This trial is evaluating whether Stereotactic radiation therapy will improve 2 primary outcomes and 7 secondary outcomes in patients with Carcinoma, Non-Small-Cell Lung. Measurement will happen over the course of 12 weeks from randomization.
This trial requires 52 total participants across 2 different treatment groups
This trial involves 2 different treatments. Stereotactic Radiation Therapy is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are in Phase 2 and have already been tested with other people.
Non-small-cell lung cancer is most commonly treated with surgery and sometimes chemotherapy. For patients with early-stage tumors, surgery alone or surgery with radiotherapy is the most common treatment method. For nonsquamous cell carcinomas, surgical resection, sometimes combined with chemotherapy and/or radiotherapy, is the most common treatment. For people with squamous cell carcinoma, lung cancer is typically treated with surgery, chemotherapy, and/or radiotherapy.
Carcinoma, non-small-cell lung is a deadly disease that has become an epidemic in the industrialized world, affecting mostly non-smokers who never smoked or are light smokers, including those who are current and former military personnel and laborers. The treatment is mainly surgery and radiation.
The data suggest that patients with lung cancer who have not received chemotherapy have a survival rate comparable to other cohorts of patients with advanced lung cancer who have been treated with chemotherapy.
About 12,000 new cases of non-small-cell [lung cancer](https://www.withpower.com/clinical-trials/lung-cancer) will be diagnosed in the United States in 2012. These cases represent 4% of all cancer diagnoses in the United States.
Smoking and asbestos are known risk factors for lung cancer. Smoking and/or asbestos exposure can affect lung function, resulting in increased risk of developing lung cancer in the later stages of life. Smoking and asbestos-related lung cancer show a different pattern of risk depending on whether the exposure took place before or after age 60 years. Lung function may be compromised, leading to increased risk of lung cancer by mechanisms that are different for younger and older subjects.
Most signs of cancer/carcinoma of the lung are vague, non-specific and unspecific. The most common sign is coughing. Other signs may include wheezing, increased pain, weight loss and fever.
Stereotactic therapy can have devastating neurological effects in the absence of a primary tumor mass, which, in turn, can lead to severe neurocognitive deficits. However, we contend that the incidence, severity, and long-term impact of these deficits will be significantly diminished, when appropriately managed, when these patients are enrolled in clinical trials.
There are several [methods of treating malignant lesions in the lung] that require a certain extent of excision before [medication by a radiotherapist]. However, we do not yet know [how quickly malignant lesions in the lung] will spread.
It is important to take into account that the majority of the research on anticancer peptides was conducted using only mice because the mice are a highly valuable small animal model that is highly sensitive, fast-developing, and inexpensive to grow and store. This is especially important in the case of anticancer vaccines, since vaccine treatment requires an adequate immune response to be effective. Currently most anticancer vaccine studies have only focused on treatment strategies involving vaccination using monoclonal antibodies to block PD1 molecules on the cancer cell surface. There are many other therapeutic approaches that are not being explored thoroughly in any vaccine therapy.
Although stereotactic radiation therapy is a novel form of radiation therapy, only a single patient was involved in the study. Furthermore, only 1 patient received both stereotactic therapy and chemotherapy to induce tumor shrinkage. A larger clinical trial is warranted, to investigate the efficacy and safety of stereotactic radiation therapy as a monotherapeutic or as a synergistic therapy in locally advanced, small-bore primary lung cancer patients, at least on an investigator-initiated basis.
Overall survival rates for patients diagnosed with invasive squamous cell carcinoma were more than three times higher than for patients diagnosed with other nonsmall-cell carcinoma histotypes. This difference cannot be explained by stage.
This section focuses on a few new aspects of SRT with regard to its possible use as an adjuvant therapy in patients with newly diagnosed or locally recurrent lung cancer.