1 month before study entry
- ✓No radiographic evidence of ipsilateral lung metastases or malignant pleural effusion (minimal effusion on CT allowed if not visible on chest x-ray)
- ✕Prior external beam radiotherapy to the head or neck, including stereotactic radiotherapy
- ✕Epilepsy requiring permanent oral medication
- ✕Other malignancy within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix
- ✕Concurrent chemotherapy or other concurrent antitumor agents
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Phase II Randomized Trial Of Two Dose Schedules For Delivering Prophylactic Cranial Irradiation For Patients With Limited Disease Small Cell Lung Cancer
In Brief
A Phase 2 clinical trial evaluating Prophylactic cranial irradiation, 2.5 Gy fx, Prophylactic cranial irradiation, 2.0 Gy fx, and 1 other intervention for Lung Cancer. Completed, enrolled 265 participants across 222 sites in 2 countries.
Detailed Summary
RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known which radiation therapy regimen is more effective in preventing brain metastases in patients with limited-stage small cell lung cancer while taking into account chronic neurotoxicity from radiation therapy. PURPOSE: This randomized phase II trial compares the incidence of chronic neurotoxicity between three different brain irradiation regimens. The corresponding phase III component addressing the prevention of brain metastases was run by EORTC and reported separately (NCT00005062).
Study Details
Timeline
Interventions
Prophylactic cranial irradiation, 2.5 Gy once daily, M-F, in 10 fractions (fx) for a total of 25 Gy
Prophylactic cranial irradiation, 2.0 Gy once daily, M-F, in 18 fractions (fx) for a total of 36 Gy
Prophylactic cranial irradiation, 1.5 Gy twice daily, M-F, in 24 fractions (fx) for a total dose of 36 Gy