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TerminatedNCT00856427Updated Dec 20, 2013

Implantation of Markers for the Radiotherapy of Lung Cancer Patients

A Phase 1 interventional study of radiation therapy treatment planning/simulation and implanted fiducial-based imaging in Lung Cancer, sponsored by Virginia Commonwealth University. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-12-20.

Sponsored by Virginia Commonwealth University · Phase 1, Interventional, and Treatment

Why this study was terminated
Slow accrual
Phase
Phase 1
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This clinical trial studies imaging markers in planning radiation therapy in patients with lung cancer. Implanting markers in the tumor that can be seen using imaging procedures during radiation therapy may allow x-rays to be sent directly to the tumor and cause less damage to normal tissue.

Read the detailed description

OBJECTIVES:

  • To acquire experience in the marker implantation process for mediastinal lymph nodes and primary lung tumors in patients with stage I-IIIB non-small cell lung cancer.
  • To characterize the potential side effects involved in the use of markers in these patients.
  • To analyze the positional stability of lung markers in these patients over a radiotherapy series.
  • To acquire experience in the use of markers for treatment planning and radiotherapy in these patients.

OUTLINE: Patients undergo implantation of ≥ 1 small radio-opaque Visicoil™ marker into or close to the primary lesion and affected lymph nodes by bronchoscopy. Patients then undergo x-rays to document marker location, detect potentially dropped markers, and diagnose operation-related side effects (i.e., pneumothorax). After marker implantation, patients undergo stereotactic or conventionally fractionated radiotherapy for 30-33 daily fractions.

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Conditions studied

  • Lung Cancer

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Keywords

  • stage IIIA non-small cell lung cancer
  • stage IIIB non-small cell lung cancer
  • stage IA non-small cell lung cancer
  • stage IB non-small cell lung cancer
  • stage IIA non-small cell lung cancer
  • stage IIB non-small cell lung cancer
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In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,558 are open to participants now.

This study's enrollment of 6 is below the median of 60 across 5,296 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Virginia Commonwealth University is the lead sponsor of 641 studies on the registry; 82 are open to participants now.

Of its 88 completed or terminated interventional studies of FDA-regulated products, 62 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of non-small cell lung cancer

    • Stage I-IIIB disease
  • No prior surgical tumor resection
  • Respiration-induced tumor motion > 5 mm
  • Recruited by attending physician or research nurse at the Medical College of Virginia Hospitals

PATIENT CHARACTERISTICS:

  • Not pregnant
  • No insufficient lung function or other parameters prohibiting a bronchoscopy
  • Not a prisoner or institutionalized

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • Concurrent chemotherapy allowed
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Diagnostic

    Patients undergo implantation of radio-opaque markers into the primary lesion and affected lymph nodes by bronchoscopy. Patients then undergo routine 4D CT, 4D CBCT, fluoroscopy, and x-ray imaging during standard stereotactic radiation therapy (early stage tumors) or conventionally fractionated radiation therapy (advanced stage tumors).

    Radiation: radiation therapy treatment planning/simulation · Procedure: implanted fiducial-based imaging

Interventions

  • Radiationradiation therapy treatment planning/simulation

    Undergo implantation of radio-opaque markers

  • Procedureimplanted fiducial-based imaging

    Undergo implantation of radio-opaque markers

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What researchers measure

Primary outcomes

  1. Number of dropped markers

    Time frame: up to 5 years

  2. Marker misplacements

    Time frame: up to 5 years

  3. Implantation-related side effects

    Time frame: up to 5 years

  4. Visibility of markers on CT and x-rays

    Time frame: up to 5 years

  5. Positional reliability of markers

    Time frame: Up to 5 years

  6. Usability for patient treatment

    Time frame: up to 5 years

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Study locations

1 site
  • Virginia Commonwealth University Massey Cancer Center
    Richmond, Virginia 23298-0037, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 20, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00856427
Lead sponsor
Virginia Commonwealth University
Responsible party
Sponsor
First posted
Mar 5, 2009
Start date
Feb 2008
Primary completion
Jan 2012
Completion
Aug 2012
Last update
Dec 20, 2013

Study contacts

Elisabeth Weiss, MD
principal investigator · Massey Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Dec 2013. You cannot join it, but the record below documents what was studied.

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