New radiation approach targets multiple tumors at once in early trial
NCT ID NCT02206334
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase trial tested a precise, high-dose radiation technique called stereotactic body radiotherapy (SBRT) in 42 patients with breast, lung, or prostate cancer that had spread to several places in the body. The main goal was to find the safest dose and check for side effects when treating multiple tumor sites at the same time. The study did not aim to cure or control the disease, but to gather safety information for future research.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Stereotactic body radiation therapy (SBRT)
- What this could lead to
- If successful, this could help determine safe radiation doses for treating multiple cancer spread sites at once, potentially improving treatment options.
- What could go wrong
- This is an early phase 1 trial with only 42 participants, focused on safety and dosing, not effectiveness. Results may not apply to all patients or cancer types.
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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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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42 people
The number who actually took part.
- Started
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Aug 2014
- Finished
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May 2022
- 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: * Metastatic breast cancer (MBC) OR metastatic non-small cell lung cancer (NSCLC) OR metastatic adenocarcinoma of the prostate; the sites of allowed metastases are: peripheral lung, central lung, mediastinal/cervical lymph node, liver, spinal/paraspinal, osseous, and abdominal-pelvic * NOTE: after the required number of evaluable patients have been accrued for a given dose level, the accrual for that metastatic location will be temporarily suspended while the safety of that dose level is assessed; a patient can only be entered onto the trial if all of their metastatic locations are open to accrual (e.g. if central lung is temporarily suspended for safety assessment and the patient has a central lung metastases, regardless of other metastases, they cannot enroll until the safety of dose to central lung is determined) * Primary tumor site without progression at registration * All metastases not resected must be amenable to SBRT * The patient must meet ONE of the three following criteria: * 3-4 radiographically distinct metastases of any distribution in the allowed anatomical sites OR * 2 radiographically distinct metastases that must be anatomically close (i.e., with less than or equal to 5 cm of normal tissue between them) OR * 3 or 4 distinct metastasis, 2 or 3 to be treated with SBRT and the other (s) having been surgically removed * Evaluation by a radiation oncologist within 45 days prior to study registration * Evaluation by a medical oncologist within 45 days prior to study registration * The following imaging workup to document metastases within 45 days prior to study registration: * Computed tomography (CT) scans of the chest, abdomen and pelvis with radionuclide bone scan OR whole body positron emission tomography (PET)/CT * History/physical examination within 45 days prior to study registration * Zubrod performance status =\< 2 within 45 days prior to study registration * Age \>= 18 years * Absolute neutrophil count (ANC) \>= 500 cells/mm\^3 * Platelets \>= 50,000 /mm\^3 * Hemoglobin \>= 8.0 g/dl (Note: the use of transfusion or other intervention to achieve hemoglobin \[Hgb\] \>= 8.0 g/dl is acceptable) * If liver metastases present, aspartate aminotransferase (AST) and alanine aminotransferase (ALT) must be \< 3 x upper limit of normal (ULN) * Patient must provide study specific informed consent prior to study entry * For females of child-bearing potential, negative serum/urine pregnancy test within 14 days prior to study registration Exclusion Criteria: * Progression of primary tumor site (breast, prostate, or lung) at time of registration * Metastases with indistinct borders making targeting not feasible * Known brain metastases * Prior palliative radiotherapy to metastases * Metastases located within 3 cm of the previously irradiated structures: * Spinal cord previously irradiated to \> 40 Gy (delivered in =\< 3 Gy/fraction) * Brachial plexus previously irradiated to \> 50 Gy (delivered in =\< 3 Gy/fraction) * Small intestine, large intestine, or stomach previously irradiated to \> 45 Gy (delivered in =\< 3 Gy/fraction) * Brain stem previously irradiated to \> 50 Gy (delivered in =\< 3 Gy/fraction) * Whole lung previously irradiated with prior volume 20 Gy (V20Gy) \> 30% (delivered in =\< 3 Gy/fraction) * Primary tumor irradiated with SBRT * Metastasis irradiated with SBRT * Severe, active co-morbidity, defined as follows: * Unstable angina and/or congestive heart failure requiring hospitalization within the last 6 months prior to registration * Transmural myocardial infarction within the last 6 months prior to registration * Acute bacterial or fungal infection requiring intravenous antibiotics at the time of registration * Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization or precluding study therapy within 30 days prior to registration * Severe hepatic disease, defined as a diagnosis of Child-Pugh class B or C hepatic disease * Human immunodeficiency virus (HIV) positive with cluster of differentiation (CD) 4 count \< 200 cells/microliter; note that patients who are HIV positive are eligible, provided they are under treatment with highly active antiretroviral therapy (HAART) and have a CD4 count \>= 200 cells/microliter within 30 days prior to registration; note also that HIV testing is not required for eligibility for this protocol * End-stage renal disease (i.e., on dialysis or dialysis has been recommended) * Pregnancy or women of childbearing potential not willing/able to use medically acceptable forms of contraception during protocol treatment or for at least 6 months following treatment
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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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Arizona Center for Cancer Care-Peoria
Peoria, Arizona, 85381, United States
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Ascension Saint Vincent Anderson
Anderson, Indiana, 46016, United States
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Ascension Via Christi Hospitals Wichita
Wichita, Kansas, 67214, United States
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Banner University Medical Center - Tucson
Tucson, Arizona, 85719, United States
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Boston Medical Center
Boston, Massachusetts, 02118, United States
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CHUM - Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2X 3E4, Canada
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City of Hope Comprehensive Cancer Center
Duarte, California, 91010, United States
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Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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Community Medical Center
Toms River, New Jersey, 08755, United States
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Cooper CyberKnife Center
Mount Laurel, New Jersey, 08054, United States
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Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2, Canada
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Decatur Memorial Hospital
Decatur, Illinois, 62526, United States
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Delaware County Memorial Hospital
Drexel Hill, Pennsylvania, 19026, United States
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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Emory University Hospital Midtown
Atlanta, Georgia, 30308, United States
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Emory University Hospital/Winship Cancer Institute
Atlanta, Georgia, 30322, United States
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Grady Health System
Atlanta, Georgia, 30303, United States
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Gundersen Lutheran Medical Center
La Crosse, Wisconsin, 54601, United States
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Henry Ford Hospital
Detroit, Michigan, 48202, United States
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Henry Ford West Bloomfield Hospital
West Bloomfield, Michigan, 48322, United States
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Huntsman Cancer Institute/University of Utah
Salt Lake City, Utah, 84112, United States
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IU Health Methodist Hospital
Indianapolis, Indiana, 46202, United States
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Iowa Methodist Medical Center
Des Moines, Iowa, 50309, United States
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Jewish General Hospital
Montreal, Quebec, H3T 1E2, Canada
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Kantonsspital Aarau
Aarau, 5001, Switzerland
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Legacy Good Samaritan Hospital and Medical Center
Portland, Oregon, 97210, United States
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Loyola University Medical Center
Maywood, Illinois, 60153, United States
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Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
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McLaren Cancer Institute-Flint
Flint, Michigan, 48532, United States
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McLaren Cancer Institute-Macomb
Mount Clemens, Michigan, 48043, United States
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McLaren Cancer Institute-Northern Michigan
Petoskey, Michigan, 49770, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Mercy Hospital
Coon Rapids, Minnesota, 55433, United States
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Michigan Healthcare Professionals Clarkston
Clarkston, Michigan, 48346, United States
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Michigan Healthcare Professionals Farmington
Farmington Hills, Michigan, 48334, United States
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Michigan Healthcare Professionals Troy
Troy, Michigan, 48098, United States
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Montefiore Medical Center - Moses Campus
The Bronx, New York, 10467, United States
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Northwell Health/Center for Advanced Medicine
Lake Success, New York, 11042, United States
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Northwest Community Hospital
Arlington Heights, Illinois, 60005, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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OSF Saint Francis Medical Center
Peoria, Illinois, 61637, United States
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Ogden Regional Medical Center
Ogden, Utah, 84405, United States
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Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210, United States
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Parkview Hospital Randallia
Fort Wayne, Indiana, 46805, United States
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Poudre Valley Hospital
Fort Collins, Colorado, 80524, United States
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Reading Hospital
West Reading, Pennsylvania, 19611, United States
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Self Regional Healthcare
Greenwood, South Carolina, 29646, United States
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Southwest Illinois Health Services LLP
Swansea, Illinois, 62226, United States
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Springfield Memorial Hospital
Springfield, Illinois, 62781, United States
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Sutter Medical Center Sacramento
Sacramento, California, 95816, United States
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The James Graham Brown Cancer Center at University of Louisville
Louisville, Kentucky, 40202, United States
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Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac, Michigan, 48341, United States
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UC San Diego Moores Cancer Center
La Jolla, California, 92093, United States
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UCHealth University of Colorado Hospital
Aurora, Colorado, 80045, United States
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UF Health Cancer Institute - Gainesville
Gainesville, Florida, 32610, United States
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UM Upper Chesapeake Medical Center
Bel Air, Maryland, 21014, United States
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USC / Norris Comprehensive Cancer Center
Los Angeles, California, 90033, United States
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University of Alabama at Birmingham Cancer Center
Birmingham, Alabama, 35233, United States
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University of California Davis Comprehensive Cancer Center
Sacramento, California, 95817, United States
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University of Chicago Comprehensive Cancer Center
Chicago, Illinois, 60637, United States
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University of Cincinnati Cancer Center-UC Medical Center
Cincinnati, Ohio, 45219, United States
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University of Cincinnati Cancer Center-West Chester
West Chester, Ohio, 45069, United States
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University of Florida Health Science Center - Jacksonville
Jacksonville, Florida, 32209, United States
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University of Iowa/Holden Comprehensive Cancer Center
Iowa City, Iowa, 52242, United States
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University of Kentucky/Markey Cancer Center
Lexington, Kentucky, 40536, United States
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University of Maryland/Greenebaum Cancer Center
Baltimore, Maryland, 21201, United States
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University of Miami Miller School of Medicine-Sylvester Cancer Center
Miami, Florida, 33136, United States
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University of Michigan Rogel Cancer Center
Ann Arbor, Michigan, 48109, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
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University of New Mexico Cancer Center
Albuquerque, New Mexico, 87106, United States
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University of Rochester
Rochester, New York, 14642, United States
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Virtua Memorial
Mount Holly, New Jersey, 08060, United States
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Virtua Voorhees
Voorhees Township, New Jersey, 08043, United States
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Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157, United States
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Walter Reed National Military Medical Center
Bethesda, Maryland, 20889-5600, United States
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
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Zablocki Veterans Administration Medical Center
Milwaukee, Wisconsin, 53295, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a radioactive tracer and MRI reveal prostate Cancer's true extent?
- Can a One-Two radiation punch improve prostate cancer control?
- Can a special PET scan change the course of prostate cancer?
- Can radiation boost a personalized prostate cancer vaccine?
- Can a Tumor-Blood-Vessel blocker boost hormone therapy for advanced breast cancer?
- A new tool aims to demystify immunotherapy for advanced cancer patients