Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT07193641

A Study on Using SFRT With Standard Treatment for Oligoprogressive NSCLC

Led by Second Affiliated Hospital, School of Medicine, Zhejiang University · Updated on 2025-09-26

25

Participants Needed

1

Research Sites

156 weeks

Total Duration

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AI-Summary

What this Trial Is About

The goal of this clinical trial is to learn if spatially fractionated radiotherapy (SFRT) combined with standard systemic therapy can treat oligoprogressive non-small cell lung cancer (NSCLC) in patients who have progressed after at least one line of systemic therapy. The main question it aims to answer is: \- Can the combination of SFRT and standard systemic therapy improve progression-free survival (PFS) compared to standard systemic therapy alone? Participants will: * Undergo SFRT treatment for oligoprogressive lesions, with specific dose fractionation determined by the radiation oncologist based on clinical parameters. * Continue their standard systemic therapy, which may include chemotherapy, targeted therapy, or immunotherapy, as adjusted by their treating physician. * Have regular follow-up assessments, including imaging studies to evaluate treatment response and monitor for disease progression.

CONDITIONS

Official Title

A Study on Using SFRT With Standard Treatment for Oligoprogressive NSCLC

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older, any sex
  • ECOG performance status score of 2 or less with expected survival over 3 months
  • Confirmed non-small cell lung cancer with up to 5 progressive lesions after at least one systemic therapy
  • Target lesion for radiotherapy not previously irradiated or treated over 6 months ago
  • Target lesion diameter at least 4.5 cm suitable for lattice radiotherapy
  • No new or enlarged brain metastases; previously treated brain metastases must be stable
  • Adequate blood counts and liver and kidney function within specified limits
  • Negative pregnancy test within 7 days for women of childbearing potential
Not Eligible

You will not qualify if you...

  • Other systemic diseases or severe comorbidities interfering with safety or assessment
  • Active or severe autoimmune diseases including interstitial lung disease
  • Uncontrolled infections or serious concurrent illnesses such as active tuberculosis, active hepatitis B or C, severe gastrointestinal diseases, or unstable heart conditions
  • Mental illness or social situations limiting study compliance
  • Participation in other experimental drug trials for the primary tumor
  • Allergy or prior severe adverse reactions to immunotherapy drugs
  • History of other active cancers within 6 months except certain treated cancers with low recurrence risk
  • History of allogeneic organ transplantation or active primary immunodeficiency
  • Any other condition deemed unsuitable by the investigator

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

2nd Affiliated Hospital, School of Medicine

Hangzhou, Zhejiang, China, 310000

Actively Recruiting

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Research Team

T

Ting Zhang, phD.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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