CClinicalTrials.gg
RecruitingNCT06794125PREVENT-LUNGUpdated Sep 14, 2026

An Evaluation of Dose-escalation for Intrathoracic Tumours

An interventional study of Hypofractionated Radiation Therapy and Radiation Therapy in Lung Cancers, sponsored by Chris Goodman. Recruiting at 4 sites in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by Chris Goodman · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
141
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a pragmatic trial with patients randomized between standard of care palliative thoracic radiation therapy (RT) vs. hypofractionated, dose-escalated, esophageal-sparing (HD-ES) intensity modulated radiation therapy (IMRT).

The investigators hypothesize that the use of advanced radiation planning techniques to optimize dose to esophagus will permit the safe delivery of a modestly dose-escalated five-fraction course of palliative radiation to intrathoracic malignancies. This approach aims to deliver higher biologically effective doses while improving toxicity when compared to conventional approaches with the goal of prolonging high-quality overall survival.

02

Conditions studied

  • Lung Cancers

Browse trials for

Keywords

  • lung cancer
  • radiation therapy
  • hypofractionated
  • esophageal-sparing
  • dose-escalated
  • intrathoracic
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 141 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

This is the only study on the registry with Chris Goodman as lead sponsor.

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

  • Intrathoracic tumour requiring palliative radiation, either for palliation of symptoms or prevention of progression that is expected to cause symptoms in the next 6 months (in the judgement of the enrolling investigator)
  • Willingness and ability to provide informed consent
  • Eastern Cooperative Oncology Group performance status 0-3
  • Age 18 years or older
  • Prior or planned systemic treatment (chemotherapy, immunotherapy, targeted agents) is permissible at the discretion of the treating medical oncologist
  • Concurrent palliative radiotherapy to other metastatic sites is permissible at the discretion of the treating radiation oncologist.
  • Life expectancy greater than 3 months

Exclusion criteria

Exclusion Criteria:

  • Prior thoracic radiotherapy which, in the opinion of the treating of radiation oncologist, precludes the delivery of further thoracic radiotherapy. If there has been prior thoracic radiotherapy, a composite of all RT plans must be created, and the dose constraints herein must still be met. An allowance for 10 percent repair is permitted if at least 12 months have passed between the prior radiotherapy and the trial protocol specified radiotherapy.
  • Serious medical comorbidities which, in the opinion of the treating radiation oncologist, preclude the delivery of radiotherapy. This includes interstitial lung disease.
  • Pregnant or lactating women
  • Inability to attend the full course of radiotherapy or planned follow-up visits
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
141 participants (estimated)

Study arms

  • Active comparator
    Standard Radiotherapy

    20 Gray in 5 fractions or 30 Gray in 10 fractions.

    Radiation: Radiation Therapy

  • Experimental
    Experimental Radiotherapy

    35 Gray in 5 fractions

    Radiation: Hypofractionated Radiation Therapy

Interventions

  • RadiationHypofractionated Radiation Therapy

    Hypofractionated, dose-escalated, esophageal-sparing intensity modulated radiation therapy

  • RadiationRadiation Therapy

    standard of care palliative thoracic radiotherapy using volumetric modulated arc therapy/intensity-modulating radiotherapy

06

What researchers measure

Primary outcomes

  1. time to definitive quality of life deterioration or death

    Defined as time from randomization to the first of: i. deterioration in Functional Assessment of Cancer Therapy: Lung Trial Outcome Index score by greater than or equal to 5 points compared to baseline score and with no subsequent improvement to within 5 points of baseline ii. death iii. last follow-up

    Time frame: from enrollment until 36 months post radiotherapy

Secondary outcomes

  1. Quality of Life - Patient Reported Outcomes

    Measured via Functional Assessment of Cancer Therapy: Lung and EuroQol 5-dimension 5-level

    Time frame: From enrollment until 36 months post radiotherapy

  2. Toxicity - Adverse Events that happen to a patient during the clinical trial

    Defined as incidence of Common Terminology Criteria for Adverse Events version 5 grade 2 and higher toxicity

    Time frame: From enrollment until 36 months post radiotherapy

  3. Freedom from intrathoracic progression

    Defined as time from randomization to disease progression within the thorax, or last follow-up, whichever occurs first

    Time frame: From enrollment until 36 months post radiotherapy

  4. Overall Survival

    Defined as time from randomization to death from any cause, or last follow-up, whichever occurs first

    Time frame: From enrollment until 36 months post radiotherapy

07

Study locations

4 of 4 sites recruiting
  • British Columbia Cancer Agency Center for the Southern Interior
    Kelowna, British Columbia V1Y5L3, Canada
    • Thomas Kennedy, MD · Contact · thomas.kennedy@bccancer.bc.ca · 250-717-4272
    • Jenny Petterson · Contact · jennifer.petterson@bccancer.bc.ca · 250-717-4272
    • Thomas Kennedy, MD · Principal investigator
    • Angela Lin, MD · Sub investigator
    • Benjamin Mou, MD · Sub investigator
    • David Petrik, MD · Sub investigator
    • Siavash Atrchian, MD · Sub investigator
    Recruiting
  • Horizon Health New Brunswick
    Saint John, New Brunswick, Canada
    • Carrie Folkins · Contact · Carrie.Folkins@HorizonNB.ca · 506-648-6890
    • Robert Thompson, MD · Principal investigator
    • Arpita Sengupta, MD · Sub investigator
    • Holly Campbell, MD · Sub investigator
    • Marissa Sherwood, MD · Sub investigator
    • Farah Naz, MD · Sub investigator
    Recruiting
  • London Health Sciences Center Research Institute (Formerly Lawson Research Institute)
    London, Ontario N6A 4L6, Canada
    • Chris Goodman, MD · Contact · chris.Goodman@lhsc.on.ca · 519-685-8500
    • David Palma, MD · Contact · david.palma@lhsc.on.ca · 519-685-8500
    • Chris Goodman, MD · Principal investigator
    • Joanna Laba, MD · Sub investigator
    • Pencilla Lang, MD · Sub investigator
    • David Palma, MD · Sub investigator
    • George Rodrigues, MD · Sub investigator
    • Melody Qu, MD · Sub investigator
    • Brian Yaremko, MD · Sub investigator
    Recruiting
  • Waterloo Regional Health Network
    Waterloo, Ontario, Canada
    • Stephanie Nemirov · Contact · stephanie.nemirov@wrhn.ca · 519-749-4300
    • Sameen Saad · Contact · sameen.saad@wrhn.ca · 519-749-4300
    • Darin Gopaul, MD · Principal investigator
    • Daniel Glick, MD · Sub investigator
    • Joda Kuk, MD · Sub investigator
    • Mario Valdes, MD · Sub investigator
    • Nadia Califaretti, MD · Sub investigator
    • Stacey Hubay, MD · Sub investigator
    • Shelley Kuang, MD · Sub investigator
    • Sundeep Shahi, MD · Sub investigator
    • Andrea Molchovsky, MD · Sub investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06794125
Lead sponsor
Chris Goodman
Responsible party
Chris Goodman (MD, London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's) — Sponsor-investigator
First posted
Jan 27, 2025
Start date
Sep 3, 2025
Primary completion
Mar 1, 2029 (estimated)
Completion
Mar 1, 2029 (estimated)
Last update
Sep 14, 2026

Study contacts

Christopher Goodman, MD
Contact
Chris.Goodman@lhsc.on.ca
519-685-8650
David Palma, MD
Contact
David.Palma@lhsc.on.ca
519-685-8650

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion