Testing the addition of targeted radiotherapy to surgery & the usual systemic therapy for malignant pleural mesothelioma


Currently Available for Patients

 

About This Study

NRG-LU006 is a clinical trial studying whether adding targeted radiation therapy called IMPRINT to the usual treatment of surgery and systemic therapy with chemotherapy or immune therapy, can help to extend the life of people with malignant pleural mesothelioma (MPM). MPM is a tumor of the tissue that lines the surface of the lungs. Usual treatment includes a pleurectomy/decortication which is surgery to remove the malignant mesothelioma along with the pleura which is the lung lining followed by chemotherapy drugs. Recently, immune therapy has been approved to treat MPM and can be given before surgery either with chemotherapy or alone. Researchers want to know if IMPRINT, which is a technique that targets radiation treatment directly to the pleura, in addition to surgery and systemic therapy will be as good as or better than the usual treatment of the surgery plus systemic therapy alone (without IMPRINT). 
 
Before and after surgery and following treatment, you will be asked to fill out 2 forms with questions about your physical and emotional well-being. Researchers will use this information to learn more about how your cancer and cancer treatment affects people with MPM. If you agree to take part in this study, you will also have the opportunity to participate in optional sample collections for use of your blood and tumor samples in possible future research studies. An additional sample of tumor tissue from your previous biopsy or surgery and blood samples will be collected if you choose to participate in the sample collection. Researchers use these samples to help them learn more about your cancer, using blood and tissue to find new ways to prevent, detect, treat, or cure cancer.

 

More information about this particular study is located on ClinicalTrials.gov

 

 

Am I eligible for this study?

If you have newly diagnosed malignant pleural mesothelioma and have not yet been treated or have only been treated with chemotherapy or immunotherapy, and you are a candidate for the type of surgery used in this trial called a pleurectomy / decortication, you may be able to participate. Your healthcare team is the best source for information about your treatment options, including cancer clinical trials. Be sure to take this information to your doctor to discuss your questions and concerns in general and specific to NRG-LU006.  

 

Are there other studies for which I might be eligible?

Please talk to your healthcare team to see if there are other clinical studies for which you may be a good fit.Click here if you would like to view a more detailed chart of other studies available.

 

Find a Study Location

Are you interested in joining this study? Find a participating location.

 

Want more information?

Additional information for the NRG Oncology LU006 trial can be found in the Patient Study Brochure. Download the brochure here. 

 

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Frequently Asked Questions

Below, you can find FAQs about clinical research and this particular clinical trial.

NRG-LU006 FAQ

If you have newly diagnosed malignant pleural mesothelioma and have not yet been treated or have only been treated with chemotherapy or immunotherapy, and you are a candidate for the type of surgery used in this trial called a pleurectomy / decortication, you may be able to participate. 
This study will be testing to see if the addition of the IMPRINT radiotherapy to the usual treatments (surgery and systemic therapy) could extend your life when compared to the usual treatment for malignant pleural mesothelioma. IMPRINT radiotherapy works by only targeting the diseased area of the lung lining and minimizes affecting normal lung tissue as much as possible.
Everyone taking part in this study will receive surgery, and patients who haven’t already received chemotherapy and/or immune therapy before entering the study will receive chemotherapy 4 to 8 weeks after surgery. (Patients who already received chemotherapy and/or immune therapy before entering the study won’t receive additional chemotherapy.) Patients who are randomly assigned to the second treatment group of this study will receive an additional treatment of radiotherapy that targets the lining of the lung.
The usual approach for patients who are not in a study is treatment with surgery and chemotherapy. Recently, the Food and Drug Administration (FDA) approved immune therapy treatment in MPM. The chemotherapy drugs used in this study are approved by the FDA and commonly used with surgery. For patients who get the usual approach for this cancer, about 60 patients out of 100 live longer than one year.
If you choose to take part in this study, there is a risk that:

  • You may lose time at work or home and spend more time in the hospital or doctor’s office than usual.
  • You may be asked sensitive or private questions which you normally do not discuss.
  • The usual treatment plus radiation therapy may not be as good as the usual approach for your cancer at shrinking or stabilizing your cancer.
  • The chemotherapy drugs, surgery, and radiotherapy used on this trial may cause side effects. Your doctor will review all of the potential side effects with you. It is important to tell your doctor about any side effects during the study so that they may be treated and so that potential adjustments to the study drugs may be made.
    • There is preliminary evidence that adding radiation therapy to surgery and drug therapy may be effective in stabilizing your type of cancer, suggesting that there could be improvements in survival. However, without a larger trial, it is not possible to know now if the addition of radiation will extend your life compared to the usual approach. This study will help the study doctors learn things that will help people in the future.
    If you decide to take part in this study, you will have surgery, possibly up to 12 weeks of chemotherapy, either alone or followed by radiotherapy to the lining of the lung for 6 more weeks. Your doctor will continue to follow your condition after treatment for about 5 years to watch for side effects.
    No. Taking part in this study is voluntary. You are free to choose to participate or not to participate. If you choose to participate in this study, you are able to leave the study at any time. If you decide not to take part in this study, your doctor will discuss other treatment options with you.
    You and/or your insurance plan will need to pay for the costs of medical care you get as part of the study, just as you would if you were getting the usual care for your cancer. This includes:

  • the costs of tests, exams, procedures, and drugs that you get during the study to monitor your safety and prevent and treat side effects.
  • the costs of getting the surgery, the chemotherapy drugs (if you receive them after surgery), and radiotherapy (if you receive it on this study)
  • your insurance co-pays and deductibles.

    • Talk to your insurance provider and make sure that you understand what your insurance pays for and what it doesn’t pay for if you take part in this clinical trial. Also, find out if you need approval from your plan before you can take part in the study.

    You will not be paid for taking part in this study.
    Your privacy is very important to us and the researchers will make every effort to protect it. Your information may be given out if required by law. For example, certain states require doctors to report to health boards if they find a disease like tuberculosis. However, the researchers will do their best to make sure that any information that is released will not identify you. Some of your health information and/or information about your specimens from this study will be kept in a central database for research. Your name or contact information will not be put in the database.

    There are organizations that may inspect your records. These organizations are required to make sure your information is kept private, unless required by law to provide information. Some of these organizations are:

  • NRG Oncology and any company supporting the study now or in the future.
  • The National Cancer Institute (NCI) Central Institutional Review Board (CIRB), which is a group of people who review the research with the goal of protecting the people who take part in the study.
  • The Food and Drug Administration and the groups it works with to review research.
  • The NCI and the groups it works with to review research, including the Cancer Trials Support Unit (CTSU).
  • The NCI’s National Clinical Trials Network and the groups it works with to conduct research.

    • Clinical Studies FAQ

    Doctors and researchers conduct a clinical study, also called a “clinical trial,” to find better ways to prevent, diagnose, or treat an illness. NRG Oncology is supported by the National Cancer Institute (NCI) and runs clinical studies specifically for patients with cancer or to prevent cancer. Most clinical studies test something we know against something we don’t know. In all situations, these studies are strictly evaluated before they are allowed to be offered to any patient. The study is designed to answer the question that we do not know the answer to, so that current and future patients may have better treatments or information than what we currently have. There are different types of clinical studies that might be available for patients. For more information see “Types of Clinical Trials” and “Phases of Clinical Trials”.

    Patients who volunteer to take part in a clinical study are followed closely by their health care professionals and members of the research team. For more information see “Research Team Members”.

    Yes. They are exactly the same thing.
    The care cancer doctors provide to cancer patients today is the direct result of clinical studies (also known as clinical trials) that were done in the past. Clinical studies give doctors and the treatment team information about what types of treatments work and what treatments do not work, in a number of different situations. Some studies focus on treating the cancer, others on preventing the cancer, and others on helping patients feel better or healthier during or after treatments. When you take part in a clinical study, you add to our knowledge about cancer and it may help improve cancer care for future patients. Clinical studies are available to patients with many types of cancer and at all stages of treatment. In some situations, the only way to get these new treatments is by joining a clinical study.
    A clinical study may take place in many locations, such as:

  • physician offices
  • hospitals
  • clinics


    • A study is typically led by a principal investigator who is a doctor or other advanced health care professional. A clinical study is carried out by following a very specific plan known as the “protocol”. The protocol is designed so all patients in the study are treated as well as possible and in the same way. The protocol also provides rules for the doctors and clinical study staff to follow to keep patients safe and make sure the study is run in an ethical manner.
    No, not at all. Participation in a clinical study is completely voluntary. For more information see “Deciding to Take Part in a Clinical Trial”. You are free to choose to participate or not to participate. If you choose to participate in a study, you may still decide to leave the study at any time. If you decide not to participate in a study, your doctor will discuss other treatment options with you. For more information see “Questions to Ask Your Doctor about Treatment Clinical Trials".

    If you decide not to take part in a clinical study, you still have other choices. Talk to your doctor about your other choices.For example:

    • You may choose to have the usual treatment approach (known as “standard of care”)
    • You may choose to take part or learn more about a different study, if one is available
    • You may choose not to be treated for cancer

    About NRG Oncology

    At NRG Oncology, we focus on conducting clinical studies aimed to improve current cancer care practices and the lives of cancer patients. NRG Oncology partners with more than 1,300 member sites world-wide to research ways to improve treatment standards in the cancer community. Our organization is supported primarily through grants from the National Cancer Institute (NCI) and is one of five research groups in the NCI's National Clinical Trial's Network.