Recruiting

Stereotactic Body Radiation Therapy

Sponsor:

Northwestern University

Code:

NCT05802186

Conditions

Lung Carcinoma

Lung Non-Small Cell Carcinoma

Metastatic Malignant Neoplasm in the Lung

Stage I Lung Cancer AJCC v8

Stage II Lung Cancer AJCC v8

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Computed Tomography

Magnetic Resonance Imaging

Positron Emission Tomography

Quality-of-Life Assessment

Radiology, Treatment Planning

Study Details

Brief summary:

This phase II trial tests the effectiveness and safety of artificial intelligence (AI) to determine dose recommendation during stereotactic body radiation therapy (SBRT) planning in patients with primary lung cancer or tumors that has spread from another primary site to the lung (metastatic). SBRT uses special equipment to position a patient and deliver radiation to tumors with high precision. This method may kill tumor cells with fewer doses over a shorter period and cause less damage to normal tissue. Even with the high precision of SBRT, disease persistence or reappearance (local recurrence) can still occur, which could be attributed to the radiation dose. AI has been used in other areas of healthcare to automate and improve various aspects of medical science. Because the relationship of dose and local recurrence indicates that dose prescriptions matter, decision support systems to help guide dose based on personalized prediction AI algorithms could better assist providers in prescribing the radiation dose of lung stereotactic body radiation therapy treatment.

Conditions

Lung Carcinoma

Lung Non-Small Cell Carcinoma

Metastatic Malignant Neoplasm in the Lung

Stage I Lung Cancer AJCC v8

Stage II Lung Cancer AJCC v8

Study ID

NCT05802186

Start date

Nov 20, 2023

Status verified date

May, 2026

Completion date

Aug 1, 2031

Anticipated

Primary completion date

Aug 1, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Patients with radiographic findings consistent with lung cancer or solitary or oligometastatic disease in the lung. Most patients will have primary non-small cell lung cancer. For primary lung cancers, we include lesions with ground glass opacities with a solid component of 50% or greater. Patients with solitary or oligo-metastatic disease in the lung may have any other histology or cancer type.
  • Patients must have radiographically measurable or evaluable disease per RECIST v. 1.1.
  • Patients must be age >= 18 years.
  • Patients must exhibit an Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
  • Patients of child-bearing potential (POCBP) must have a negative urine or serum pregnancy test prior to registration on study.

  • NOTE: A POCBP is any person with an egg-producing reproductive tract (regardless of sexual orientation, having undergone a tubal ligation, or remaining celibate by choice) who meets the following criteria:

  • Has not undergone a hysterectomy or bilateral oophorectomy
  • Has had menses at any time in the preceding 12 consecutive months (and therefore has not been naturally postmenopausal for > 12 months)
  • Radiation therapy is known to be teratogenic. Patients of child-bearing potential (POCBP) must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) from time of informed consent, for the duration of study participation, and for 7 days following completion of therapy. Should a patient become pregnant or suspect they are pregnant while they or their partner are participating in this study, they should inform their treating physician immediately. People who can impregnate their partners treated or enrolled on this protocol must also agree to use adequate contraception from time of informed consent, for the duration of study participation, and 90 days after completion of administration.
  • Patients must have the ability to understand and the willingness to sign a written informed consent document. Informed consent must be signed prior to registration on study.

Exclusion Criteria:

  • Patients who have had prior radiotherapy with radiation field overlap.
  • For primary lung cancers, patients with ground glass opacities without a solid component will be excluded.
  • Patients who have not recovered from adverse events confined to the thorax (i.e. pneumonitis, bronchial insufficiency, bronchial hemorrhage, esophagitis) due to prior anticancer therapy (i.e., have residual toxicities >= grade 2) with the exception of alopecia. low blood counts (neutropenia, anemia, etc), or anatomically distinct toxicities (i.e. cystitis).
  • Patients who are receiving any other concurrent investigational agents or genotoxic chemotherapy for cancer treatment.

  • Note: Patients receiving targeted therapies are permitted to enroll on the study. However, patients must pause treatment with targeted therapy 3 days prior to SBRT and restart medication at least 2 days after SBRT. Concurrent immunotherapy (if not investigational) is permitted. Coronavirus disease 2019 (COVID-19) vaccinations are allowed.
  • Patients with a prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the safety or efficacy assessment of the investigational regimen. Patients who have an uncontrolled intercurrent illness including, but not limited to any of the following, are not eligible:

  • Ongoing or active infection requiring systemic treatment
  • Unstable angina pectoris
  • Stage 3 or greater idiopathic pulmonary fibrosis
  • Cardiac arrhythmia
  • Psychiatric illness/social situations that would limit compliance with study requirements
  • Any other illness or condition that the treating investigator feels would interfere with study compliance or would compromise the patient's safety or study endpoints
  • Female patients who are pregnant or nursing. Pregnant women are excluded from this study because radiation therapy has teratogenic or abortifacient effects.

Study Design

Enrollment

70 participants

Anticipated

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Treatment (AI-directed analysis, SBRT)

Patients undergo radiation planning with AI-directed analysis for dose recommendations with Deep Profiler + iGray software on study. Patients then undergo SBRT on study. Patients also undergo PET, CT, MRI, and/or x-ray imaging during screening and follow-up.

Interventions

Computed Tomography

Undergo CT

Magnetic Resonance Imaging

Undergo MRI

Positron Emission Tomography

Undergo PET

Quality-of-Life Assessment

Ancillary studies

Radiology, Treatment Planning

Undergo radiation planning with AI-directed analysis for dose recommendation

Stereotactic Body Radiation Therapy

Undergo SBRT

X-Ray Imaging

Undergo x-ray imaging

Primary outcome measure

  • Local failure free survival (LFS) [ Time Frame: Up to 5 years ]

Central Contacts and Locations

Central contacts

Study Coordinator

3126951301cancer@northwestern.edu

Locations

Northwestern University

Recruiting

Chicago, Illinois, United States, 60611

Contacts

Mohamed E. Abazeed, MD, PhD

312-503-2195

Principal Investigator:

Mohamed E. Abazeed, MD, PhD

More Information

Sponsor

Northwestern University

Last update posted

May 29, 2026

Last verified

May, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Northwestern University on 2026-05-29.