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Surgery

Surgery vs Stereotactic Ablative Radiotherapy for Lung Cancer (STABLE-MATES Trial)

Phase 3
Recruiting
Led By Robert Timmerman, MD
Research Sponsored by University of Texas Southwestern Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
ECOG performance status (PS) 0, 1, or 2
All clinically suspicious mediastinal N1, N2, or N3 lymph nodes (> 1 cm short-axis dimension on CT scan and/or positive on PET scan) confirmed negative for involvement with NSCLC by one of the following methods: mediastinoscopy, anterior mediastinotomy, EUS/EBUS guided needle aspiration, CT-guided, video-assisted thoracoscopic or open lymph node biopsy within 180 days of randomization
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 5 years
Awards & highlights

STABLE-MATES Trial Summary

This trial is testing whether a more targeted form of radiation therapy called SABR is more effective than the standard SR radiation therapy in treating operable stage I NSCLC.

Who is the study for?
This trial is for adults over 18 with high-risk operable Stage I non-small cell lung cancer (NSCLC) that can be removed by surgery. Candidates must have a tumor ≤ 4 cm, located peripherally in the lung, and no distant metastases. They should not have had previous thoracic radiation therapy or treatment for this lung cancer and must not be pregnant.Check my eligibility
What is being tested?
The study aims to compare survival outcomes between two treatments: sublobar resection (SR), which is a type of lung surgery, and stereotactic ablative radiotherapy (SAbR). It's designed to see if SAbR offers better survival rates than SR in patients with early-stage NSCLC who are at high risk from traditional surgery.See study design
What are the potential side effects?
Potential side effects of SR may include pain, bleeding, infection, or breathing difficulties post-surgery. SAbR could cause fatigue, skin reactions at the treatment site, shortness of breath or coughing up blood due to damage to surrounding lung tissue.

STABLE-MATES Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I can take care of myself and am up and about more than half of my waking hours.
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My lung cancer has not spread to certain lymph nodes, confirmed by a biopsy.
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My tumor can be partially removed by surgery according to a lung surgeon.
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My cancer has not spread to distant parts of my body.
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I am considered high-risk for surgery based on specific health criteria.
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I am older than 18 years.
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My lung tumor is located away from the center of my lung.
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My lung scans show a type of lung cancer with more than half solid areas in the cloudy parts.

STABLE-MATES Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 5 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
overall survival
Secondary outcome measures
progression free survival
toxicity as assessed toxicity using the Common Toxicity Criteria

Side effects data

From 2013 Phase 3 trial • 397 Patients • NCT00004054
78%
Menopausal symptoms
60%
Urinary frequency
52%
Impotence
47%
Late RT Toxicity: Bladder: NOS
39%
Diarrhea NOS
27%
Late RT Toxicity: Bowel: NOS
26%
Fatigue
26%
Late RT Toxicity: Other GU: NOS
21%
Proctitis NOS
21%
Dysuria
14%
Libido decreased
14%
Dermatitis radiation NOS
12%
Late RT Toxicity: Other GI: NOS
12%
Late RT Toxicity: Other: NOS
12%
Hemoglobin decreased
12%
Alanine aminotransferase increased
9%
Gynaecomastia
8%
Urinary retention
7%
Pain-other
7%
Aspartate aminotransferase increased
6%
Rectal bleeding
6%
Constipation
6%
Leukopenia NOS
4%
Edema NOS
4%
Hematuria present
4%
Renal/GU-Other
3%
Arthralgia
3%
Blood creatinine increased
3%
Dyspnea NOS
3%
Dermatitis exfoliative NOS
2%
Nausea
2%
Hyperglycemia NOS
2%
Depression NEC
2%
Lymphopenia
2%
Myalgia
2%
Peripheral sensory neuropathy
1%
Stomatitis
1%
Platelet count decreased
1%
Blood albumin decreased
1%
Weight decreased
1%
Anorexia
1%
Hypocalcemia
1%
Hyponatremia
1%
Hematologic-Other
1%
Neutropenia
1%
Alopecia
100%
80%
60%
40%
20%
0%
Study treatment Arm
Hormones and RT
Hormones and RT Plus Chemotherapy

STABLE-MATES Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Arm 2 radiation therapyExperimental Treatment1 Intervention
Stereotactic Ablative Radiotherapy (SAbR)
Group II: Arm 1 lung surgeryActive Control1 Intervention
Sublobar Resection (SR)
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Radiation therapy
2013
Completed Phase 3
~2850

Find a Location

Who is running the clinical trial?

University of Texas Southwestern Medical CenterLead Sponsor
1,048 Previous Clinical Trials
1,053,539 Total Patients Enrolled
Robert Timmerman, MD4.25 ReviewsPrincipal Investigator - UTSW Medical Center
University of Texas Southwestern Medical Center
4 Previous Clinical Trials
201 Total Patients Enrolled
5Patient Review
I was nervous at first, but this wonderful doctor made me feel at ease and explained everything very well. I would definitely recommend him to others.

Media Library

Non-Small Cell Lung Cancer Clinical Trial 2023: Lung Surgery Highlights & Side Effects. Trial Name: NCT02468024 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Could you explain the age limit for this particular clinical trial?

"According to the guidelines for this trial, any person aged 18 or older but not yet turned 100 is eligible to participate."

Answered by AI

Could you please summarize the risks associated with Radiation therapy?

"Radiation therapy is considered safe, and has received a score of 3 from our team at Power."

Answered by AI

Are we currently able to enroll new participants in this research?

"The correct, per the information available on clinicaltrials.gov. This particular clinical trial was posted on 7/1/2015 and was most recently updated on 10/5/2022. The study is currently enrolling 272 patients across 22 locations."

Answered by AI

Do I fit the patient profile for this particular research project?

"This trial is looking for 272 individuals above the age of 18 that have non-small cell lung carcinoma (nsclc). Most notably, patients must meet the following requirements: Radiographic findings that are consistent with non-small cell lung cancer, including lesions with ground glass opacities and a solid component that is 50% or greater. Those with ground glass opacities and a solid component that is less than 50% will be excluded., All clinically suspicious mediastinal N1, N2, or N3 lymph nodes (> 1 cm short-axis dimension on CT scan and/or positive on PET scan) confirmed negative"

Answered by AI
~17 spots leftby Dec 2024