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WithdrawnNCT04917224LUNG STAARUpdated Sep 26, 2023

Study of LUNG Stereotactic Adaptive Ablative Radiotherapy

An interventional study of Stereotactic Adaptive Ablative Radiotherapy at 50 Gy (Gray) and Stereotactic Adaptive Ablative Radiotherapy at 60 Gy (Gray) in Lung Cancer and Lung Tumor, sponsored by Baptist Health South Florida. Withdrawn. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-09-26.

Sponsored by Baptist Health South Florida · Not applicable, Interventional, and Treatment

Why this study was withdrawn
ViewRay (funding agency) has filed under Chapter 11, U.S. Bankruptcy Code. ViewRay's clinical research support is paused and studies will not be paid directly by ViewRay. As such, the sponsor has closed the study without enrolling participants.
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

The proposed study expands on the principles of SBRT (Stereotactic Body Radiation Therapy) and SABR (Stereotactic Ablative Radiotherapy) for centrally located NSCLC (Non-Small Cell Lung Cancer) to further optimize outcomes in this patient population with utilization of the adaptive workflow to maintain tumor control rates but decrease the incidence and grade of treatment-related toxicities.

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Conditions studied

  • Lung Cancer
  • Lung Tumor

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In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

Browse Lung Neoplasms studies →

Lead sponsor

Baptist Health South Florida is the lead sponsor of 52 studies on the registry; 18 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 7 (78%) 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
Yes

Inclusion criteria

  • Age ≥ 18 years of age
  • Clinical diagnosis of NSCLC
  • Stage T1-2b (≤ 5 cm)

Exclusion criteria

Exclusion Criteria:

  • Prior invasive malignancy (except non-melanomatous skin cancer) unless disease free for a minimum of 1 year (i.e., carcinomas in situ of the breast, oral cavity, or cervix are permissible); previous lung cancer, if the patient is disease-free for a minimum of 1 year is permitted;
  • Prior radiotherapy to the region of the study cancer that would result in overlap of radiation therapy fields
  • Prior chemotherapy for the study cancer
  • Plans for the patient to receive other local therapy (including standard fractionated radiotherapy and/or surgery) while on this study, except at disease progression
  • Plans for the patient to receive systemic therapy (including standard chemotherapy or biologic targeted agents), while on this study, except at disease progression
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Cohort A: Central lung tumors

    Gross tumor volume (GTV) less than or equal to 1 cm from a lobar bronchus

    Radiation: Stereotactic Adaptive Ablative Radiotherapy at 50 Gy (Gray)

  • Experimental
    Cohort B: Ultra-central lung tumors

    Gross tumor volume (GTV) less than or equal to 1 cm from the mainstem bronchus, trachea, or esophagus

    Radiation: Stereotactic Adaptive Ablative Radiotherapy at 60 Gy (Gray)

Interventions

  • RadiationStereotactic Adaptive Ablative Radiotherapy at 50 Gy (Gray)

    Cohort A will include 30 patients with central tumors; the dose regimen prescribed is 50 Gy (Gray) in 5 fractions with a 40 hour inter-fraction interval.

  • RadiationStereotactic Adaptive Ablative Radiotherapy at 60 Gy (Gray)

    Cohort B will include 30 patients with ultra-central tumors; the dose regimen prescribed is 60 Gy (Gray) in 8 fractions on consecutive days.

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What researchers measure

Primary outcomes

  1. Treatment completion

    Number of patients who completed treatment within +/- 5 days of intended treatment.

    Time frame: Plus or minus 5 days of treatment

  2. Number of patients experiencing adverse events

    No greater than 15 percent of patients experience a 12-month ≥ grade 3 toxicity and ≤1 grade 5 toxicity possibly, probably, or definitely related to treatment.

    Time frame: 12-month of treatment

Secondary outcomes

  1. Primary Tumor Control Rate

    Primary tumor control rate at the maximum tolerated dose (MTD) based on each treatment cohort.

    Time frame: 1 year of treatment

  2. Progression-free survival (PFS)

    Progression-free survival (PFS) is defined as the first occurrence of local and/or regional disease progression, distant metastases, second primary tumor, or death due to any cause. PFS time is measured from the date of start of SBRT to the date of the failure event for PFS.

    Time frame: 1 year of treatment

  3. Overall survival (OS)

    Overall survival (OS) time is measured from the date of start of SBRT to the date of death due to any cause.

    Time frame: 1 year of treatment

  4. Functional Assessment of Cancer Therapy - Lung (FACT-L)

    The Functional Assessment of Cancer Therapy - Lung (FACT-L) quality of life instrument has been extensively used for measuring quality of life in patients with lung cancer. There are 5 sections dealing with physical, family, emotional, functional well-being, and additional concerns. There are nine questions that are specific to lung cancer (LSC), including shortness of breath, cough, etc. The TOI (Trial Outcome Index) is the sum of the scores on the LCS and the physical well-being and functional well-being subscales of the FACT-L scale.

    Time frame: Baseline

  5. EQ-5D-5L

    The five-item index score from EQ-5D-5L will be used to generate utility scores that will lie between 0 (Worst health state) and 1 (Best health state).

    Time frame: 3 and 12-month follow-up

  6. Late-Toxicity

    Rate of late (\>1 year) ≥ grade 3 adverse events related to treatment

    Time frame: 1 year of treatment

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Rosenberg SA, Mak R, Kotecha R, Loo BW Jr, Senan S. The Nordic-HILUS Trial: Ultracentral Lung Stereotactic Ablative Radiotherapy and a Narrow Therapeutic Window. J Thorac Oncol. 2021 Oct;16(10):e79-e80. doi: 10.1016/j.jtho.2021.06.030. No abstract available. PubMed 34561039 ↗

Related links

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 26, 2023, 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
NCT04917224
Lead sponsor
Baptist Health South Florida
Responsible party
Sponsor
First posted
Jun 8, 2021
Start date
May 2, 2022
Primary completion
Oct 1, 2031 (estimated)
Completion
Oct 1, 2032 (estimated)
Last update
Sep 26, 2023

Study contacts

Rupesh Kotecha, MD
principal investigator · Miami Cancer Institute

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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