Video-Assisted Surgery Followed by Radiation Therapy in Treating Patients With Stage I Non-small Cell Lung Cancer and Poor Heart and Lung Function
RATIONALE: Video-assisted surgery followed by radiation therapy may be an effective treatment in patients whose poor heart and lung function make them high risk for standard surgery. PURPOSE: Phase II trial to study the effectiveness of video-assisted surgery followed by radiation therapy in treating patients with stage I non-small cell lung cancer and poor heart and lung function.
Ask AI to explain this studyKey things to know
This describes the study’s primary purpose.
Plus 3 other study approaches.
These are broad labels—not an eligibility decision.
Checked against the public recordLast updated Jul 14, 2016 · Source: ClinicalTrials.gov
Ask the study team to confirm whether enrollment is open.
Interventional
Locations may change over time.
Study sponsor
What this study is about
- Purpose
- Treatment
- Study type
- Interventional
- Phase
- Phase 2
- Sponsor
- Alliance for Clinical Trials in Oncology
- Interventions being studied
- Procedure: adjuvant therapy; Procedure: diagnostic thoracoscopy; Procedure: therapeutic thoracoscopy; Procedure: video-assisted surgery; Radiation: radiation therapy
How this study is categorized
These labels come from structured fields and exact terms in the public record.
Who may be able to participate
The sponsor separates these requirements into two groups. You do not need to interpret them alone—use them to guide a conversation with the study team.
- DISEASE CHARACTERISTICS:
- Known or suspected, single, peripheral, stage T1 N0 M0 lung tumor
- Tumor must not be identifiable by bronchoscopy
- Bronchoscopically visible cancer or bronchial distortions considered related to tumor
- Positive cytology by bronchoscopy allowed if no gross abnormality visible
- Mediastinoscopy required for nodes greater than 1 cm
- No pleural effusions
- No metastatic or N2 disease on CT scan
- Lesion must be accessible for video-assisted thoracoscopic wedge resection
- High cardiopulmonary risk for thoracotomy with at least 1 of the following criteria:
- FEV1 less than 40% predicted
- DLCO less than 50% predicted
- Supplemental oxygen requirement
- Chronic PaCO2 greater than 45 mm Hg
- Maximum oxygen consumption (VO2 max) less than 15 mL/kg/min
- Patients who appear at high risk for non-pulmonary reasons (e.g., patients who are elderly or with renal or cardiac failure) may be eligible only if VO2 max or other criteria above are met
- Eligible for radiotherapy after completion of wedge resection if histologic documentation of non-small cell lung cancer, including any of the following subtypes:
- Squamous cell carcinoma
- Adenocarcinoma
- Bronchoalveolar cell
- Large cell anaplastic carcinoma
- Cytology from bronchial washings and transthoracic needle aspiration not acceptable PATIENT CHARACTERISTICS: Age:
- 18 and over Performance status:
- 0-2 Other:
- No other malignancy within the past 5 years except nonmelanomatous skin cancer or carcinoma in situ of the cervix
- Weight loss no greater than 10% within the past 6 months PRIOR CONCURRENT THERAPY: Radiotherapy
- No prior thoracic irradiation
Important: This is the sponsor’s public criteria, not a determination of eligibility. The study team must review your individual situation.
U.S. locations
- CCOP - Colorado Cancer Research Program, IncorporatedDenver, Colorado
- John Stoddard Cancer Center at Iowa Methodist Medical CenterDes Moines, Iowa
- Mercy Cancer Center at Mercy Medical Center-Des MoinesDes Moines, Iowa
- Iowa Lutheran HospitalDes Moines, Iowa
- Beth Israel Deaconess Medical CenterBoston, Massachusetts
- CCOP - Metro-MinnesotaSaint Louis Park, Minnesota
- Midlands Cancer Center at Midlands Community HospitalPapillion, Nebraska
- MBCCOP - University of New Mexico HSCAlbuquerque, New Mexico
- Penn State Cancer Institute at Milton S. Hershey Medical CenterHershey, Pennsylvania
- Drexel University HospitalPhiladelphia, Pennsylvania
- Hillman Cancer Center at University of Pittsburgh Cancer InstitutePittsburgh, Pennsylvania
- CCOP - MainLine HealthWynnewood, Pennsylvania
Source and freshness
Processed from ClinicalTrials.gov. Last public update: Jul 14, 2016. Always confirm current availability with the study team.