Local Ablative Therapy for Non-Small Cell Lung Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
The purpose of this study is to see whether receiving local ablative therapy (LAT) when minimal residual disease/MRD levels are rising can reduce MRD levels and control metastatic non-small cell lung cancer/NSCLC longer compared to systemic therapy.
Will I have to stop taking my current medications?
The trial does not specify if you need to stop taking your current medications. However, it mentions that participants should have received at least two cycles of first-line systemic therapy and remain on it, suggesting that you may continue your current treatment.
Is local ablative therapy for non-small cell lung cancer safe?
Local ablative therapy, also known as stereotactic ablative radiotherapy (SABR), is generally safe for treating lung tumors, especially when they are small and not near critical structures. However, there is a risk of serious complications if the tumors are close to important areas like the bronchial tree or mediastinum (the area between the lungs).12345
How is the treatment for non-small cell lung cancer different from other treatments?
Local ablative therapy, also known as stereotactic ablative radiotherapy (SABR) or stereotactic body radiation therapy (SBRT), is unique because it delivers high doses of radiation with precision over a few sessions, making it a noninvasive option for patients who cannot undergo surgery. It is particularly effective for early-stage non-small cell lung cancer and offers similar local control to surgery with relatively low toxicity.26789
What data supports the effectiveness of this treatment for non-small cell lung cancer?
Research shows that stereotactic body radiation therapy (SBRT), also known as stereotactic ablative radiotherapy (SABR), is a safe and effective treatment for early-stage non-small cell lung cancer (NSCLC), especially for patients who cannot undergo surgery. It offers good local control and outcomes similar to surgery, with low toxicity for tumors located away from sensitive structures.26101112
Who Is on the Research Team?
Daniel Gomez
Principal Investigator
Memorial Sloan Kettering Cancer Center
Are You a Good Fit for This Trial?
This trial is for adults over 18 with Stage IV NSCLC who've had up to four cycles of standard therapy, have measurable disease but not more than ten lesions, and no active cancers in the last year. They must be able to undergo radiotherapy, not be pregnant or breastfeeding, and have adequate organ function.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment Part I
Participants with metastatic NSCLC receive Local Ablative Therapy (LAT) to determine if ablation to all sites of disease leads to acceptable rates of mean VAF reduction.
Treatment Part II
Participants are randomized to either continuation of systemic therapy or ablation to all sites of disease, with a primary endpoint of progression-free survival.
Follow-up
Participants are monitored for safety and effectiveness after treatment, with imaging obtained every 3 months.
What Are the Treatments Tested in This Trial?
Interventions
- Blood collection to assess for ctDNA
- Local ablative therapy
Local ablative therapy is already approved in European Union, United States, Canada, Japan for the following indications:
Find a Clinic Near You
Who Is Running the Clinical Trial?
Memorial Sloan Kettering Cancer Center
Lead Sponsor