Status:

ENROLLING_BY_INVITATION

Personalized SBRT in Early-Stage Peripheral NSCLC

Lead Sponsor:

Tianjin Medical University Cancer Institute and Hospital

Conditions:

Early-stage Peripheral Non-small Cell Lung Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This study aims to learn about the long-term safety and effectiveness of personalized stereotactic body radiotherapy (SBRT) in patients with early-stage peripheral non-small cell lung cancer (NSCLC). ...

Eligibility Criteria

Inclusion

  • Inclusion Criteria
  • Participant or legal guardian provides written informed consent.
  • Age ≥18 years; no upper age limit; male or female.
  • Pathologically confirmed non-small-cell lung cancer (NSCLC) staged T1-2N0M0 (IA-IIA, AJCC 8th ed.).
  • Peripheral tumor location: ≥2 cm from the proximal bronchial tree or any mediastinal structure.
  • Medically inoperable (e.g., FEV1 \<40 % predicted, DLCO \<40 % predicted, NYHA class III-IV heart failure) or refusal of surgery.
  • ECOG performance status 0-2.
  • Life expectancy ≥6 months per investigator judgment.
  • Measurable disease by RECIST 1.1.
  • Adequate organ function (blood counts, liver and renal indices) per institutional standards.
  • Willing and able to comply with all study procedures, imaging schedules, and follow-up visits.
  • Effective contraception for women of child-bearing potential and fertile men for 12 months after SBRT completion.
  • Exclusion Criteria
  • Previous thoracic radiotherapy, chemotherapy, targeted therapy, or surgery for lung cancer.
  • Evidence of regional or distant metastases.
  • Concurrent or prior malignancy within 5 years (except adequately treated basal-cell carcinoma of skin or carcinoma in situ of cervix).
  • Active interstitial pneumonitis, radiation pneumonitis, drug-induced pneumonitis, or clinically significant pulmonary fibrosis.
  • Pregnancy, lactation, or planned pregnancy.
  • Participation in another interventional clinical trial with an unmet primary endpoint.
  • Known psychiatric disorder, substance abuse, or other condition that would impair compliance.
  • Contraindication to contrast-enhanced CT or PET-CT imaging.
  • Investigator-determined medical, social, or psychological contraindications that could compromise safety or data integrity.

Exclusion

    Key Trial Info

    Start Date :

    August 4 2023

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    March 1 2029

    Estimated Enrollment :

    251 Patients enrolled

    Trial Details

    Trial ID

    NCT07167459

    Start Date

    August 4 2023

    End Date

    March 1 2029

    Last Update

    September 11 2025

    Active Locations (2)

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    Page 1 of 1 (2 locations)

    1

    Tianjin Medical University Cancer Institute and Hospital, Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin 300060

    Tianjin, Tianjin Municipality, China, 300381

    2

    Tianjin Medical University Cancer Institute and Hospital, Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin 300060

    Tianjin, Tianjin Municipality, China