This study evaluates the optimal intervention time of radiotherapy for oligometastatic stage iv lung cancer.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
420
Radiation(image-guided radiotherapy):(1)primary tumors≤3cm,Hypofractionated radiation therapy,accumulated dose BED ≥80Gy (central lung cancer),BED ≥100Gy(Peripheral lung cancer).(2)primary tumors\>3cm,conventional fractionated radiotherapy,accumulated dose BED=60-66Gy/30-33f.(3) regional lymph node:conventional fractionated radiotherapy,accumulated dose BED=60-66Gy/30-33f.(4) Brain metastases: whole brain radiation therapy,36Gy/12f,Intracranial metastases,48Gy/12f.(5) bone metastasis:36 Gy/12f.
Docetaxel:60mg/m2 d1,Given IV
pemetrexed: 500mg/m2 d1,Given IV
Sichuan Cancer Hospital & Institute
Chengdu, Sichuan, China
RECRUITINGshort-term effects(The response rate,RR)
Response Evaluation Criteria In Solid Tumors (RECIST)
Time frame: 3 months after the end of the treatment
PFS(progression-free survival)
Time frame: up to 3 years
Quality of life (QOL)
Quality of life (QOL) as measured by the Functional Assessment of Cancer Therapy-Trial Outcome Index (FACT-TOI) and lung cancer subscale (LCS)
Time frame: up to 3 years
esophagitis and pneumonitis
Grade 3-5 esophagitis and pneumonitis adverse events as assessed by NCI Common Toxicity Criteria for Adverse Effects (CTCAE) v3.0
Time frame: up to 3 years
Other grade 3-5 adverse events
Other grade 3-5 adverse events as assessed by NCI CTCAE v3.0
Time frame: up to 3 years
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Cisplatin:25mg/m2 d1-3,Given IV