Radiofrequency Ablation in Treating Patients With Stage I Non-Small Cell Lung Cancer
This pilot clinical trial studies how well radiofrequency ablation works in treating patients with stage IA non-small cell lung cancer. Radiofrequency ablation uses high-frequency electric current to kill tumor cells. Computed tomography (CT)-guided radiofrequency ablation may be a better treatment for non-small cell lung cancer.
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This describes the study’s primary purpose.
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These are broad labels—not an eligibility decision.
Checked against the public recordLast updated Mar 8, 2017 · Source: ClinicalTrials.gov
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Interventional
Locations may change over time.
Study sponsor
What this study is about
- Purpose
- Treatment
- Study type
- Interventional
- Phase
- Not applicable
- Sponsor
- Alliance for Clinical Trials in Oncology
- Interventions being studied
- Procedure: Computed Tomography-Guided Optical Sensor-Guided Radiofrequency Ablation
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.
- PRE-REGISTRATION CRITERIA:
- Patients must have a lung nodule suspicious for clinical stage I non-small cell lung cancer (NSCLC)
- Patient must have a mass =\< 3 cm maximum diameter by CT size estimate: clinical stage IA
- Patient must have been evaluated by a thoracic surgeon and been deemed at high risk for a lung resection; NOTE: if the evaluating surgeon is not a member of American College of Surgeons Oncology Group (ACOSOG), then an ACOSOG thoracic surgeon must confirm with dated signature that the patient is high-risk and appropriate for RFA
- Patient must have fludeoxyglucose F 18 (FDG)-PET and a CT scan of the chest with upper abdomen within 60 days prior to pre-registration; patient must have pulmonary function tests (PFTs) within 120 days prior to registration
- Patient must have an Eastern Cooperative Oncology Group (ECOG)/Zubrod performance status 0, 1, or 2
- Patient must meet at least one major criterion or meet a minimum of two minor criteria as described below:
- Major criteria
- Forced expiratory volume in one second (FEV1) =\< 50% predicted
- Diffusing capacity of the lung for carbon monoxide (DLCO) =\< 50% predicted
- Minor Criteria
- Age \>= 75
- FEV1 51-60% predicted
- DLCO 51-60% predicted
- Pulmonary hypertension (defined as a pulmonary artery systolic pressure greater than 40 mmHg) as estimated by echocardiography or right heart catheterization
- Poor left ventricular function (defined as an ejection fraction of 40% or less)
- Resting or exercise arterial partial pressure of oxygen (pO2) =\< 55 mmHg or oxygen saturation (SpO2) =\< 88%
- Partial pressure of carbon dioxide (pCO2) \> 45 mmHg
- Modified Medical Research Council (MMRC) Dyspnea Scale \>= 3
- Patient must not have had previous intra-thoracic radiation therapy
- Women of child-bearing potential must have negative serum or urine pregnancy test within 2 weeks of registration
- REGISTRATION ACTIVATION CRITERIA:
- Patient must have histologically or cytologically proven NSCLC, 3 cm or smaller, as determined by the largest dimension on CT lung windows
- Patient's tumor must be non-contiguous with vital structures: trachea, esophagus, aorta, aortic arch branches and heart and lesions must be accessible via percutaneous transthoracic route
- Patient must have all suspicious mediastinal lymph nodes (\> 1 cm short-axis dimension on CT scan or positive on PET scan) assessed by the following to confirm negative involvement with NSCLC (mediastinoscopy, endo-esophageal ultrasound-guided needle aspiration, CT-guided, video-assisted thoracoscopic or open lymph node biopsy)
Important: This is the sponsor’s public criteria, not a determination of eligibility. The study team must review your individual situation.
U.S. locations
- UAB Comprehensive Cancer CenterBirmingham, Alabama
- Jonsson Comprehensive Cancer Center at UCLALos Angeles, California
- University of California Davis Cancer CenterSacramento, California
- Massachusetts General HospitalBoston, Massachusetts
- Boston University Cancer Research CenterBoston, Massachusetts
- William Beaumont Hospital - Royal Oak CampusRoyal Oak, Michigan
- Stony Brook University Cancer CenterStony Brook, New York
- Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel HillChapel Hill, North Carolina
- Good Samaritan Hospital Cancer Treatment CenterCincinnati, Ohio
- Providence Cancer Center at Providence Portland Medical CenterPortland, Oregon
- Rhode Island Hospital Comprehensive Cancer CenterProvidence, Rhode Island
- H. Clay Evans Johnson Cancer Center at Memorial HospitalChattanooga, Tennessee
Source and freshness
Processed from ClinicalTrials.gov. Last public update: Mar 8, 2017. Always confirm current availability with the study team.