Actively Recruiting

Phase 2
Age: 18Years - 75Years
All Genders
NCT06582940

Elimination of PTV Margins Based on MRI-guided Adaptive Stereotactic Radiotherapy for Non-small Cell Lung Cancer With Brain Metastasis

Led by Sun Yat-sen University · Updated on 2025-11-17

168

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study aims to explore the safety and efficacy of eliminating the planning target volume (PTV) margins based on MRI-guided adaptive stereotactic radiotherapy for non-small cell lung cancer (NSCLC) patients with brain metastasis.

CONDITIONS

Official Title

Elimination of PTV Margins Based on MRI-guided Adaptive Stereotactic Radiotherapy for Non-small Cell Lung Cancer With Brain Metastasis

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 18-75 years
  • Histologically or cytologically confirmed non-small cell lung cancer
  • 1-10 brain metastases visible on contrast-enhanced MRI
  • Radiotherapy for extracranial lesions is allowed
  • Use of tyrosine kinase inhibitors permitted if intracranial metastases progressed during prior therapy
  • Measurable or evaluable lesions by RECIST criteria
  • ECOG performance status of 0 or 1
  • Normal organ and bone marrow function within 14 days: total bilirubin ≤1.5 times upper limit normal (ULN); AST and ALT ≤1.5 times ULN; absolute neutrophil count ≥500 cells/mm3; creatinine clearance ≥45 mL/min; platelet count ≥50,000 cells/mm3; INR ≤1.5; prothrombin time ≤1.5 × ULN
  • Provided informed consent
Not Eligible

You will not qualify if you...

  • Small cell lung carcinoma
  • Brain metastases requiring surgical decompression
  • Contraindications to MRI
  • Previous radiotherapy or surgical removal of brain metastases
  • Hypertensive crisis, hypertensive encephalopathy, symptomatic heart failure (NYHA class II or above), or recent cerebrovascular or cardiovascular events within 6 months
  • Uncontrolled high blood pressure (systolic >150 mmHg or diastolic >100 mmHg)
  • Major surgery within 28 days or minor surgery/needle biopsy within 48 hours
  • Significant protein in urine (3-4+), or 24-hour urine protein >1 g
  • Severe uncontrolled diseases
  • Uncontrollable seizures or psychosis without self-control
  • Pregnancy or breastfeeding
  • Other conditions deemed unsuitable by investigators

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Sun yat-sen University Cancer Center

Guangzhou, Guangdong, China, 510060

Actively Recruiting

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Research Team

H

Hui Liu

CONTACT

D

DaQuan Wang

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Elimination of PTV Margins Based on MRI-guided Adaptive Stereotactic Radiotherapy for Non-small Cell Lung Cancer With Brain Metastasis | DecenTrialz