Prophylactic Inhaled Steroids to Reduce Radiation Pneumonitis Frequency &

Status Recruiting

Clinical Trial Summary

This randomized clinical study aims to assess whether prophylactic treatment with inhaled steroids in patients with locally advanced or concomitantly treated non-small cell lung carcinoma who are candidates for combination treatment with QT/RT or IMT + QT/RT. The main questions it aims to answer are: Whether prophylactic treatment decreases the severity of NPR on CTCAE v4.0 and RTOG scales. Whether inhaled steroid use modifies the response to radiation therapy treatment compared to patients who do not receive prophylactic inhaled steroids.

Clinical Trial Description

Clinical evaluation The following BASELINE data shall be taken prior to radiation therapy: Demographic, clinical, laboratory, and imaging data will be obtained from medical history and electronic records. The patient will be instructed to perform the PFRs and tests of lung function. Two EORTC, QLQ-C30, and QLQ LC13 quality of life questionnaires and three respiratory symptom questionnaires (St. George, dyspnea scale, and modified BORG) will be performed on the same day of lung function tests. Additionally; blood samples will be taken for the evaluation of inflammatory mediators at the following times: BASAL (before RT), and every six weeks up to 48 weeks post-RT. INTERVENTION GROUP 1. Prior to the onset of RT, the patient will be sorted to receive the control rather than experimental intervention (QT/RT or IMT + QT/RT) and a logbook to record adherence to treatment. 2. An IDM device shall be granted per month, containing the number of doses corresponding to 30 days. The record in the database of the day of the first session of RT will be taken to quantify the number of days of use of the drug and grant the next device per 30 days until the end of the study. 3. The patient will be instructed on the use of the device inhaled with the spacer chamber in the clinic Pulmonology consultation, alarm data and indications of the use of the drug will be given in writing, and knowledge will be reinforced at each visit. 4. The patient will be granted the drug use log where the patient will place the date and time of use of the drug to assess adherence to treatment ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03803787
Study type	Interventional
Source	Instituto Nacional de Cancerologia de Mexico
Contact	Oscar Arrieta, MD MSc
Phone	015556280400
Email	ogarrieta@gmail.com
Status	Recruiting
Phase	Phase 2
Start date	September 1, 2018
Completion date	December 1, 2024

View Details

See also
Status	Clinical Trial	Phase
Recruiting	`NCT02490319` - Study on the Biological Prediction Models of Radiation Pneumonitis
Completed	`NCT03796364` - Clinical Study of Endostatin in Improving Radiation Pneumonia and Fibrosis	Phase 2
Not yet recruiting	`NCT04632342` - Phase 2a Clinical Trial to Evaluate the Efficacy and Safety of HL301 on Radiation Pneumonitis in Non-small Cell Lung Cancer Patients	Phase 2
Recruiting	`NCT05365802` - FAPI PET for Lung Fibrosis	Early Phase 1
Completed	`NCT01754909` - Mitigation of Radiation Pneumonitis and Fibrosis	Phase 2
Recruiting	`NCT05189496` - Hyperbaric Oxygen in the Prevention of Radiation Pneumonitis	N/A
Completed	`NCT01745484` - Role of SPECT in Radiotherapy of Lung Cancer and Toxicity Evaluation	N/A
Enrolling by invitation	`NCT02809456` - Mitigation of Radiation Pneumonitis, Fibrosis and Heart Toxicity With Nicorandil in Lung Cancer Patients	Phase 2
Recruiting	`NCT00155909` - Risk Factors of Radiation Pneumonitis	N/A
Recruiting	`NCT06069115` - Radiotherapy Exposed Lung Injury: Effect on Functioning - Cohort
Completed	`NCT04863027` - Use of Dual Energy Computed Tomography in Thoracic Radiotherapy Planning.
Not yet recruiting	`NCT02296281` - Safety and Efficacy Study of Pirfenidone to Treat Grade 2 or Above Radiation-induced Lung Injury	Phase 2
Completed	`NCT03462524` - Neoadjuvant Therapy for Esophageal Cancer and Cardiopulmonary Physiology	N/A
Recruiting	`NCT05448703` - A Study on Predictive Models and Clinical Outcome of Radiation Pneumonitis
Recruiting	`NCT06079931` - The Efficacy of Babaodan Capsules in Preventing Radiation Pneumonia	Phase 2
Recruiting	`NCT04676828` - Functional Lung Avoidance SPECT-guided Radiation Therapy of Lung Cancer	N/A
Recruiting	`NCT02735746` - Novel Lung Imaging in Adults Undergoing Radiation Therapy to Assess for Radiation Pneumonitis

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Prophylactic Inhaled Steroids to Reduce Radiation Pneumonitis Frequency and Severity in Lung Cancer Patients

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms