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Locally Advanced Lung Non-Small Cell CarcinomaNCT05010109

Cardiovascular Injury and Cardiac Fitness in Locally Advanced Non-Small Cell Lung Cancer Patients Receiving Model Based Personalized Chemoradiation

A study testing 6 Minute Walk Functional Test, Biospecimen Collection and Computed Tomography in people with Locally Advanced Lung Non-Small Cell Carcinoma and Stage III Lung Cancer AJCC v8, run by M.D. Anderson Cancer Center at 1 site in United States.

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Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

This study assesses cardiovascular injury and cardiac fitness in patients with non-small cell lung cancer that has spread to nearby tissue or lymph nodes (locally advanced) receiving model based personalized chemoradiation. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
6 Minute Walk Functional Test, Biospecimen Collection and Computed Tomography
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteUnited States
Study dates
5 Jul 2021to 2 Feb 2027
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient with histologic diagnosis of non-small cell lung cancer, small cell lung cancer, or limited stage - small cell lung cancer (L-SCLC)
  • The recommended treatment is thoracic radiation therapy combined with concurrent systemic therapy (chemotherapy and/or immunotherapy) with or without neoadjuvant and/or adjuvant systemic therapy (chemotherapy, immunotherapy, targeted therapy)
  • >/= 18 years of age
  • KPS >/= 70
  • Willing and able to sign informed consents
  • Willing to perform 6minute walking test
  • Willing to preform required cardiac biomarker test for primary end point assessment.

Who cannot join

  • Unable or unwilling to give written informed consent
  • Previous history of RT to the thorax overlapping with the current treatment field.
  • Pregnant or breast-feeding
  • Renal failure necessitating dialysis
  • Unwilling to perform protocol tests
  • Contraindication for any protocol tests

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Zhongxing Liao, MD contact

832-829-5312

zliao@mdanderson.org

United States1 site, 1 recruiting
  • M D Anderson Cancer Center

    Houston, Texas, 77030

    Zhongxing Liao, 832-829-5312, zliao@mdanderson.org

    Zhongxing Liao

    Recruiting

Other trials in United States

About this study

Official title: Longitudinal Assessment of Cardiovascular Injury and Cardiac Fitness in LA-NSCLC Patients Receiving Model Based Personalized Chemoradiation - an Adaptive Cohort Registration Study

This study assesses cardiovascular injury and cardiac fitness in patients with non-small cell lung cancer that has spread to nearby tissue or lymph nodes (locally advanced) receiving model based personalized chemoradiation. The goal of this study is to learn more about the risk of developing heart disease as a result of chemoradiation treatment for lung cancer. Researchers also want to learn if the risk can be reduced by using a patient's individual risk profile to guide cancer treatment and help protect the heart.

Read the detailed description

PRIMARY OBJECTIVE:

I.To longitudinally assess cardiac injury (serum biomarkers, and grade >=2 cardiac events), and overall cardiac fitness (6-minute-walk test) in LA-NSCLC patients receiving chemoradiation.

OUTLINE:

Patients undergo single photon emission computed tomography (SPECT)/computed tomography (CT) with stress test and echocardiogram with strain before radiation therapy (RT), 6-8 weeks and 12 months after completion of RT. Patients also participate in 6 minute walk test (MWT) before RT, 2-3 and 6-7 weeks during RT, then 6-8 weeks, 4-6 months and 12 months after completion of RT. Patients undergo blood sample collection and complete questionnaires over 3-5 minutes before RT, 2-3, 4-5, 6-7 weeks after the initiation of RT, then at 3, 6, 12, and 24 months after completion of RT.

After completion of study treatment, patients are followed up annually for up to 10 years.

Being tested
6 Minute Walk Functional Test, Biospecimen Collection, Computed Tomography, Echocardiography, Exercise Cardiac Stress Test
Medical subject headings
Lung Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 6 Minute Walk Functional TestProcedure or surgery

    Also called 6MWT, SIX MINUTE WALK, SIXMW1

    Participate in 6 MWT

  • Biospecimen CollectionProcedure or surgery

    Undergo blood and urine sample collection

  • Computed TomographyProcedure or surgery

    Also called CAT, CAT Scan, Computerized Axial Tomography, Computerized Tomography

    Undergo SPECT/CT

  • EchocardiographyProcedure or surgery

    Also called ECHO_TEST

    Undergo echocardiogram

  • Exercise Cardiac Stress TestProcedure or surgery

    Also called ECST, Exercise Stress Test

    Undergo stress test

  • Questionnaire AdministrationOther

    Complete questionnaires

  • Single Photon Emission Computed TomographyProcedure or surgery

    Also called Medical Imaging, Single Photon Emission Computed Tomography, Single Photon Emission Tomography, single-photon emission computed tomography, SPECT

    Undergo SPECT/CT

Study groups in NCT05010109
Study groupRoleWhat they receive
Standard Treatment Plan (Cohort One)ExperimentalPatients undergo SPECT/CT with stress test and echocardiogram with strain before RT, 6-8 weeks and 12 months after completion of RT. Patients also participate in 6 MWT before RT, 2-3 and 6-7 weeks during RT, then 6-8 weeks, 4-6 months and 12 months after completion of RT. Patients undergo blood sample collection and complete questionnaires over 3-5 minutes before RT, 2-3, 4-5, 6-7 weeks after the initiation of RT, then at 3, 6, 12, and 24 months after completion of RT.
Receives: Procedure: 6 Minute Walk Functional Test; Procedure: Biospecimen Collection; Procedure: Computed Tomography; Procedure: Echocardiography; Procedure: Exercise Cardiac Stress Test; Other: Questionnaire Administration; Procedure: Single Photon Emission Computed Tomography
Model Based Personalized Treatment Plan (Cohort Two)ExperimentalPatients undergo SPECT/CT with stress test and echocardiogram with strain before RT, 6-8 weeks and 12 months after completion of RT. Patients also participate in 6 MWT before RT, 2-3 and 6-7 weeks during RT, then 6-8 weeks, 4-6 months and 12 months after completion of RT. Patients undergo blood sample collection and complete questionnaires over 3-5 minutes before RT, 2-3, 4-5, 6-7 weeks after the initiation of RT, then at 3, 6, 12, and 24 months after completion of RT.
Receives: Procedure: 6 Minute Walk Functional Test; Procedure: Biospecimen Collection; Procedure: Computed Tomography; Procedure: Echocardiography; Procedure: Exercise Cardiac Stress Test; Other: Questionnaire Administration; Procedure: Single Photon Emission Computed Tomography

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Increase in level of hs-TnT >= 5ng/L

    Baseline up to end or chemoradiation (CRT)

    Measured: up to 24 months

  2. Incidence of grade >= 2 cardiovascular events

    Defined by Common Terminology Criteria for Adverse Events version 5.0.

    Measured: Within 12-month of completion of CRT]

Secondary outcomes (4)
  1. Overall cardiac fitness

    Assessed using 6 minute walk test.

    Measured: Up to 24 months after CRT

  2. EuroQol 5 Dimension 5 Level: Patient reported outcomes

    Score Range 0-100 (0) Worst health and (100) best health Level 1- No complaints Level 5- Worst

    Measured: Up to 24 months after CRT

  3. MD Anderson Symptom Inventory-Lung Cancer: Patient Report outcomes

    Score Range 0-10 (0) No symptom and (10) worst symptoms

    Measured: Up to 24 months after CRT

  4. Overall survival

    Measured: Up to 10 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Aug 2021
  2. Study start5 Jul 2021
  3. Primary completion2 Feb 2027 (estimated)
  4. Study completion2 Feb 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05010109
Sponsor's protocol ID
2021-0071
Other IDs
NCI-2021-02280, 2021-0071, 1R01HL157273-01
Status last verified
Sep 2026
First submitted
12 Apr 2021
Last updated
16 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

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