[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100556743":3},{"organization":4,"armGroups":7,"interventions":22,"overallOfficials":32,"centralContacts":37,"locations":46,"responsibleParty":79,"collaborators":82,"id":86,"slug":87,"hasResults":88,"nctId":89,"briefTitle":90,"officialTitle":91,"acronym":12,"eligibilityCriteria":92,"healthyVolunteers":88,"sex":93,"minAge":94,"maxAge":12,"enrollmentInfo":95,"targetDuration":12,"studyType":98,"phases":99,"briefSummary":101,"conditions":102,"keywords":104,"overallStatus":49,"whyStopped":12,"lastUpdateSubmitDate":111,"lastUpdatePostDateStruct":112,"startDateStruct":115,"completionDateStruct":117,"leadSponsor":119,"locationsCount":120},{"fullName":5,"class":6},"Copernicus Memorial Hospital","OTHER",[8,13,18],{"label":9,"type":10,"description":11,"interventionNames":12},"Standard Treatment","NO_INTERVENTION","PDL1\u002FPD1 immunotherapy (durvalumab or atezolozumab - according to the SmPC) after chemo-immunotherapy based on platinum compounds.",null,{"label":14,"type":15,"description":12,"interventionNames":16},"Standard Treatment with Palliative Radiotherapy","EXPERIMENTAL",[17],"Radiation: Palliative Radiotherapy",{"label":19,"type":15,"description":12,"interventionNames":20},"Standard Treatment with Radical\u002FAblative Radiotherapy",[21],"Radiation: Radical\u002FAblative Radiotherapy",[23,28],{"type":24,"name":25,"description":26,"armGroupLabels":27,"otherNames":12},"RADIATION","Palliative Radiotherapy","Standard treatment with added consolidative radiotherapy to the chest area and possibly metastatic lesions (if indicated) in doses and for palliative indications (total dose of 30 Gy in 10 daily doses of 3 Gy each).",[14],{"type":24,"name":29,"description":30,"armGroupLabels":31,"otherNames":12},"Radical\u002FAblative Radiotherapy","Standard treatment with added radical\u002Fablative radiotherapy (total dose of 45 Gy in 15 daily fractions of 3 Gy to the chest area and total dose of 24 Gy administered in single fractions of 8 Gy every 2-3 days to the metastatic lesions) to the chest area and all metastatic lesions.",[19],[33],{"name":34,"affiliation":35,"role":36},"Łukasz Kuncman, PhD","Department of Radiotherapy, Copernicus Memoriał Hospital in Łódź, Poland","PRINCIPAL_INVESTIGATOR",[38,42],{"name":34,"role":39,"phone":40,"phoneExt":12,"email":41},"CONTACT","+4842 689 55 55","lm.kuncman@kopernik.lodz.pl",{"name":43,"role":39,"phone":44,"phoneExt":12,"email":45},"Jacek Fijuth, Prof","+4842 689 55 51","jacekf@kopernik.lodz.pl",[47,67],{"facility":48,"status":49,"city":50,"state":12,"zip":12,"country":51,"countryCode":52,"cosmosGeoPoint":53,"geoPoint":58,"contacts":59},"Center of Oncology of the Lublin Region St. Jana z Dukli in Lublin","RECRUITING","Lublin","Poland","PL",{"type":54,"coordinates":55},"Point",[56,57],22.57009,51.25058,{"lat":57,"lon":56},[60,64],{"name":61,"role":39,"phone":62,"phoneExt":12,"email":63},"Mateusz Bilski, PhD","+4881 454 13 71","matbilski@gmail.com",{"name":65,"role":39,"phone":12,"phoneExt":12,"email":66},"Katarzyna Kwiatkowska","kkwiatkowska@cozl.pl",{"facility":68,"status":49,"city":69,"state":70,"zip":71,"country":51,"countryCode":52,"cosmosGeoPoint":72,"geoPoint":76,"contacts":77},"Copernicus Memorial Hospital in Łódź","Lodz","Łódź Voivodeship","93-513",{"type":54,"coordinates":73},[74,75],19.47395,51.77058,{"lat":75,"lon":74},[78],{"name":34,"role":39,"phone":12,"phoneExt":12,"email":41},{"type":36,"investigatorFullName":80,"investigatorTitle":81,"investigatorAffiliation":5,"oldNameTitle":12,"oldOrganization":12},"Łukasz Kuncman","Principal Investigator",[83],{"name":84,"class":85},"Medical Research Agency, Poland","OTHER_GOV","100556743","radiotherapy-strategies-for-use-in-combined-treatment-of-small-cell-lung-cancer-100556743",false,"NCT06529081","Radiotherapy Strategies for Use in Combined Treatment of Small-cell Lung Cancer","Assessment of Radiotherapy Strategies for Use in Combined Treatment of Small-cell Lung Cancer at the Stage of Extensive Disease - a Research Experiment","Inclusion Criteria:\n\n* Histopathological confirmation of small cell lung cancer based on histological or cytological examination.\n* Primary clinical stage: Extensive stage of the disease according to VASLG classification or stage IV according to TNM classification.\n* Eastern Cooperative Oncology Group (ECOG) performance status 0-2 prior to randomization.\n* Partial response (PR) or stable disease (SD) to platinum-based doublet chemotherapy with durvalumab or atezolizumab based on restaging (positron emission tomography \\[PET\\]\u002Fcomputed tomography \\[CT\\] or CT or magnetic resonance imaging \\[MRI\\]).\n* Ability to undergo radiotherapy at a total dose of 45 Gy in 15 daily fractions of 3 Gy to the chest area and a total dose of 24 Gy administered in single fractions every 2-3 days of 8 Gy to the metastatic lesions.\n* Clinical control of brain metastases (prior whole-brain irradiation at any stage is acceptable before study entry).\n* Measurable residual disease after chemioimmunotherapy (according to RECIST 1.1 solid tumor response assessment criteria) or in case of CR\u002FPR presence of tumor lesions not classified as measurable.\n* Volume and number (up to 10) of metastatic lesions allowing for radiotherapy in doses according to the study protocol.\n* Absence of clinically significant and uncontrolled co-morbidities with pharmacological treatment.\n* Absence of active autoimmune diseases except for diabetes, hypothyroidism, psoriasis, eczema, lichen planus, and vitiligo.\n* Adequate hematopoietic function allowing treatment with atezolizumab or durvalumab, according to the current SmPC (Summary of Product Characteristics).\n* Renal and hepatic function allowing treatment according to the current SmPC for atezolizumab or durvalumab.\n\nExclusion Criteria:\n\n* Age under 18 years old.\n* Premenopausal women who do not accept the need for effective contraception during radiotherapy and\u002For chemotherapy\u002Fimmunotherapy.\n* Individuals excluded from participation in a medical experiment based on Article 23A(1) of the Act on the Profession of Physician and Pharmacist.\n* Coexistence of other uncontrolled malignant neoplasms.\n* Contraindications to the use of atezolizumab or durvalumab as specified in the SmPC.\n* Grade 2 or greater CTCAE v.5 pneumonitis secondary to immunotherapy.\n* Participation in another clinical trial during the study.\n* Prior chest radiotherapy that precludes safe administration of radiotherapy according to the study protocol. Prior palliative radiotherapy to metastatic sites is acceptable before study entry if clinically indicated as determined by the physician.\n* Contraindications to radiotherapy according to the approved protocol.","ALL","18 Years",{"count":96,"type":97},165,"ESTIMATED","INTERVENTIONAL",[100],"NA","The purpose of this study is to evaluate the efficacy of radiotherapy as part of the combined treatment approach for patients diagnosed with histopathologically confirmed small cell lung cancer (SCLC) in the advanced stage of extensive disease (ED) who are undergoing chemo-immunotherapy. The planned study aims to assess the impact of incorporating consolidative radiotherapy into the treatment strategy, focusing on residual changes following chemo-immunotherapy (during immunotherapy) and its effect on progression-free survival.\n\nThis research experiment will be conducted as a randomized multi-center study, comprising the following treatment arms:\n\n* Arm I: Continuation of standard of care - PDL1\u002FPD1 immunotherapy (durvalumab or atezolozumab) after chemo-immunotherapy based on platinum compounds;\n* Arm II: Standard of care, followed by consolidating radiotherapy of the chest area and possibly metastases (if indicated) in doses and for palliative indications (total dose of 30 Gy in 10 daily doses of 3 Gy each);\n* Arm III: Standard of care, followed by consolidating radiotherapy in the radical\u002Fablative doses (total dose of 45 Gy delivered in 15 daily fractions of 3 Gy for the chest area, and total dose of 24 Gy in single fractions of 8 Gy administered every 2-3 days for the metastatic lesions) of the chest area and all metastatic lesions.\n\nAdditionally, as part of routine weekly blood collections, an extra volume of 10 ml of blood will be collected. This additional blood sample will be obtained before starting radiotherapy, during each week of radiotherapy (maximum three collections), and at the time of disease progression (one collection), resulting in a total of five extra samples. The collected blood will be prepared, stored and used for circulating tumor DNA (ctDNA) testing, according to the protocol. The ctDNA analysis data will be utilized as a potential marker to determine the time to progression and assess the benefits derived from the administered radiotherapy.",[103],"Small Cell Lung Carcinoma",[103,105,106,107,108,109,110],"Extensive Disease","Chemo-immunotherapy","Radiotherapy","Durvalumab","Atezolizumab","Immunotherapy","2025-08-22",{"date":113,"type":114},"2025-08-28","ACTUAL",{"date":116,"type":114},"2024-04-01",{"date":118,"type":97},"2029-12-31",{"name":5,"class":6},2]