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Brief Title: Assessing the Efficacy and Safety of Selective Metabolically Adaptive Radiation Dose Escalation in Locally Advanced Non-Small Cell Lung Cancer Receiving Definitive Chemoradiotherapy
Official Title: A Randomized Phase II Trial to Assess the Efficacy and Safety of Selective Metabolically Adaptive Radiation Dose Escalation in Locally Advanced Non-Small Cell Lung Cancer Receiving Definitive Chemoradiotherapy
Study ID: NCT02788461
Brief Summary: A randomized phase II trial to assess the efficacy and safety of selective metabolically adaptive radiation dose escalation in locally advanced non-small cell lung cancer receiving definitive chemoradiotherapy. Eligible and consenting patients will be randomized to receive conventional chemoradiotherapy or chemoradiotherapy with a radiation (RT) integrated boost. All patients will receive a fludeoxyglucose-positron emission tomography (FDG-PET) scan within two weeks prior to starting treatment. The primary outcome is to determine if dose escalation to metabolically active tumor subvolumes will reduce local-regional failure rate at 2 years.
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
London Regional Cancer Program, London, Ontario, Canada
Stronach Regional Cancer Centre at Southlake Regional Health Centre, Newmarket,, Ontario, Canada
Princess Margaret Cancer Centre, Toronto, Ontario, Canada
Kingston General Hospital, Kingston, Ont, Canada
McGill University Health Centre, Glen site Cedars Cancer Center, Montreal,, Quebec, Canada
CHUS - Hôpital Fleurimont, Sherbrooke, Quebec, Canada
CHU de Quebec - L'Hôtel-Dieu de Québec, Quebec, , Canada