NCT05229614 Immunotherapy and Carbon Ion Radiotherapy In Solid Cancers With Stable Disease
| NCT ID | NCT05229614 |
| Status | Recruiting |
| Phase | Phase 2 |
| Sponsor | CNAO National Center of Oncological Hadrontherapy |
| Condition | Non Small Cell Lung Cancer |
| Study Type | INTERVENTIONAL |
| Enrollment | 27 participants |
| Start Date | 2022-07-26 |
| Primary Completion | 2025-08 |
Eligibility & Interventions
Eligibility Fast-Check
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What to Expect as a Participant
You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.
In Phase 2, researchers evaluate early signs of effectiveness. You may be randomized to receive the active treatment or a comparator. Monitoring continues closely.
This trial targets 27 participants in total. It began in 2022-07-26 with a primary completion date of 2025-08.
⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.
Brief Summary
Immunotherapy has become the standard of care in different advanced malignancies. Its effectiveness in the palliative setting was demonstrated by several phase III trials. However, the response rate varies according to the cancer under study and to the line of treatment. A potential way to improve the activity of single agent immune checkpoint inhibitors (ICIs) is to enhance the clinical response through further antitumor agents, including radiotherapy. Studies showed that carbon ions may lead to a broader immunogenic response; for their dosimetric characteristics it is possible to reduce integral dose sparing immune cells to direct and sustain a tumor specific immune response. Considering the available preclinical and clinical evidence together, the goal of this study is to explore the feasibility and the clinical activity of adding carbon ion radiotherapy (CIRT), employed with a fractionation strategy comparable to stereotactic body radiation, to ICIs in advanced malignancies where immunotherapy is currently the standard of care.
Eligibility Criteria
Inclusion Criteria: 1. Signed written informed consent 2. Histologic confirmation of malignancies under treatment with single agent anti-PD1/PDL1 immunotherapy per clinical practice (see cohort specific inclusion criteria) with immune checkpoint inhibitors approved by Italian national drug regulatory agencies (Agenzia Italiana del Farmaco, AIFA) 3. Having a disease stability as assessed by AIFA monitoring sheet 4. Presence of at least 2 measurable target lesions, of which at least one to be followed up as per RECIST and one suitable for CIRT 5. Willing and able to comply with scheduled visits, treatment schedule, laboratory testing, and other requirements of the study 6. Females and males, 18 years of age or older (no upper limit for age) 7. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 8. Subjects must have measurable disease by CT or MRI per RECIST 1.1 Exclusion Criteria: 1. Patients treated with chemo-immunotherapy associations 2. Patients treated with immunotherapy combinations (e.g. subjects treated with anti-CTLA4 + anti-PD1/PDL1 are excluded) 3. Patients receiving immunotherapy within clinical trials 4. Patients receiving off-label immunotherapy or within expanded access programs or as compassionate use 5. Patients with high tumor burden defined as \> 10 lesions and/or sum of diameters \> 19 cm 6. Patients with distant metastases only located in the CNS are excluded 7. Any serious or uncontrolled medical disorder that, in the opinion of the investigator, may increase the risk associated with study participation or study drug administration, impair the ability of the subject to receive protocol therapy, or interfere with the interpretation of study results 8. Patients with autoimmune diseases (ADs), including local and systemic collagen-vascular (CVD) and inflammatory bowel diseases (IBD) 9. Previous RT, regardless of energy, on the metastatic site selected to be irradiated. 10. Any immune-related CTCAE grade 4 adverse event, before study entry 11. Any CTCAE grade ≥3 immune-related adverse event observed within 3 weeks prior to CIRT start 12. Presence of metal prostheses or any other condition to prevent adequate imaging for identification of the target volume and calculation of the dose 13. Loco-regional conditions not allowing hadron therapy (e.g. active infections in RT target region) 14. Prisoners or subjects who are involuntarily incarcerated 15. Subjects who are compulsorily detained for treatment of either a psychiatric or physical illness (e.g. infectious disease)
Contact & Investigator
Viviana Vitolo, MD
PRINCIPAL INVESTIGATOR
Fondazione CNAO
Frequently Asked Questions
Who can join the NCT05229614 clinical trial?
This trial is open to participants of all sexes, aged 18 Years or older, studying Non Small Cell Lung Cancer. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.
What phase is the NCT05229614 trial and what does that mean for participants?
Phase 2 trials evaluate whether the treatment shows signs of effectiveness while continuing to monitor safety. More participants are enrolled than in Phase 1 to help refine the treatment protocol.
Is NCT05229614 currently recruiting?
Yes, NCT05229614 is actively recruiting participants. Contact the research team at campo@cnao.it for enrollment information.
Where is the NCT05229614 trial being conducted?
This trial is being conducted at Darmstadt, Germany, Milan, Italy, Pavia, Italy, Pavia, Italy.
Who is sponsoring the NCT05229614 clinical trial?
NCT05229614 is sponsored by CNAO National Center of Oncological Hadrontherapy. The principal investigator is Viviana Vitolo, MD at Fondazione CNAO. The trial plans to enroll 27 participants.
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