About this trial

This is an open-label, prospective single arm Phase II trial that investigates the role of ablative stereotactic body radiation therapy (SBRT) in oncogene driven metastatic non-small cell lung cancer (mNSCLC) patients with oligoprogressive disease (OPD) on targeted therapy (TKI) followed by circulating tumor DNA (ctDNA) analysis for tailoring targeted therapies.

Eligibility criteria

Qualifiers

Age 18 or older.

Able to do most daily activities (ECOG 0-2).

Able and willing to sign an informed consent form to join the study.

Metastatic non-small cell lung cancer (NSCLC) with either an EGFR mutation or ALK rearrangement confirmed by imaging and biopsy.

Disqualifiers

More than 5 extracranial sites of progressive disease.

Pregnant.

Leptomeningeal disease.

Serious health issues that prevent radiotherapy, like ataxia-telangiectasia or scleroderma.

Trial design

Treatments tested in this trial

  • Radiotherapy
  • Radiotherapy

Treatment groups

60 Participants
are divided into 2 treatment groups

Locations

1
Radiation Medicine Program, Princess Margaret Cancer Centre, University Health NetworkM5G 2M9, TorontoOntario, Canada

Sponsors and collaborators

University Health Network, Toronto

Lead sponsor