Predictive Value of FDG-TEP During Radiotherapy (RT) or Chemo-radiotherapy (CRT) in Patients With Non Small Cell Lung Cancer on the One-year Survival (RTEP2)
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Purpose
The poor prognosis in the early-stage of lung cancer is due to potential worsening of the disease (local relapse, metastasis), to insufficient efficacy and toxicity of actual treatments.
FDG-PET is a medical imaging modality allowing the quantification of the tumour glucose consumption. Then, this exam is used for pathology staging, target volume definition for RT, and treatment efficiency few months after RT or CRT. Our assumption is that an FDG-PET exam during the course of the RT or CRT might be predictive of the treatment efficiency few months later.
In this study, the investigators propose to perform 4 FDG-PET: first "PET1" before radiotherapy, second "PET2" during the radiotherapy (see RTEP1), third and fourth "PET3" "PET4" 3month and 12 month after the therapy.
The investigators will investigate the performances of FDG-PET performed during the RT or CRT for the prediction of the one-year patient heath outcome. If the predictive value of TEP2 is confirmed, the investigators would be able to optimize the planning treatment during the course of the therapy.
| Condition | Intervention |
|---|---|
|
Lung Cancer NSCLC |
Procedure: Positron Emission Tomography |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label |
| Official Title: | Predictive Value of FDG-TEP During Radiotherapy (RT) or Chemo-radiotherapy (CRT) in Patients With Non Small Cell Lung Cancer on the One-year Survival |
- SUV max from FDG PETScan [ Time Frame: Baseline - 5 Weeks after begining of radiotherapy- 3 months after end of radiotherapy- 1 year afterwards ] [ Designated as safety issue: No ]Measure of FDG-TEP uptake variation (SUV max) to assess predictive value of FDG-TEP during radiotherapy
- Study of several optimized radiotherapy scenary according to the quantification of the tumour glucose consumption during radiotherapy [ Time Frame: after the completion enrollment date ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 140 |
| Study Start Date: | November 2007 |
| Estimated Study Completion Date: | June 2014 |
| Estimated Primary Completion Date: | June 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
1
Patients treated with curative and exclusive radiotherapy (60 Gy minimum), with possibly prior chemotherapy
|
Procedure: Positron Emission Tomography
Positron Emission Tomography
Other Name: PET scan
|
|
2
Patient treated with concomitant chemotherapy and radiotherapy (60 Gy minimum), with possibly prior chemotherapy chemotherapy Treatment
|
Procedure: Positron Emission Tomography
Positron Emission Tomography
Other Name: PET scan
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically confirmed non-small cell lung cancer
- Fertile patients must use effective contraception
- WHO performance status <2
- Measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension (≥ 10 mm with spiral CT scan)
Exclusion Criteria:
- Pregnant or lactating females
- Baseline fludeoxyglucose F 18 (FDG)-positron emission tomography (PET) scan without any target lesion
- Unable to under PET CT evaluation
- other concurrent investigational agents
- No Planning to undergo curative intent radiotherapy
- familial, social, geographic, or psychological conditions that would preclude study participation
- Prior malignancy progressive disease
Contacts and Locations| Contact: bernard DUBRAY, phD | 00.33.02.32.08.25.04 | bernard.dubray@rouen.fnclcc.fr |
| Contact: Agathe Edet-Sanson, MD | 00.33.02.32.08.25.50 | agaede@rouen.fnclcc.fr |
| France | |
| Centre Henri Becquerel | Recruiting |
| Rouen, France, 76000 | |
| Contact: Arthur DUMOUCHEL, CRA 00.33.02.32.08.29.61 arthur.dumouchel@rouen.fnclcc.fr | |
| Contact: Marc THILLAYS, CRA 00.33.02.32.08.24.97 marc.thillays@rouen.fnclcc.fr | |
| Principal Investigator: Agathe Edet-Sanson, MD | |
| Principal Investigator: | Bernard DUBRAY, phD | Centre Henri Becquerel |
More Information
No publications provided
| Responsible Party: | Centre Henri Becquerel |
| ClinicalTrials.gov Identifier: | NCT01261598 History of Changes |
| Other Study ID Numbers: | CHB06-02 |
| Study First Received: | November 19, 2010 |
| Last Updated: | April 15, 2013 |
| Health Authority: | France: Institutional Ethical Committee |
Keywords provided by Centre Henri Becquerel:
|
Positron-Emission Tomography PET Scan Non-Small-Cell Lung Carcinoma Radiation Oncology SUV |
Additional relevant MeSH terms:
|
Carcinoma, Non-Small-Cell Lung Lung Neoplasms Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms |
Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on May 16, 2013