Lung cancer treatment in hours, not weeks: new One-Day radiation trial shows promise
NCT ID NCT06236516
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new way to deliver high-dose radiation to small lung tumors in just one day, instead of the usual two to three weeks. Ten patients with early-stage lung cancer or limited lung metastases received a single session of stereotactic body radiotherapy (SBRT) using advanced imaging and adaptive planning, skipping the separate simulation appointment. The goal was to see if this faster, all-in-one approach is feasible and could make treatment more accessible for patients who live far from cancer centers.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- One-fraction stereotactic body radiotherapy (SBRT) using HyperSight and Ethos devices
- What this could lead to
- If successful, this workflow could allow patients with small lung tumors to receive curative radiation in a single day, greatly reducing travel and wait times.
- What could go wrong
- This is a very small feasibility study with only 10 participants. The approach may not work for all tumor types or locations, and technical issues could prevent completion.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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10 people
The number who actually took part.
- Started
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Feb 2024
- Finished
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Aug 2025
- 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: * One of the following diagnoses: * Histologically or radiographically diagnosed stage I-IIA (AJCC, 8th ed.) non-small cell lung cancer . * Clinical AJCC stage I defined as stage 1A1 (T1a1N0M0, T1a tumor less than or equal to 1 cm), stage 1A2 (T1bN0M0, T1b tumor between 1 and 2 cm), and stage 1A3 (T1cN0M0, T1c tumor between 2 and 3 cm). * Clinical AJCC stage IB defined as T2aN0M0, T2a tumor between 3 and 4 cm. * Clinical AJCC stage IIA defined as T2bN0M0, T2b tumor between 4 and 5 cm. * Oligometastatic lung tumor secondary to a primary cancer of any type/histology. Oligometastatic patients may include patients with: * 1-5 sites of metastatic disease with at least one lung lesion intended to be treated with SBRT * More than 5 sites of metastatic disease with oligo-progressive disease in the lung intended to be treated with SBRT. * Lesions must be small and peripheral. * Small is defined as max tumor dimension of 5 cm or less. * Peripheral is defined as greater than 2 cm from the proximal bronchial tree/mediastinum. * Tumors and anatomy amenable to one-fraction lung SBRT confirmed by meeting of one-fraction lung SBRT target and constraint metrics on a diagnostic-scan based preplan. * Patients who do not meet this criterion will be screen fails and triaged to the standard lung SBRT workflow and treated off trial. * Lesions must have a maximum superior to inferior motion of 1 cm on 4D-CT imaging. * Patients who do not meet this criteria will be screen fails and triaged to the standard lung SBRT workflow and treated off trial. * At least 18 years of age. * Able to understand and willing to sign an IRB approved written informed consent. Exclusion Criteria: * Past history of radiotherapy within the projected treatment field of any of the disease sites to be treated by ONE STOP SBRT. * Pregnant and/or breastfeeding. Patient must have a negative pregnancy test within 14 days of ONE STOP SBRT.
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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.
Contacts and locations
Locations
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
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