New combo therapy aims to control brain tumors in lung cancer patients
NCT ID NCT07058428
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding the drug bevacizumab to a precise type of radiation therapy (fractionated stereotactic radiotherapy) can better control multiple brain tumors that have spread from lung adenocarcinoma. About 258 adults with 1 to 20 brain metastases will take part. The goal is to see if the combination delays brain tumor growth and reduces side effects compared to radiation alone.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 258 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years old; * Cellular or histopathological confirmation of lung adenocarcinoma; * Prior to enrollment, brain enhanced magnetic resonance imaging shows (1) 1-2 brain metastases, with at least one measuring ≥3 cm in diameter; or (2) 3-10 brain metastases, with at least one measuring ≥2 cm in diameter; or (3) 11-20 brain metastases; and deemed unsuitable for single-session SRS by radiation oncologists; * At the time of enrollment, the extracranial disease status is stable; * Eastern Cooperative Oncology Group (ECOG) physical fitness status score 0-2 points * Normal liver, kidney, and bone marrow function within 14 days prior to enrollment: peripheral blood white blood cell count ≥ 4 × 10\^9/L; neutrophil count ≥ 1.5 × 10\^9/L, platelet count ≥ 100 × 10\^9/L, hemoglobin ≥ 100g/L, serum creatinine\<1.5 times the upper limit of normal values; Bilirubin\<1.5 times the upper limit of normal value; Transaminase\<2 times the upper limit of normal value; * The patient and their family agree and sign an informed consent form. Exclusion Criteria: * There are contraindications for bevacizumab, such as a history of cardiac and/or thromboembolic events, or uncontrolled hypertension; * Meningeal metastasis or extensive intracranial metastasis are not suitable for FSRT; * Bleeding tendency or coagulation dysfunction; * Patients with hemoptysis (≥ 1/2 teaspoon of fresh blood per day) within the past month; * Use full dose anticoagulant therapy within the past month; * Has experienced severe vascular disease in the past 6 months; * Have experienced gastrointestinal fistula, perforation, or abdominal abscess within the past 6 months; * Has experienced hypertensive crisis, hypertensive encephalopathy, symptomatic heart failure (New York Class II or above), acute myocardial infarction, cerebral infarction, cerebral parenchymal hemorrhage, or other active cerebrovascular or cardiovascular diseases within the past 6 months; * Patients with a history of arterial aneurysm or arteriovenous malformation; * Having undergone major surgery within 28 days, or minor surgery or needle biopsy within 48 hours; * Urinary protein 3-4+, or 24-hour urinary protein quantification\>1g; * Simultaneously accompanied by serious and uncontrolled other diseases.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Sun yat-sen University Cancer Center
RECRUITINGGuangzhou, Guangdong, 510000, China