Clinical trial • Phase III • Respiratory|Other
Gallium (68Ga); Human albumin as macroaggregates for Primary lung cancer|Pulmonary metastases
Phase III trial of Gallium (68Ga); Human albumin as macroaggregates for Primary lung cancer|Pulmonary metastases.
Overview
- Trial Therapeutic Area
- Respiratory|Other
- Trial Disease
- Primary lung cancer|Pulmonary metastases
- Trial Stage
- Phase III
- Drug Modality
- Radiopharmaceutical
Key dates
- Initial CTIS Submission Date
- 16-06-2025
- First CTIS Authorization Date
- 07-10-2025
Trial design
Randomised, conventional anatomical planning for lung sbrt (control arm) versus functional lung avoidance planning guided by lung perfusion pet/ct (experimental arm). Phase III trial across 2 sites in France.
- Randomised
- Yes
- Comparator
- Conventional anatomical planning for lung SBRT (control arm) versus functional lung avoidance planning guided by lung perfusion PET/CT (experimental arm).
- Target Sample Size
- 418
- Trial Duration For Participant
- 365
Eligibility
Recruits 418 Vulnerable populations are not selected. The protocol excludes patients unable to give informed consent and patients under guardianship or curatorship; consent must be provided by the participant (adults only, >18 years)..
- Pregnancy Exclusion
- pregnant or breastfeeding women
- Vulnerable Population
- Vulnerable populations are not selected. The protocol excludes patients unable to give informed consent and patients under guardianship or curatorship; consent must be provided by the participant (adults only, >18 years).
Inclusion criteria
- {"criterion_text":"- Patients aged > 18 years planned to be treated in the radiotherapy department of the participating centers with SBRT for primary or secondary lung tumors will be eligible to participate into the study"}
Exclusion criteria
- {"criterion_text":"- inability to give informed consent"}
- {"criterion_text":"- patients under guardianship or curatorship"}
- {"criterion_text":"- pregnant or breastfeeding women"}
Endpoints
Primary endpoints
- {"endpoint_text":"- The primary endpoint is the occurrence of symptomatic RILI (grade≥2 lung toxicity as assessed using the CTCAE 5.0) during the year following lung SBRT. This evaluation will be performed by a medical oncologist blinded from the allocated arm.","definition_or_measurement_approach":"Occurrence of symptomatic radiation-induced lung injury (RILI) defined as grade ≥2 lung toxicity assessed using CTCAE v5.0 during the year following lung SBRT; evaluation performed by a medical oncologist blinded to allocated arm."}
Secondary endpoints
- {"endpoint_text":"- Quality of life as assessed by the EORTC QLQ-C30,EORTC QLQ-LC29 and EQ-5D-5L questionnaires at 3, 6, 9 and 12 months.","definition_or_measurement_approach":"Quality of life assessed by EORTC QLQ-C30, EORTC QLQ-LC29 and EQ-5D-5L at months 3, 6, 9 and 12."}
- {"endpoint_text":"- Lung toxicity as assessed using the CTCAE 5.0, RTOG and Late effects in normal tissue-subjective objective management analysis (LENT-SOMA) scales at 3, 6, 9 and 12 months.","definition_or_measurement_approach":"Lung toxicity assessed with CTCAE v5.0, RTOG and LENT-SOMA scales at months 3, 6, 9 and 12."}
- {"endpoint_text":"- Local tumor control.","definition_or_measurement_approach":"Local tumor control assessed per imaging/clinical follow-up (not further defined in available text)."}
- {"endpoint_text":"- Progression-free survival at 3, 6, 9 and 12 months.","definition_or_measurement_approach":"Progression-free survival assessed at months 3, 6, 9 and 12 (time to progression or death)."}
- {"endpoint_text":"Overall survival at 12 months.","definition_or_measurement_approach":"Overall survival measured at 12 months (time to death from any cause)."}
- {"endpoint_text":"Grade 2 or higher lung toxicity as defined for the primary endpoint.","definition_or_measurement_approach":"Grade ≥2 lung toxicity using CTCAE v5.0 per the primary endpoint definition."}
- {"endpoint_text":"Lung perfusion PET/CT imaging at 3 months.","definition_or_measurement_approach":"Lung perfusion PET/CT imaging performed at 3 months to assess perfusion changes."}
- {"endpoint_text":"To assess the predictive value of the doses delivered to lung functional volumes as compared to the anatomical lung volume on lung perfusion PET/CT imaging at 3 months.","definition_or_measurement_approach":"Evaluation of predictive value of dose to functional lung volumes vs anatomical lung volume on 3-month lung perfusion PET/CT imaging."}
- {"endpoint_text":"To assess the predictive value of the decrease of lung perfusion at 3 months on long term lung toxicity at 12 months.","definition_or_measurement_approach":"Assessment of whether decrease in lung perfusion at 3 months predicts long-term lung toxicity at 12 months."}
Recruitment
- Planned Sample Size
- 418
- Recruitment Window Months
- 36
- Consent Approach
- Informed consent must be provided by adult participants (study includes only participants >18 years). Subject information and informed consent forms for adults are included in the submitted documents. Participants unable to give informed consent are excluded. Languages of consent documents not specified in available data.
Geography
- Total Number Of Sites
- 2
- Total Number Of Participants
- 418
France
- Earliest CTIS Part Ii Submission Date
- 04-08-2025
- Latest Decision Or Authorization Date
- 07-10-2025
- Processing Time Days
- 64
- Number Of Sites
- 2
- Number Of Participants
- 418
Sites
- Site Name
- Centre Hospitalier Regional Et Universitaire De Brest
- Department Name
- Brest
- Principal Investigator Name
- Pierre-yves LE ROUX
- Principal Investigator Email
- Pierre-yves.leroux@chu-brest.fr
- Contact Person Name
- Pierre-yves LE ROUX
- Contact Person Email
- Pierre-yves.leroux@chu-brest.fr
- Site Name
- Centre Leon Berard
- Department Name
- Rhone-Alpe
- Principal Investigator Name
- ISNARDI Vanina
- Principal Investigator Email
- vanina.isnardi@lyon.unicancer.fr
- Contact Person Name
- ISNARDI Vanina
- Contact Person Email
- vanina.isnardi@lyon.unicancer.fr
Sponsor
Primary sponsor
- Full Name
- Centre Hospitalier Regional Et Universitaire De Brest
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- France
Investigational products
- Investigational Product Name
- [68Ga]Ga-MAA
- Active Substance
- Gallium (68Ga); Human albumin as macroaggregates
- Modality
- Radiopharmaceutical
- Routes Of Administration
- INTRAVENOUS
- Route
- INTRAVENOUS
- Dose Levels
- Max daily dose 200 MBq; max total dose 400 MBq (as provided)
- Maximum Dose
- 400 MBq
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