Personalized Adaptive Radiation Therapy With Individualized Systemic Targeted Therapy (PARTIST) for Locally Advanced, Non-small Cell Lung Cancer With Genomic Driver Mutations

Withdrawn before enrolling · Early Phase 1

Conditions studied: Non-Small Cell Lung Cancer

In brief

Hypotheses: Short-term - Targeted therapy with erlotinib or crizotinib plus PART (Personalized Adaptive Radiation Therapy) will be safe and will yield favorable outcomes in patients with stage III, EGFR (Epidermal Growth Factor Receptor) + or ALK (Anaplastic Lymphoma Kinase) + NSCLC (Non-Small Cell Lung Cancer). Long-term - In patients with stage III NSCLC harboring driver mutations, treatment with relevant targeted agents plus PART will improve both local-regional and systemic tumor control resulting in improved survival relative to standard chemoradiotherapy.

Key facts

Study ID

NCT02277457

Run by

University of Michigan Rogel Cancer Center

People needed

0

Starts

2015-09-01

Last updated by the study team

2016-06-24

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients with FDG-avid (radioactive glucose) and pathologically proven stage IIA-IIB or IIIA-IIIB non-small cell lung cancer (according to AJCC [American Joint Committee on Cancer] staging, 7th edition).
• Patients with tumors that harbor either EGFR sensitizing mutations or ALK rearrangement.
• Patients must be considered unresectable or medically inoperable; patients who decline surgery are also eligible.
• Patients must be 18 years of age or older.
• Patients with ECOG (Eastern Cooperative Oncology Group) performance status of 0-2.
• Patients must have adequate organ function.
• Patients must be able to take oral medications.
• Women with reproductive capability must be willing to use effective contraception.
• Patients must be informed of the investigational nature of this study and sign written informed consent in accordance with institutional and federal guidelines.
• Patients must be willing to comply with study procedures.

You may not qualify if…

• Patients with tumors that have a component of small cell carcinoma.
• Patients wtih stage I, II, or IV disease, including malignant pleural or pericardial effusion.
• Prior radiotherapy to the thorax such that composite radiation would significantly over-dose critical structures, either per estimation of the treating radiation oncologist or defined by failure to meet normal tissue tolerance constraints.
• Patients who cannot tolerate thoracic radiotherapy or targeted therapy.
• Patients wtih a prior diagnosis of interstitial lung disease or pulmonary fibrosis.
• Patients who cannot take oral medication, require intravenous alimentation, had prior surgical procedures affecting gastrointestinal absorption, or have active peptic ulcer disease.
• Hypersensitivity to erlotinib, crizotinib, or to any of the excipients.
• Pregnant women are excluded from this study because radiation has the potential for teratogenic or abortifacient effects.
• Prisoners are excluded from this study.

Where it is running

• University of Michigan Comprehensive Cancer Center — Ann Arbor, Michigan, United States

Full record on ClinicalTrials.gov

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