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OncoMatch/Clinical Trials/NCT06545747

Adaptive Hypofractionated Radiotherapy for Locally Advanced NSCLC Based on Dynamic Enhanced MRI

Is NCT06545747 recruiting? Yes, currently enrolling (Jun 2026). This Phase 3 trial studies multiple treatments including Concurrent chemotherapy and Consolidative immunotherapy for non-small cell lung cancer.

Phase 3RecruitingSun Yat-sen UniversityNCT06545747Data as of Jun 2026Location: China

Treatment: Concurrent chemotherapy · Consolidative immunotherapyThis study is a randomized phase III trial that aiming to investigate the role of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) guided hypofractionated radiotherapy (hypo-RT) in patients with locally advanced non-small cell lung cancer (LA-NSCLC) who are planned to receive hypo-RT combined with concurrent chemotherapy and consolidative immunotherapy. Patients will be randomized in a 1:1 ratio into two groups: 1. The study group will undergo adaptive dose-painting hypo-RT based on DCE-MRI. 2. The control group will undergo hypo-RT based on enhanced CT. The treatment-related toxicity, local control and long-term survival will be evaluated compared between MRI-guided and CT-guided hypo-RT.

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Extracted eligibility criteria

Treatments studied

Other

Concurrent chemotherapyConsolidative immunotherapy

Cancer type

Non-Small Cell Lung Carcinoma

Disease stage

Required: Stage III

Performance status

WHO 0–1

Demographics

Ages ≤ 75

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: radiation therapy

No prior radiation therapy

Cannot have received: surgery

No prior surgery

Lab requirements

Blood counts

Absolute neutrophil count ≥ 1.5 × 10^9/L; Platelets ≥ 100 × 10^9/L; Hemoglobin ≥ 9.0 g/dL

Kidney function

Serum creatinine clearance rate calculated by the Cockcroft-Gault formula ≥ 50 mL/min

Liver function

Serum bilirubin ≤ 1.5 times the upper limit of normal (ULN); Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 2.5 times ULN

Cardiac function

Average QT interval (QTc) < 470 ms calculated from 3 ECG cycles using Bazett's correction

Organ and bone marrow function meeting the following criteria: Forced expiratory volume in 1 second (FEV1) ≥ 800 ml; Absolute neutrophil count ≥ 1.5 × 10^9/L; Platelets ≥ 100 × 10^9/L; Hemoglobin ≥ 9.0 g/dL; Serum creatinine clearance rate calculated by the Cockcroft-Gault formula ≥ 50 mL/min (Cockcroft and Gault 1976); Serum bilirubin ≤ 1.5 times the upper limit of normal (ULN); Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 2.5 times ULN. Average QT interval (QTc) ≥ 470 ms calculated from 3 ECG cycles using Bazett's correction [excluded].

Structured fields extracted by AI. May contain errors — verify against the official protocol.

Frequently asked questions

Is NCT06545747 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

What disease stage is eligible?

Stage III is required.

Is there an age limit?

Yes. Patients must be 75 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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