Stage IV Non-small Cell Lung Cancer Clinical Trial
Official title:
A Pilot Study of Cryoablation for Patients With Oligometastatic Cancer Involving the Lung
Verified date | July 2018 |
Source | Wake Forest University Health Sciences |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This pilot clinical trial studies the side effects of cryotherapy (cryoablation [CA]) in treating patients with lung cancer. Cryotherapy kills cancer cells by freezing them.
Status | Withdrawn |
Enrollment | 0 |
Est. completion date | March 2017 |
Est. primary completion date | March 2013 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patients with American Joint Committee on Cancer (AJCC) seventh edition metastatic carcinoma or sarcoma involving the lungs or pleura. - Pathologic diagnosis of stage 4 cancer prior to enrollment by biopsy or on imaging with known (biopsied) primary disease - The target lesion is determined (by CT or magnetic resonance imaging [MRI] images) to be in a location where cryoablation is technically achievable based on the proximity of adjacent organs and structures - Maximum number of lesions per patient will be 5 total (a maximum of 3 on either the right or left side and 2 lesions on the respective contralateral side) - Of these, any lesion not treated with cryoablation will be planned to be treated with radiotherapy or radiofrequency ablation, such that all known active pulmonary disease is planned to be treated with a definitive local therapy - If treatment of both lungs is to occur by cryoablation, these treatments must be separated by at least one week - The lesion(s) treated with cryoablation may be intrapulmonary or pleural and must be =< 3.5 cm in greatest dimension - All patients are required to have been evaluated either in consultation with a radiation oncologist or at least in a multi-disciplinary tumor conference to ensure that all local therapy options are appropriately considered for each patient - Performance Status 0-2 (Eastern Cooperative Oncology Group [ECOG]); Karnofsky Performance Scale >= 60 - Life expectancy > 3 months - Clinically suitable for cryoablation procedure as determined by the treating physician - Platelet count > 50,000/mm^3 within 60 days prior to study registration - International normalized ratio (INR) < 1.5 within 60 days prior to study registration - Absolute neutrophil count (ANC) < 1000 within 21 days prior to study registration - A signed study specific consent form is required Exclusion Criteria: - Primary lung cancer - Unable to lie flat or has respiratory distress at rest - Uncontrolled coagulopathy or bleeding disorders - Evidence of active systemic, pulmonary, or pericardial infection - Pregnant, nursing or wishes to become pregnant during the study - Debilitating medical or psychiatric illness that would preclude giving informed consent or receiving optimal treatment or follow up - Currently participating in other experimental studies that could affect the primary endpoint |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Wake Forest University Health Sciences |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Safety of interventional cryoablation to the lung | Unexpected toxiticities or Grade 4 or 5 toxicities will be recorded and graded according to the Common Terminology Criteria for Adverse Events (CTCAE). | 6 months | |
Secondary | Local control measured by imaging | Measure definitions: Complete Response(tumor disappearance or less than 25% of original size) Partial Response (greater than 30% decrease in the sum of the largest diameter of all targeted tumors) stable Disease (less than 30% decrease in the sum of the largest diameter of all targeted tumors) Local Failure (greater than 20% increase in the sum of the largest diameter of all targeted tumors) Distant Failure (the appearance of distant cancer deposits consistent with metastatic spread of cancer outside the intended treatment area) |
At 1 year | |
Secondary | Changes in Physical function and quality of life | Measured by ECOG and KPS performance status, the Short Form - 12v2 questionnarie and shory physical performance battery | approximately 60 months | |
Secondary | Changes in pulmonary function | Measure by pulmonary function test | At 3 months | |
Secondary | Obtain pilot data useful for the design of a subsequent phase II or randomized phase II trial | approximately 60 months |
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