Official Title: The Role of Adaptive Radiation Planning in Patients With Non-Small Cell Lung Cancer on Radiation Induced Toxicity
Status: RECRUITING
Status Verified Date: 2023-12
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: This phase II trial studies the effect of adaptive radiation planning in reducing side effects associated with radiation treatment and immunotherapy in patients with stage II-IV non-small cell lung cancer Prior to radiation patients undergo simulation where they are positioned on the treatment table in a manner that can be reproduced each time they receive treatment in order to reach the tumor exactly at the same spot each time However a patients tumor may shrink as they receive radiation exposing healthy tissue to radiation as well Adaptive radiation planning involves re-designing a treatment plan at set intervals The purpose of this study is to see whether establishing set time points through adaptive radiation planning regardless of whether the doctor notices a significant decrease in tumor size will reduce some of the side effects associated with radiation treatment and immunotherapy
Detailed Description: PRIMARY OBJECTIVE
I To evaluate whether implementing set intervals for radiation replanning reduces cardiopulmonary toxicity and preserves healthy lung and heart tissue with the intention of establishing a new standard treatment modality
OUTLINE
Patients undergo computed tomography CT stimulation with or without intravenous IV contrast over 15 hours on days -15 to -1 then undergo standard of care SOC chemoradiation on days 1-40 Patients also undergo additional CT scan simulations without IV contrast over 20 minutes each on days 15 and 29
After completion of study patients are followed up at 3-12 weeks and then every 6 months for approximately 2 years