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Status unknownNCT03294746ImageILDUpdated Sep 29, 2017

Imaging Biomarker in Cancer Drug Induced ILD

An interventional study of Clinical evaluations and Thoracic CT in Drug Induced Interstitial Lung Disease (DIILD) Cancer Patients, sponsored by European Organisation for Research and Treatment of Cancer - EORTC. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-09-29.

Sponsored by European Organisation for Research and Treatment of Cancer - EORTC · Not applicable, Interventional, and Diagnostic

The sponsor has not verified this record recently (last verified Sep 2017), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Drug induced interstitial lung disease (DIILD) is caused by iatrogenic injury to the lung parenchyma and can be caused by over four hundred different drugs in humans. Diagnosing DIILD is a challenge for clinicians and radiologists as a positive diagnosis depends on exclusion of other causes including respiratory infection, occupational, recreational, and environmental exposures, specific respiratory disorders, and systemic diseases.

The aim of this study is to qualify an objective CT scoring system for DIILD assessment. In addition, the quantitative information obtained from CT scans with densitometry and texture analysis will be explored.

02

Conditions studied

  • Drug Induced Interstitial Lung Disease (DIILD) Cancer Patients

Keywords

  • Drug induced interstitial lung disease (DIILD)
03

Who can participate

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

Inclusion criteria

  • Age ≥ 18 years
  • World health organization (WHO) performance status 0-2
  • Life expectancy > 6 months
  • Proven cancer diagnosis in a patient actively undergoing anti-cancer therapy
  • New onset symptoms (e.g. cough, fever, dyspnoea, and hypoxia) at any time during or within 4 weeks of the last dose of anti-cancer treatment
  • New onset radiological (CXR or CT) abnormalities within the lungs at any time during or within 4 weeks of the last dose of anti-cancer treatment (e.g. diffuse lung changes, infiltrative opacification in the periphery of the lung or ground glass changes) with a locally reviewed diagnosis of DIILD as the most likely explanation for the radiological abnormalities.
  • Treatment for DIILD planned (e.g. drug withdrawal, interruption +/- supportive therapy including corticosteroids, oxygen, bronchodilators etc.). Concomitant treatment with antibiotics, anticoagulants etc. is permitted pending results of investigations for differential diagnoses.
  • Able to undergo pulmonary function tests (at a minimum spirometry and gas transfer (DLCO))
  • Patients enrolled on other anti-cancer investigational trials are permitted at investigator discretion
  • Informed written consent obtained according to national/local regulations
  • Women of child bearing potential (WOCBP) must have a negative serum (or urine) pregnancy test within 14 days before study registration

Exclusion criteria

Exclusion Criteria:

  • Clinically suspected or confirmed radiological features of any malignancy involving the lungs at the time of study registration
  • Claustrophobia, or inability to undergo non-contrast CT examination
  • Known or suspected non-drug related ILD (e.g. lung abnormalities due to other causes such as occupational exposure)
  • Previous extensive thoracic surgery (e.g. lobectomy)
  • Clinical, radiological or microbiological evidence of active lower respiratory tract infection
  • Currently active, clinically significant heart disease, such as uncontrolled class 3 or 4 congestive heart failure defined by the New York Heart Association Functional Classification
  • Any medical, psychological, sociological or geographical condition that could affect participation in the study and compliance with the study protocol
04

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
70 participants (estimated)

Study arms

  • Other
    Clinical evaluations and Thoracic CT scan scoring of DIILD

    Other: Clinical evaluations · Other: Thoracic CT

Interventions

  • OtherClinical evaluations

    At study entry , 6 weeks and 6 months, enrolled patients will undergo pulmonary physiology tests, assessment of respiratory symptoms, respiratory examination, pulse oximetry, blood draws, respiratory and quality of life assessment. Data from bronchoscopy assessments will be collected, if this has been performed as part of routine care.

  • OtherThoracic CT

    At study entry, patients will undergo thoracic CT before treatment adaptation, unless a study-quality scan\* has already been performed . Thoracic CT will be repeated at 6 weeks. All images will be centrally reviewed for radiology scoring.

05

What researchers measure

Primary outcomes

  1. Correlation coefficient between semi-quantitative CT score and FVC (forced vital capacity)

    The primary objective of the study is to qualify an objective semi-quantitative CT scoring system looking at the correlation between the change in the semi-quantitative CT score at 6 weeks relative to baseline (DIILD diagnosis) against the change in Forced vital capacity (FVC) at 6 weeks relative to baseline (DIILD diagnosis). The semi-quantitative CT score will be calculated based on CT features: 1)ground-glass opacity 2) reticular/septal lines 3) honeycombing 4) nodular opacity 5) consolidation.

    Time frame: analyses will be performed 3.5 years after First Patient In

Secondary outcomes

  1. Correlation coefficient between the semi-quantitative CT score with the other pulmonary physiology measurements (DLCO and 6WMT) and patient reported outcome (respiratory and quality of life).

    Time frame: analyses will be performed 3.5 years after First Patient In

  2. To evaluate the predictive value of change in the semi-quantitative CT score.

    To evaluate the predictive value of change in the semi-quantitative CT score at 6 weeks relative to baseline (DIILD diagnosis) against change in pulmonary physiology measurements and patient reported outcome (respiratory and quality of life) at 6 months relative to baseline.

    Time frame: analyses will be performed 3.5 years after First Patient In

06

Study locations

No study locations are listed for this record.

07

References and documents

Individual participant data

Plan to share: Yes — All publications must comply with the terms specified in the EORTC Policy 009 "Release of Results and Publication Policy".

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03294746
Lead sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Responsible party
Sponsor
First posted
Sep 27, 2017
Start date
Jan 2018 (estimated)
Primary completion
Jul 2021 (estimated)
Completion
Jul 2021 (estimated)
Last update
Sep 29, 2017

Study contacts

Bianca Colleoni, PhD
Contact
bianca.colleoni@eortc.be
+32 (0)2 774 15 70
Kim Linton
principal investigator · The Christie NHS Foundation Trust, Manchester, United Kingdom

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Sep 2017. You cannot join it, but the record below documents what was studied.

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