Primary Radiotherapy In MEtastatic Lung Cancer

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorTrans Tasman Radiation Oncology Group

About this trial

Lung cancer has the highest mortality rate of all cancers in Australia and is an area of unmet need. It starts in the lung (the primary tumour), and then spreads (metastasise) to other organs. The PRIME-Lung clinical trial will investigate if radiotherapy to the primary lung tumour, in addition to standard drug therapies, for patients with metastatic lung cancer will lead to less spread of cancer, prolong life, improve patient well-being and be cost-effective for the health care system.

Eligibility criteria

Qualifiers

Newly diagnosed metastatic (stage IV) NSCLC, not amenable to curative surgery or curative radiotherapy

Histologically or cytologically documented NSCLC

EGFR/ALK/ROS1 Wild-type

Primary suitable for radiotherapy and not requiring immediate palliative thoracic irradiation

Disqualifiers

Medically unfit for systemic therapy

EGFR/ALK/ROS1 mutation positive or actionable driver mutation with intention to use available targeted drug therapy

Has had previous thoracic radiotherapy of > 36Gy within the 6 months prior to randomisation.

Has been diagnosed and/or treated additional malignancy within 2 years prior to randomisation with the exception of: Curatively treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin, curatively treated early-stage cervical cancer, breast cancer or prostate cancer with no evidence of active disease and not on active therapy. Other exceptions may be considered following consultation with the principal investigator

Trial design

Treatments tested in this trial

  • Radiotherapy followed by chemotherapy
  • Standard of Care (SOC)

Treatment groups

420 Participants
are divided into 2 treatment groups

Locations

This trial has no locations

Sponsors and collaborators

Trans Tasman Radiation Oncology Group

Lead sponsor

Thoracic Oncology Group of Australasia (TOGA)

Collaborator