Medical Information Only. Always consult your healthcare provider before enrolling in any clinical trial.

NCT06500481 · ClinicalTrials.gov registry record · Phase 3

Testing Proton Craniospinal Radiation Therapy Versus the Usual Radiation Therapy for Leptomeningeal Metastasis, RADIATE-LM Trial

A Phase 3 study of Stage IV Lung Cancer AJCC v8 and Anatomic Stage IV Breast Cancer AJCC v8, sponsored by NRG Oncology.

Recruiting
Registry status
Phase 3
Development phase
115
Enrollment target
20
Study locations

NCT06500481 is a Phase 3 study of Stage IV Lung Cancer AJCC v8 and Anatomic Stage IV Breast Cancer AJCC v8 that is actively recruiting participants, run by NRG Oncology. The registered enrollment target is 115 participants, above the 97-participant average among 81 other Stage IV Lung Cancer AJCC v8 trials with a reported enrollment target (19% higher). The trial reports 20 study locations across 5 states.

View on ClinicalTrials.gov ↗

View your shortlist →

The verdict

NCT06500481, a Phase 3 study of Stage IV Lung Cancer AJCC v8 and Anatomic Stage IV Breast Cancer AJCC v8, is actively recruiting participants, sponsored by NRG Oncology.

RECRUITING
Registry status
Phase 3
Development phase
115 participants
Enrollment target
20
Study locations

Study Summary

This phase III trial compares proton craniospinal irradiation (pCSI) to involved-field radiation therapy (IFRT) for the treatment of breast or non-small cell lung cancer that has spread from where it first started to the cerebrospinal fluid filled space that surrounds the brain and spinal cord (leptomeningeal metastasis). Patients with leptomeningeal metastasis (LM) may develop multiple areas of nervous system (neurologic) impairment that can be life-threatening. Radiation therapy (RT) effectively relieves local symptoms due to LM. RT uses high energy radiography (x-rays), particles, or radioactive seeds to kill cancer cells and shrink tumors. IFRT is commonly used to treat symptoms of LM. IFRT is radiation treatment that uses x-rays to treat specific areas of LM and to relieve and/or prevent symptoms. pCSI uses protons that can be directed with more accuracy than x-rays which allows treatment of the entire central nervous system space containing the cerebrospinal fluid (CSF), brain, and spinal cord. The pCSI treatment could delay the worsening of LM. Giving pCSI may be better than IFRT in treating LM in patients with breast or non-small cell lung cancer.

Interventions

  • PROCEDURE Biospecimen Collection
  • PROCEDURE Computed Tomography
  • PROCEDURE Lumbar Puncture
  • PROCEDURE Magnetic Resonance Imaging
  • RADIATION Involved-Field Radiation Therapy

Study Locations (20)

Florida

  • UM Sylvester Comprehensive Cancer Center at Aventura - Aventura
  • UM Sylvester Comprehensive Cancer Center at Coral Gables - Coral Gables
  • UM Sylvester Comprehensive Cancer Center at Deerfield Beach - Deerfield Beach
  • UM Sylvester Comprehensive Cancer Center at Doral - Doral
  • University of Miami Miller School of Medicine-Sylvester Cancer Center - Miami
  • Miami Cancer Institute - Miami
  • UM Sylvester Comprehensive Cancer Center at Kendall - Miami
  • UM Sylvester Comprehensive Cancer Center at Plantation - Plantation

Illinois

  • Alton Memorial Hospital - Alton
  • Northwestern University - Chicago
  • Northwestern Medicine Cancer Center Kishwaukee - DeKalb
  • Northwestern Medicine Cancer Center Delnor - Geneva
  • Memorial Hospital East - Shiloh
  • Northwestern Medicine Cancer Center Warrenville - Warrenville

California

  • UC San Diego Health System - Encinitas - Encinitas
  • UC San Diego Moores Cancer Center - La Jolla
  • UC San Diego Medical Center - Hillcrest - San Diego
  • California Protons Cancer Therapy Center - San Diego

Arkansas

  • University of Arkansas for Medical Sciences - Little Rock

District of Columbia

  • Sibley Memorial Hospital - Washington D.C.

Trial Details

FieldValue
Enrollment Target 115 participants
Start Date 2025-03-04
Est. Completion 2028-07-31
Phase Phase 3

Sponsor

NRG Oncology

64 total trials

What the Registry Record Tells You About NCT06500481

The ClinicalTrials.gov registry entry for NCT06500481 describes a study currently listed as recruiting, categorized as Phase 3. The registered enrollment target is 115 participants, a figure that helps gauge the scale of data the investigators plan to collect, above the 97-participant average among 81 other Stage IV Lung Cancer AJCC v8 trials with a reported enrollment target (19% higher). The listed sponsor is NRG Oncology, which has 64 total studies on file at ClinicalTrials.gov.

The record links to 5 conditions, with Stage IV Lung Cancer AJCC v8 appearing as the primary indexed condition, and to 5 interventions - of which Biospecimen Collection is the first listed.

NCT06500481 reports 20 study locations spanning 5 distinct geographic areas - top geographies include Florida, Illinois, California.

Frequently Asked Questions

What is clinical trial NCT06500481 about?

NCT06500481 is a clinical study titled "Testing Proton Craniospinal Radiation Therapy Versus the Usual Radiation Therapy for Leptomeningeal Metastasis, RADIATE-LM Trial". This phase III trial compares proton craniospinal irradiation (pCSI) to involved-field radiation therapy (IFRT) for the treatment of breast or non-small cell lung cancer that has spread from where it first started to the cerebrospinal fluid filled space that surrounds the brain and spinal cord (lept...

What is the current status of trial NCT06500481?

This trial is currently recruiting. It is a Phase 3 study. The enrollment target is 115 participants. The study started on 2025-03-04. Estimated completion is 2028-07-31.

What conditions does trial NCT06500481 study?

This clinical trial studies the following conditions: Stage IV Lung Cancer AJCC v8, Anatomic Stage IV Breast Cancer AJCC v8, Metastatic Lung Non-Small Cell Carcinoma, Metastatic Breast Carcinoma, Metastatic Malignant Neoplasm in the Leptomeninges.

What interventions are being tested in trial NCT06500481?

The interventions under investigation include: Biospecimen Collection (PROCEDURE), Computed Tomography (PROCEDURE), Lumbar Puncture (PROCEDURE), Magnetic Resonance Imaging (PROCEDURE), Involved-Field Radiation Therapy (RADIATION).

Who is sponsoring clinical trial NCT06500481?

This trial is sponsored by NRG Oncology, which has 64 total clinical trials registered on ClinicalTrials.gov.

Where is trial NCT06500481 being conducted?

This trial has 20 study locations across Arkansas, California, District of Columbia, Florida, Illinois. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.

Similar trials for Stage IV Lung Cancer AJCC v8

Matched on the same primary condition, ranked to surface studies in the same phase first, then by recruiting status, no relevance scoring or editorial curation.

Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainTrial Editorial

Every figure on PlainTrial is rendered directly from the ClinicalTrials.gov registry, no number is typed in by an editor. This page mirrors this trial's own ClinicalTrials.gov registry record, live from the dataset. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.