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
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

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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