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CompletedNCT00864331Updated Aug 7, 2013

Optimization of Treatment of Advanced Nonsmall Cell Lung Cancer Using Radiotherapy and Chemotherapy

A Phase 3 interventional study of radiation and Chemotherapy and radiotherapy in Non Small Cell Lung Cancer, sponsored by International Atomic Energy Agency. Completed at 13 sites in 13 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-08-07.

Sponsored by International Atomic Energy Agency · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
251
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Primary objectives of the study are:

To assess the differences in survival of the two treatment options in both stage III (A and B) nonsmall cell lung cancer (NSCLC) (Study A) and Stage IIIB (wet) and stage IV NSCLC (Study B), respectively

Secondary objectives are:

To assess the differences in toxicity of two treatment options in both stage III (A and B) NSCLC (Study A) and Stage IIIB (wet) and stage IV NSCLC (Study B), and To assess the differences in Health Related Quality of Life (HRQoL) of two treatment options in both Study A and Study B

Read the detailed description

To compare survival rates (median and 1-year), and toxicity of two treatment regimens in patients with locally advanced incurable NSCLC (study A), to compare survival rates (median and 1-year) of two treatment regimens in patients with locally advanced and metastatic NSCLC (study B)

To compare HRQoL and cost effectiveness of two treatment regimens in patients with locally advanced incurable NSCLC (study A), and in patients with locally advanced and metastatic NSCLC (study B) and to evaluate the effect of HRQoL assessment on QoL dimensions

02

Conditions studied

  • Non Small Cell Lung Cancer

Keywords

  • lung cancer
  • nonsmall cell lung cancer
  • radiation therapy
  • chemotherapy
  • Locally advanced and metastatic nonsmall cell lung cancer
03

In context

Carcinoma, Non-Small-Cell Lung

7,620 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,838 are open to participants now.

This study's enrollment of 251 is above the median of 62 across 6,019 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

International Atomic Energy Agency is the lead sponsor of 12 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Eligibility criteria

Study A Inclusion Criteria:

  • or cytologically confirmed NSCLC
  • Stage IIIA/IIIB staged with
  • CT chest and upper abdomen
  • Liver, renal, hematological reserve appropriate (according to "standard" institutional values)
  • Brain CT and/or bone scan only if clinical symptoms request such investigation
  • Performance status 60-90
  • No second cancer except skin non-melanoma
  • No previous treatment
  • Patient must be contactable for follow-up
  • Patient to be able to start treatment within 2 weeks from randomization (institutional confirmation needed)
  • > 3 months
  • Patient must be able and willing to give , and fill in questionnaires

Study A Exclusion Criteria:

  • Stage III B "wet" (existing pleural effusion , but not necessarily cytologically verified)
  • RT field > 200 cm2
  • Pregnancy

Study B Inclusion Criteria:

  • KPS 60-90
  • Stage IV and Stage III B (existing pleural effusions , but not necessarily cytologically verified)
  • Histologically or cytologically confirmed
  • CT staged disease (thorax and possible upper abdomen)
  • No second cancer except skin non-melanoma
  • Liver, renal, haematological reserve appropriate (according to "standard" institutional values)
  • No previous treatment
  • Patient must be contactable for follow-up
  • Patient must be able and willing to give informed consent and fill in questionnaires
  • Patient to be able to start treatment within 2 weeks from randomization (institutional confirmation needed)
  • Life expectancy > 3 months

Study B Exclusion Criteria:

  • (brain CT and/or MRI not needed, unless symptoms exist - clinically indicated)
  • RT field > 200 cm2
  • Pregnancy
  • A-P separation too large to be adequately treated with 60-Co (?)
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
251 participants (actual)

Study arms

  • Active comparator
    Radiotherapy

    For patients in Group A (Stage IIIA or IIIB), EBRT 39 Gy in 13 daily fractions over, with no chemotherapy.

    Radiation: radiation

  • Experimental
    Chemotherapy and radiotherapy

    For patients in Group A (either stage IIIA or IIIB) receive a course of up to 3 cycles of chemotherapy followed by EBRT of 10 Gy in a single fraction or 16 Gy in 2 fractions 1 week apart.

    Other: Chemotherapy and radiotherapy

  • Active comparator
    Chemotherapy

    For patients in Group B (either stage IIIB (wet) or IV) receive up to 3 cycles of chemotherapy, and no radiotherapy.

    Drug: Chemotherapy

  • Experimental
    Palliative radiotherapy and chemotherapy

    For patients in Group B (either stage IIIB (wet) or IV) receive EBRT of 10 Gy in a single fraction or 16 Gy in two fractions 1 week apart, followed by up to 3 cycles of chemotherapy.

    Other: Palliative radiotherapy and chemotherapy

Interventions

  • Radiationradiation

    39 Gy in 13 daily fractions of 3 Gy

  • OtherChemotherapy and radiotherapy

    Chemotherapy followed by low dose palliative radiotherapy

  • DrugChemotherapy

    Chemotherapy given alone

  • OtherPalliative radiotherapy and chemotherapy

    Low dose palliative radiotherapy followed by chemotherapy

06

What researchers measure

Primary outcomes

  1. Survival

    Time frame: 1 year

Secondary outcomes

  1. To assess the differences in toxicity of two treatment options in both stage III (A and B) NSCLC (Study A) and Stage IIIB (wet) and stage IV NSCLC (Study B)

    Time frame: 1 year

  2. To assess the differences in Health Related Quality of Life (HRQoL) of two treatment options in both Study A and Study B

    Time frame: 1 year

07

Study locations

13 sites
  • Instituto de Radiomedicine
    Santiago, Chile
  • Affiliated Hospital of Ning Xia Medical College, Department of Radiation Oncology
    Yinchuan, China
  • University of Zagreb Faculty of Medicine
    Zagreb, Croatia
  • Misr Oncology Center (MOC)
    Cairo, Egypt
  • Tata Memorial Centre (TMC) Department of Atomic Energy (DAE)
    Mumbai, India
  • General Hospital Kuala Lumpur, Institute of Radiotherapy and Oncology
    Kuala Lumpur, Malaysia
  • Sir Paul Boffa Hospital
    Floriana, Malta
  • Ministère de la Santé, Institut National d'Oncologie Sidi Mohamed Ben Abdellah
    Rabat, Morocco
  • Nuclear Medicine Oncology and Radiotherapy Institute
    Islamabad, Pakistan
  • Instituto Oncológico National
    Panama City, Panama
  • Instituto Nacional de Enfermadades Neoplasicas Depto. De Radioterapia
    Lima, Peru
  • University of Witwatersrand Johannesburg Hospital Dept of Radiation Oncology
    Johannesburg, South Africa
  • Institut de la Sante Publique, Institut National de Cancer Salah Azaiz
    Tunis, Tunisia
08

References and documents

Publications

  • Jeremic B, Fidarova E, Sharma V, Faheem M, Ameira AA, Nasr Ben Ammar C, Frobe A, Lau F, Brincat S, Jones G. The International Atomic Energy Agency (IAEA) randomized trial of palliative treatment of incurable locally advanced non small cell lung cancer (NSCLC) using radiotherapy (RT) and chemotherapy (CHT) in limited resource setting. Radiother Oncol. 2015 Jul;116(1):21-6. doi: 10.1016/j.radonc.2015.06.017. Epub 2015 Jul 7. PubMed 26163093 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00864331
Lead sponsor
International Atomic Energy Agency
Responsible party
Sponsor
First posted
Mar 18, 2009
Start date
Feb 2008
Primary completion
Nov 2012
Completion
Nov 2012
Last update
Aug 7, 2013

Study contacts

Elena Fidarova, MD
principal investigator · International Atomic Energy Agency

Oversight

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

Not currently enrolling

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

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