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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04676828
Registration number
NCT04676828
Ethics application status
Date submitted
15/12/2020
Date registered
21/12/2020
Titles & IDs
Public title
Functional Lung Avoidance SPECT-guided Radiation Therapy of Lung Cancer
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Scientific title
Functional Lung Avoidance SPECT-guided (ASPECT) Radiation Therapy for Lung Cancer Patients: Phase II Randomised Clinical Trial
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Secondary ID [1]
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KFE-1930
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Universal Trial Number (UTN)
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Trial acronym
ASPECT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lung Cancer
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Radiation-Induced Disorder
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Radiation Pneumonitis
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Pulmonary Disease
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Lung Function Decreased
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Condition category
Condition code
Respiratory
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Other respiratory disorders / diseases
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Infection
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Other infectious diseases
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Infection
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Studies of infection and infectious agents
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Cancer
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Lung - Mesothelioma
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Cancer
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Lung - Non small cell
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Cancer
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Lung - Small cell
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Diagnosis / Prognosis - Single-photon-emission CT scan
Experimental: SPECT functional avoidance treatment - SPECT-based radiation therapy given taken functional distribution in the lung into account, that avoids highly functional lung volumes sparing them from radiation.
No intervention: Standard treatment - CT-based radiation therapy given over 5- 6.5 weeks.
Diagnosis / Prognosis: Single-photon-emission CT scan
SPECT/CT scan is an established functional modality used in the diagnosis and monitoring of lung disease. SPECT/CT scan images pulmonary circulation, where perfused areas equate with normal functional lung
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Intervention code [1]
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Diagnosis / Prognosis
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Radiation-induced lung toxicity
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Assessment method [1]
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crude rate of symptomatic radiation-induced lung toxicity of grade 2 and higher. According to the Common Toxicity Criteria for Adverse Events version 5.0 for radiation pneumonitis, dyspnea, cough, or any other radiation-induced respiratory, thoracic and mediastinal disorder.
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Timepoint [1]
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Measured serially from 1 to 12 months after treatment completion
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Secondary outcome [1]
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Quality of life
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Assessment method [1]
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Change in quality of life according to the European Organisation for Research and Treatment of Cancer quality of life questionnaires
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Timepoint [1]
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Measured serially from 1 to 12 months after treatment completion
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Secondary outcome [2]
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Patient reported lung symptoms
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Assessment method [2]
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Change in lung symptoms according to the European Organisation for Research and Treatment of Cancer questionnaire
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Timepoint [2]
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Measured serially from 1 to 12 months after treatment completion
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Secondary outcome [3]
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Progression-free survival
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Assessment method [3]
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time from randomization to disease progression at any site or death
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Timepoint [3]
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at 12 months
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Secondary outcome [4]
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Overall survival
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Assessment method [4]
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time from randomization to death of any cause or last date known alive
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Timepoint [4]
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at 12 months
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Secondary outcome [5]
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Loco-regional control rate
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Assessment method [5]
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freedom from local disease progression
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Timepoint [5]
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at 12 months
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Eligibility
Key inclusion criteria
* histologically verified lung cancer (small-cell and non-small cell lung cancer)
* referred for radiotherapy with curative intent
* radiation dose of 60-66 Gy given in 2-Gy fractions, other dose levels and fractionation schedules accepted, as per site standard
* concurrent chemotherapy is accepted
* patients with oligometastatic disease are allowed, where metastasis have been ablated with surgery or radiotherapy
* receiving (chemo)-radiotherapy to the thoracic disease with curative intent
* adults over 18, that have given oral and written informed consent before patient registration.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* concurrent immunotherapy
* previous radiotherapy to the thorax
* other uncontrolled malignancies; any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/12/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2024
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Actual
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Sample size
Target
195
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Sydney West Radiation Oncology Network Westmead and Blacktown Hospitals - Sydney
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Recruitment postcode(s) [1]
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2145 - Sydney
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Recruitment outside Australia
Country [1]
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Denmark
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State/province [1]
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Aarhus
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Aarhus
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Westmead and Blacktown Hospital, Sydney West Radiation Oncology Network, Sydney, Australia
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Aarhus University Hospital
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
Study aims to determine if functional lung avoidance based on perfusion single photon emission (SPECT)/CT scan, improves toxicity outcomes for patients with advanced lung cancer undergoing chemo-radiotherapy. Functional avoidance implies a dose plan that takes functional distribution in the lung into account, and avoids highly functional lung volumes sparing them from radiation.
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Trial website
https://clinicaltrials.gov/study/NCT04676828
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Trial related presentations / publications
Khalil AA, Hau E, Gebski V, Grau C, Gee H, Nyeng TB, West K, Kramer S, Farlow D, Knap M, Moller DS, Hoffmann L, Farr KP. Personal innovative approach in radiation therapy of lung cancer- functional lung avoidance SPECT-guided (ASPECT) radiation therapy: a study protocol for phase II randomised double-blind clinical trial. BMC Cancer. 2021 Aug 21;21(1):940. doi: 10.1186/s12885-021-08663-1.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Katherina Farr, MD PhD
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Address
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Country
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Phone
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+4550303580
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04676828