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RecruitingNCT07645261Updated Jun 12, 2026

SBRT-LATTICE-PATHY

A Phase 2 interventional study of SBRT-LATTICE-PATHY in Cancer (Advanced Stage), Cancer (Solid Tumors) and Tumor, sponsored by University of Sao Paulo General Hospital. Recruiting at 1 site in Brazil. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-12.

Sponsored by University of Sao Paulo General Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 5 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

To assess the importance of using SBRT-LATTICE-PATHY for the radiotherapy treatment of large tumors that would be considered intractable by currently used standard techniques. In this present study, the investigators will have the possibility of combining SBRT and LATTICE techniques, incorporating the concept of hypoxic tissue irradiation, which are potential modulators of abscopal and bystander effects, performing partial punctual treatment in the vertex region, without the need for irradiation of the entire tissue volume, further improving safety in relation to possible toxicities.

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Conditions studied

  • Cancer (Advanced Stage)
  • Cancer (Solid Tumors)
  • Tumor

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Keywords

  • SBRT
  • LATTICE
  • partial irradiation
  • large volume tumors
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In context

Neoplasms

9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.

This study's planned enrollment of 20 is below the median of 50 across 7,253 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

University of Sao Paulo General Hospital is the lead sponsor of 595 studies on the registry; 98 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 0 (0%) 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
No

Inclusion criteria

  • age =or> 18 years;
  • Eastern Cooperative Oncology Group (ECOG) performance status \< 2; benign and malignant tumors for which the use of radiotherapy is well established in the literature;
  • tumors =or> 340 cm³ or with a largest diameter =or> 7 cm;
  • no indication for any other type of treatment due to lack of proven clinical benefit (surgery, chemotherapy, standard radiotherapy, immunotherapy, targeted therapy, etc.);
  • Palliative Prognostic Index (PPI) =or\< 2;
  • metastatic disease in the central nervous system (CNS), if present, controlled (up to 3 metastases, each up to 1 cm);
  • up to 5 extracranial distant metastases (nodal or extranodal) =or\< 5 cm; signed Informed Consent Form (ICF).

Exclusion criteria

Exclusion Criteria:

  • cases in which tumor volume and/or the patient's clinical condition make adequate immobilization/simulation impossible;
  • previous local radiotherapy;
  • pregnant patients;
  • autoimmune diseases;
  • genetic instability syndromes;
  • ongoing systemic therapy;
  • renal insufficiency that prevents the use of iodinated contrast.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    SBRT-LATTICE-PATHY

    1 fraction of 24Gy in intratumoral vertices

    Radiation: SBRT-LATTICE-PATHY

Interventions

  • RadiationSBRT-LATTICE-PATHY

    SBRT-LATTICE-PATHY, a single dose of 24Gy in intratumoral vertices located in hypoxic regions.

06

What researchers measure

Primary outcomes

  1. Rate of local control at 12 months

    Percentage of participants achieving local control, defined as absence of local tumor progression assessed by imaging (CT).

    Time frame: From enrollment to the end of treatment at 12 months

  2. Tumor volume shrinkage at 12 months

    Percentage reduction in gross tumor volume (GTV) measured by CT at 12 months compared to baseline, calculated as \[(baseline volume - follow-up volume) / baseline volume\] × 100.

    Time frame: From enrollment to the end of treatment at 12 months

Secondary outcomes

  1. 12-month overall survival rate

    Percentage of participants alive at 12 months after treatment initiation. Overall survival is defined as the time from enrollment to death from any cause.

    Time frame: 12 months overall survival

  2. 12-month progression-free survival rate

    Percentage of participants alive and without disease progression at 12 months after treatment initiation. Progression is assessed by CT imaging. Time is measured from enrollment to the first documented disease progression or death from any cause, whichever occurs first.

    Time frame: 12 months Progression Free Survival

  3. Rate of acute adverse events assessed by CTCAE v 5.0

    Incidence and severity of acute adverse events assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI CTCAE v5.0). Reported as the percentage of participants experiencing grade ≥1 adverse events. Assessed at 15 days, 1 month, and 3 months after treatment initiation.

    Time frame: 15 days, 1 month and 3 months after treatment initiation

  4. Rate of late adverse events assessed by CTCAE v5.0

    Incidence and severity of late adverse events assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI CTCAE v5.0). Reported as the percentage of participants experiencing grade ≥1 adverse events. Assessed at 6, 9, and 12 months after treatment completion.

    Time frame: 6, 9 and 12 months after treatment completion

  5. Mean EORTC QLC-C30 Global Health Status / Quality of Life Score)

    Quality of life assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30). The Global Health Status/QoL subscale is scored from 0 to 100, where higher scores indicate better quality of life. Assessed at 1, 3, 6, 9, and 12 months after treatment.

    Time frame: Impact in quality of life in 1, 3, 6, 9 and 12 months after treatment completion

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Study locations

1 of 1 sites recruiting
  • Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo - Instituto de Radiologia
    São Paulo, São Paulo 05403905, Brazil
    • Principal Investigator · Contact · heloisa.carvalho@hc.fm.usp.br · 551126616722
    • Thiago Brasileiro de Freitas, MD · Sub investigator
    • Silvio Thiago Pereira Vasconcelos, MD · Sub investigator
    • Caroline Castilhano Sampaio, Medical physicist · Sub investigator
    Recruiting
08

References and documents

Publications

  • Korpics MC, Onderdonk BE, Dadey RE, Hara JH, Karapetyan L, Zha Y, Karrison TG, Olson AC, Fleming GF, Weichselbaum RR, Bao R, Chmura SJ, Luke JJ. Partial tumor irradiation plus pembrolizumab in treating large advanced solid tumor metastases. J Clin Invest. 2023 May 15;133(10):e162260. doi: 10.1172/JCI162260. PubMed 37183819 ↗
  • Amendola BE, Perez NC, Wu X, Blanco Suarez JM, Lu JJ, Amendola M. Improved outcome of treating locally advanced lung cancer with the use of Lattice Radiotherapy (LRT): A case report. Clin Transl Radiat Oncol. 2018 Jan 12;9:68-71. doi: 10.1016/j.ctro.2018.01.003. eCollection 2018 Feb. PubMed 29594253 ↗
  • Yan W, Khan MK, Wu X, Simone CB 2nd, Fan J, Gressen E, Zhang X, Limoli CL, Bahig H, Tubin S, Mourad WF. Spatially fractionated radiation therapy: History, present and the future. Clin Transl Radiat Oncol. 2019 Oct 22;20:30-38. doi: 10.1016/j.ctro.2019.10.004. eCollection 2020 Jan. No abstract available. PubMed 31768424 ↗
  • Ikeda T, Sun L, Tsuruoka N, Ishigaki Y, Yoshitomi Y, Yoshitake Y, Yonekura H. Hypoxia down-regulates sFlt-1 (sVEGFR-1) expression in human microvascular endothelial cells by a mechanism involving mRNA alternative processing. Biochem J. 2011 Jun 1;436(2):399-407. doi: 10.1042/BJ20101490. PubMed 21382012 ↗
  • Duriseti S, Kavanaugh JA, Szymanski J, Huang Y, Basarabescu F, Chaudhuri A, Henke L, Samson P, Lin A, Robinson C, Spraker MB. LITE SABR M1: A phase I trial of Lattice stereotactic body radiotherapy for large tumors. Radiother Oncol. 2022 Feb;167:317-322. doi: 10.1016/j.radonc.2021.11.023. Epub 2021 Dec 4. PubMed 34875286 ↗
  • Tubin S, Popper HH, Brcic L. Novel stereotactic body radiation therapy (SBRT)-based partial tumor irradiation targeting hypoxic segment of bulky tumors (SBRT-PATHY): improvement of the radiotherapy outcome by exploiting the bystander and abscopal effects. Radiat Oncol. 2019 Jan 29;14(1):21. doi: 10.1186/s13014-019-1227-y. PubMed 30696472 ↗
  • Tubin S, Ahmed MM, Gupta S. Radiation and hypoxia-induced non-targeted effects in normoxic and hypoxic conditions in human lung cancer cells. Int J Radiat Biol. 2018 Mar;94(3):199-211. doi: 10.1080/09553002.2018.1422085. Epub 2018 Jan 12. PubMed 29293036 ↗

Study documents

  • Protocol and statistical analysis plan · Apr 10, 2025
  • Informed consent form · Apr 10, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Spreadsheet data (RedCap), ICF

Supporting information: Study protocol, Icf

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 12, 2026, 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
NCT07645261
Lead sponsor
University of Sao Paulo General Hospital
Responsible party
Heloísa de Andrade Carvalho (Principal Investigator, University of Sao Paulo General Hospital) — Principal investigator
First posted
Jun 12, 2026
Start date
Apr 28, 2026
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Jun 12, 2026

Study contacts

Principal Investigator
Contact
heloisa.carvalho@hc.fm.usp.br
551126616722
Heloisa de Andrade Carvalho, MD, PhD
principal investigator · University of Sao Paulo

Oversight

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

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