Veterans Affairs Lung Cancer Surgery Or Stereotactic Radiotherapy

ConditionLung Neoplasm
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorVA Office of Research and Development

About this trial

Patients with stage I non-small cell lung cancer have been historically treated with surgery whenever they are fit for an operation. However, an alternative treatment known as stereotactic radiotherapy now appears to offer an equally effective alternative. Doctors believe both are good treatments and are therefore conducting this study to determine if one may be possibly better than the other.

Eligibility criteria

Qualifiers

Age 18 or older

Any patient with a preliminary diagnosis of stage I Non-Small Cell Lung Cancer (NSCLC), whether pathologically proven by biopsy, or highly suspicious by radiographic imaging. [Participants will ultimately need biopsy confirmation before enrolling]

Primary tumor size less than or equal to 5 cm by CT (may include CT images from PET/CT)

Karnofsky performance status greater than or equal to 70

Disqualifiers

Previously evaluated by a local thoracic surgeon and determined to be medically inoperable

Pathological confirmation of nodal or distant metastasis

Prior history of lung cancer, not including current lesion

Prior history of thoracic surgery or lung or esophageal cancer. [prior cardiac surgery acceptable]

Trial design

Treatments tested in this trial

  • Stereotactic Radiotherapy
  • Anatomic Pulmonary Resection

Treatment groups

670 Participants
are divided into 2 treatment groups