Status:

RECRUITING

PRIME_LUNG: Primary Radiotherapy In MEtastatic Lung Cancer - A Pilot Study

Lead Sponsor:

Peter MacCallum Cancer Centre, Australia

Conditions:

NSCLC

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

Outcome for patients diagnosed with advanced lung cancer remains poor; alternative treatment options are urgently needed. Studies in other metastatic cancers indicate radiotherapy to the primary tumou...

Detailed Description

PRIME-Lung is an open-label randomised pilot study designed to assess the safety and feasibility of radiotherapy to the lung primary prior to commencement of standard of care (SOC) systemic therapy in...

Eligibility Criteria

Inclusion

  • Have provided written informed consent for the trial.
  • Be ≥ 18 years of age on day of signing informed consent.
  • Newly diagnosed, metastatic (stage IV), non-small cell lung cancer (NSCLC), not amenable to curative surgery or curative radiotherapy
  • Histological or cytologically documented NSCLC
  • EGFR/ALK/ROS1 Wild-type
  • Primary disease suitable for radiotherapy and not requiring immediate palliative irradiation
  • ECOG 0-1

Exclusion

  • Medically unfit for systemic therapy
  • EGFR/ALK/ROS1 mutation positive
  • Has had previous thoracic radiotherapy of \> 36Gy in 12 fractions (or equivalent) within the 6 months prior to randomisation.
  • Has diagnosed and/or treated additional malignancy within 3 years prior to randomisation with the exception of: curatively treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin, curatively treated early-stage cervical cancer, breast cancer or prostate cancer with no evidence of active disease. Other exceptions may be considered following consultation with the principal investigator.
  • Has a history of (non-infectious) pneumonitis or current pneumonitis that requires active corticosteroids with a dose equivalent of prednisolone\>10mg/d.
  • Has had any systemic anti-cancer therapy within 4 weeks prior to randomisation
  • A known diagnosis of idiopathic pulmonary fibrosis
  • Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
  • Uncontrolled brain metastases defined as not amenable to surgery or stereotactic radiotherapy

Key Trial Info

Start Date :

January 3 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 1 2025

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT05222087

Start Date

January 3 2022

End Date

April 1 2025

Last Update

August 15 2024

Active Locations (6)

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Page 1 of 2 (6 locations)

1

Gold Coast University Hospital

Southport, Queensland, Australia, 4215

2

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia, 4102

3

Peter MacCallum Cancer Centre - Bendigo

Bendigo, Victoria, Australia, 3550

4

Peter MacCallum Cancer Centre - Monash Cancer Centre

Bentleigh East, Victoria, Australia, 3165