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RecruitingNCT06080061Updated Oct 7, 2026

Personalized Accelerated ChEmoRadiation (PACER) for Lung Cancer

An interventional study of Hypofractionated accelerated radiation therapy in Lung Cancer, sponsored by Stanford University. Recruiting at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-07.

Sponsored by Stanford University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2023; still recruiting 2 years 11 months later.
Updated Oct 7, 2026Eligibility revisedDesign changedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
45
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to examine the use of hypofractionated accelerated radiation therapy (HART) to treat locally advanced lung cancer. Depending on the location and size of the tumor.

02

Conditions studied

  • Lung Cancer

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03

In context

Lung Neoplasms

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

This study's planned enrollment of 45 is below the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Stanford University is the lead sponsor of 2,117 studies on the registry; 425 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 197 (76%) have results posted.

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

Inclusion criteria

  • Histologically or cytologically documented malignancy of the thorax including but not limited to non-small cell lung cancer or small cell lung cancer planned for definitive therapy with fractionated radiation (60-66 Gy) and concurrent systemic therapy
  • ECOG performance status of 0-2
  • PET/CT or CT Imaging of Thorax
  • Age ≥ 18 years old
  • Ability to understand and the willingness to personally sign the written IRB approved informed consent document
  • Estimated life expectancy of 12 weeks or longer

Exclusion criteria

Exclusion Criteria:

  • Contraindication to receiving radiotherapy or systemic therapy as determined by treating radiation and medical oncologist
  • Age \< 18 years old
  • Diagnosis of interstitial pulmonary fibrosis
  • Previous radiation therapy to the thorax that would result in overlapping high dose radiation fields
05

Study design

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

Study arms

  • Experimental
    Hypofractionated accelerated radiation therapy (HART)

    Patients will either be treated with 60-66 Gy in 30, 25, or 20 fractions based on ability to meet constraints to key organs at risk

    Radiation: Hypofractionated accelerated radiation therapy

Interventions

  • RadiationHypofractionated accelerated radiation therapy

    Hypofractionated accelerated radiation therapy

06

What researchers measure

Primary outcomes

  1. Dose limiting pulmonary and esophageal toxicity

    Toxicities will be scored by the CTCAE v5.0 criteria. Specific toxicities evaluated are grade 2+ pneumonitis and grade 3+ esophagitis as well as other G3+ pulmonary, esophageal or cardiac toxicities that could be probably or definitely attributed to rT.

    Time frame: 9 months

Secondary outcomes

  1. Acute and Late Toxicities

    Patients will be evaluated by the rates of acute and late grade 2+ toxicities including lung, esophageal, cardiac, chest wall, and neurologic.

    Time frame: 36 months

  2. Integrated adaptive dosing regimen with an automated planning system

    Evaluating the feasibility of integrating an adaptive dosing regimen with an automated planning system with the percentage of automated plans used and the time to plan approval.

    Time frame: 36 months

  3. Progression free survival

    Determine progression free survival in patients treated with hypofractionated radiation therapy with concurrent systemic therapy

    Time frame: 36 months

  4. Overall survival

    Determine overall survival in patients treated with hypofractionated radiation therapy with concurrent systemic therapy

    Time frame: 36 months

  5. Local control

    Determine local control in patients treated with hypofractionated radiation therapy with concurrent systemic therapy

    Time frame: 36 months

07

Study locations

2 of 2 sites recruiting
  • Stanford University
    Palo Alto, California 94305, United States
    Recruiting
  • Stanford Cancer Center South Bay
    San Jose, California 95124, United States
    Recruiting
08

Updates

1 registry update since Sep 25, 2026
Also revised
eligibility and design
Show all 1 update
  1. Oct 7, 2026
    Eligibility Criteria revised
    Design Phase changed
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06080061
Lead sponsor
Stanford University
Collaborators
LUNGevity Foundation
Responsible party
Sponsor
First posted
Oct 12, 2023
Start date
Oct 25, 2023
Primary completion
Nov 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Oct 7, 2026

Study contacts

Aastha Dubey
Contact
adubey7@stanford@stanford.edu
650-725-2084
Sonya Boyd
Contact
boydso@stanford.edu
650-723-2732
Joseph A Jaoude, MD
principal investigator · Stanford University

Oversight

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

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