Trial Outcomes & Findings for Mitigation of Radiation Pneumonitis and Fibrosis (NCT NCT01754909)

NCT ID: NCT01754909

Last Updated: 2019-10-08

Results Overview

The clinical occurrence and grade of radiation pneumonitis, by National Cancer Institute Common Terminology Criteria Adverse Event grading ( NCI CTCAE)

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

50 participants

Primary outcome timeframe

two years

Results posted on

2019-10-08

Participant Flow

50 consented

Verification of eligibility. Seven did not start study drug. Six of those because found ineligible after enrollment. One of those because of early termination of study.

Participant milestones

Participant milestones
Measure
Enalapril
Use of enalapril in subjects undergoing radiotherapy for lung cancer. Enalapril: Enalapril once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Placebo
Use of placebo in subjects undergoing radiotherapy for lung cancer placebo: Placebo, once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Overall Study
STARTED
20
23
Overall Study
COMPLETED
20
23
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Enalapril
n=20 Participants
Use of enalapril in subjects undergoing radiotherapy for lung cancer. Enalapril: Enalapril once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Placebo
n=23 Participants
Use of placebo in subjects undergoing radiotherapy for lung cancer placebo: Placebo, once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Total
n=43 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=20 Participants
0 Participants
n=23 Participants
0 Participants
n=43 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=20 Participants
10 Participants
n=23 Participants
20 Participants
n=43 Participants
Age, Categorical
>=65 years
10 Participants
n=20 Participants
13 Participants
n=23 Participants
23 Participants
n=43 Participants
Sex: Female, Male
Female
0 Participants
n=20 Participants
1 Participants
n=23 Participants
1 Participants
n=43 Participants
Sex: Female, Male
Male
20 Participants
n=20 Participants
22 Participants
n=23 Participants
42 Participants
n=43 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
20 Participants
n=20 Participants
23 Participants
n=23 Participants
43 Participants
n=43 Participants
absence of pneumonitis or fibrosis
20 Participants
n=20 Participants
23 Participants
n=23 Participants
43 Participants
n=43 Participants

PRIMARY outcome

Timeframe: two years

The clinical occurrence and grade of radiation pneumonitis, by National Cancer Institute Common Terminology Criteria Adverse Event grading ( NCI CTCAE)

Outcome measures

Outcome measures
Measure
Enalapril
n=20 Participants
Use of enalapril in subjects undergoing radiotherapy for lung cancer. Enalapril: Enalapril once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Placebo
n=23 Participants
Use of placebo in subjects undergoing radiotherapy for lung cancer placebo: Placebo, once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Number of Participants With Radiation Pneumonitis
8 participants
10 participants

SECONDARY outcome

Timeframe: six months

Population: analyzed by CT scan readings done in a masked fashion

The occurrence and grade of radiation pneumonitis by radiographic criteria, using CT scanning

Outcome measures

Outcome measures
Measure
Enalapril
n=20 Participants
Use of enalapril in subjects undergoing radiotherapy for lung cancer. Enalapril: Enalapril once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Placebo
n=21 Participants
Use of placebo in subjects undergoing radiotherapy for lung cancer placebo: Placebo, once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Number of Participants With Radiation Pneumonitis by CT Scan
16 Participants
12 Participants

SECONDARY outcome

Timeframe: one year

The occurrence and grade of radiation fibrosis by radiographic criteria, using CT scanning

Outcome measures

Outcome measures
Measure
Enalapril
n=20 Participants
Use of enalapril in subjects undergoing radiotherapy for lung cancer. Enalapril: Enalapril once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Placebo
n=23 Participants
Use of placebo in subjects undergoing radiotherapy for lung cancer placebo: Placebo, once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Number of Participants With Radiation Fibrosis
8 participants
4 participants

Adverse Events

Enalapril

Serious events: 9 serious events
Other events: 7 other events
Deaths: 11 deaths

Placebo

Serious events: 11 serious events
Other events: 8 other events
Deaths: 7 deaths

Serious adverse events

Serious adverse events
Measure
Enalapril
n=20 participants at risk
Use of enalapril in subjects undergoing radiotherapy for lung cancer. Enalapril: Enalapril once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Placebo
n=23 participants at risk
Use of placebo in subjects undergoing radiotherapy for lung cancer placebo: Placebo, once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
death or hospitalization
45.0%
9/20 • Number of events 9 • lifetime of subject or until study end April 2018, an average of 2 years
Hospitalization or death
47.8%
11/23 • Number of events 11 • lifetime of subject or until study end April 2018, an average of 2 years
Hospitalization or death

Other adverse events

Other adverse events
Measure
Enalapril
n=20 participants at risk
Use of enalapril in subjects undergoing radiotherapy for lung cancer. Enalapril: Enalapril once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Placebo
n=23 participants at risk
Use of placebo in subjects undergoing radiotherapy for lung cancer placebo: Placebo, once a day, orally, as 2.5 , 5, or 10 mg tablets to be given in escalating doses, to subjects undergoing radiotherapy for lung cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
hospitalization
35.0%
7/20 • lifetime of subject or until study end April 2018, an average of 2 years
Hospitalization or death
34.8%
8/23 • lifetime of subject or until study end April 2018, an average of 2 years
Hospitalization or death

Additional Information

Dr Eric Cohen

Baltimore VAMC

Phone: 410 605 7000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place