A Study of Targeted Post-Surgery Radiation Therapy for Non-Small Cell Lung Cancer With Remaining Lymph Node Cancer After Treatment
NCT07293247 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 164
Last updated 2025-12-22
Summary
This phase II trial compares the effect of intensity-modulated post-operative radiation therapy (I²-PORT) followed by standard of care therapy (chemotherapy or immunotherapy) to standard of care therapy alone in treating patients with non-small cell lung cancer (NSCLC) who have remaining lymph node cancer after surgery. Radiation therapy uses high-energy X-rays, particles, or radioactive seeds to kill cancer cells and shrink tumors. Intensity-modulated radiation therapy is a type of 3-dimensional radiation therapy that uses computer-generated images to show the size and shape of the tumor. Thin beams of radiation of different intensities are aimed at the tumor from many angles. This type of radiation therapy reduces the damage to healthy tissue near the tumor. Chemotherapy drugs work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Immunotherapy may induce changes in the body's immune system and may interfere with the ability of tumor cells to grow and spread. Adding I²-PORT radiation therapy to standard therapy may be more effective than standard therapy alone in reducing the risk of cancer returning in those who have undergone surgery for NSCLC.
Conditions
- Lung Non-Small Cell Carcinoma
Interventions
- DRUG
-
Receive standard of care chemotherapy
- OTHER
-
Immunotherapy
Receive standard of care immunotherapy
- RADIATION
-
Intensity-Modulated Radiation Therapy
Undergo I²-PORT
- PROCEDURE
-
Computed Tomography
Undergo CT
- PROCEDURE
-
Magnetic Resonance Imaging
Undergo MRI
- OTHER
-
Fludeoxyglucose F-18
Undergo FDG PET scan
- PROCEDURE
-
Biospecimen Collection
Undergo blood sample collection
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
Alliance for Clinical Trials in Oncology
lead OTHER
Principal Investigators
-
David Kozono, MD · Alliance for Clinical Trials in Oncology
-
Jeremy Brownstein, MD · Alliance for Clinical Trials in Oncology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-14
- Primary Completion
- 2028-12-31
- Completion
- 2032-03-01
More Related Trials
-
Radiation Therapy in Treating Patients With Stage I or Stage II Non-Small Cell Lung Cancer
NCT00843726 ·Status: COMPLETED ·Phase: PHASE2
-
Study of Radiation Therapy Followed by Atezolizumab in Stage II or III Non-small Cell Lung Cancer Patients
NCT04310020 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Image-Guided Functional Lung Avoidance Thoracic Radiotherapy for Lung Cancer: A Single-Blind Randomized Trial
NCT03077854 ·Status: UNKNOWN ·Phase: NA
-
Stereotactic Body Radiation Therapy in Treating Patients With Stage I Non-Small Cell Lung Cancer
NCT00750269 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Proton Beam Radiation Therapy After Treatment for Resected N2 Non-Small Cell Lung Cancer
NCT06008730 ·Status: RECRUITING ·Phase: PHASE2
-
Predicting Cell Death by Radiation Therapy in Early Stage Non-small Cell Lung Cancer: a Prospective Translational Trial
NCT01138722 ·Status: TERMINATED ·Phase: PHASE2
-
Radiation in Stage I or Stage II Non-Small Cell Lung Cancer That Cannot Be Removed by Surgery
NCT00346320 ·Status: COMPLETED ·Phase: NA
-
Consolidation Radiotherapy vs. Observation in Oligoresidual Advanced Non-Small Cell Lung Cancer After Chemo-Immunotherapy
NCT07014202 ·Status: RECRUITING ·Phase: PHASE2
-
Post-operative Radiotherapy After Neodjuvant Chemo-immunotherapy and Surgery in Stage III NSCLC
NCT06878274 ·Status: RECRUITING ·Phase: PHASE2
-
Radiation Therapy in Treating Patients With Stage I Non-Small Cell Lung Cancer
NCT00960999 ·Status: COMPLETED ·Phase: PHASE2
-
Hypofractionated Radiation Therapy Combined With Concurrent Chemotherapy for Patients With Non-small Cell Lung Cancer
NCT02720614 ·Status: COMPLETED ·Phase: PHASE2
-
Positron Emission Tomography and Computed Tomography in Planning Treatment for Patients Undergoing 3-Dimensional Conformal Radiation Therapy for Non-Small Cell Lung Cancer That Cannot Be Removed by Surgery. ICORG 06-35
NCT00958321 ·Status: TERMINATED ·Phase: PHASE2
-
Stereotactic Body Radiation Therapy in Treating Patients With Inoperable Stage I or Stage II Non-Small Cell Lung Cancer
NCT00087438 ·Status: COMPLETED ·Phase: PHASE2
-
Concurrent Chemo-radiotherapy With Intensity-Modulated Radiation Therapy (IMRT) for Limited Disease Small Cell Lung Cancer (LD-SCLC)
NCT01166191 ·Status: COMPLETED ·Phase: PHASE2
-
Biologically Guided Radiation Therapy (BgRT) and Stereotactic Body Radiation Therapy (SBRT) to Tyrosine Kinase Inhibitor in Oligoprogressive Oncogenic Positive Non-Small Cell Lung Carcinoma
NCT06014827 ·Status: RECRUITING ·Phase: PHASE2
-
Hypofractionated Image-Guided Radiation Therapy (IGRT) in Patients With Stage II-III Non-Small Cell Lung Cancer
NCT01459497 ·Status: COMPLETED ·Phase: PHASE3
-
Image-Guided Hypofractionated Radiation Therapy With Stereotactic Body Radiation Therapy Boost and Combination Chemotherapy in Treating Patients With Stage II-III Non-Small Cell Lung Cancer That Cannot Be Removed By Surgery
NCT01345851 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Trial of Image-Guided Adaptive Conformal Photon vs Proton Therapy, With Concurrent Chemotherapy, for Locally Advanced Non-Small Cell Lung Carcinoma: Treatment Related Pneumonitis and Locoregional Recurrence
NCT00915005 ·Status: COMPLETED ·Phase: PHASE2
-
Surgery With or Without Internal Radiation Therapy Compared With Stereotactic Body Radiation Therapy in Treating Patients With High-Risk Stage I Non-Small Cell Lung Cancer
NCT01336894 ·Status: TERMINATED ·Phase: PHASE3
-
Prediction of the Effectiveness of Hypofractionated Radiation Therapy in Early Stage Lung Cancer by Bio-imaging and Biomarkers
NCT01138748 ·Status: TERMINATED ·Phase: PHASE2
-
Stereotactic Body Radiation Therapy After Surgery in Treating Patients With Stage III-IV Non-small Cell Lung Cancer
NCT01781741 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Stereotactic Radiosurgery in Treating Patients With Stage I or Stage II Non-Small Cell Lung Cancer
NCT00852644 ·Status: TERMINATED ·Phase: NA
-
3-Dimensional Conformal Radiation Therapy Versus Intensity Modulated Radiation Therapy
NCT00520702 ·Status: COMPLETED ·Phase: PHASE2
-
Proton Radiotherapy for Patients With Non-Small Cell Lung Cancer (NSCLC)
NCT00495040 ·Status: COMPLETED ·Phase: PHASE2
-
Surgery and/or Radiation Therapy or Standard Therapy and/or Clinical Observation in Treating Patients With Previously Treated Stage IV Non-small Cell Lung Cancer
NCT01725165 ·Status: COMPLETED ·Phase: PHASE2