Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Radiosensitivity-guided personalized adaptive radiotherapy for locally advanced non-small cell lung cancer

Official title: Phase II/III Randomized Clinical Trial of Radiosensitivity-Assisted Personalized Adaptive RadioTherapy (RAPART) in Locally Advanced Non-small Cell Lung Cancer Patients

Run by Capital Medical University · NCT07164885 · Data updated 2026-11-12

This trial will test whether a radiosensitivity-guided personalized adaptive radiotherapy approach (RAPART) can improve survival for adults with unresectable locally advanced non-small cell lung cancer compared with standard 60 Gy radiotherapy.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment911 (estimated)
SponsorCapital Medical University
Academic / other
Drugs / interventionschemotherapy, immunotherapy, radiation
Locations1 site (Shenzhen, Guangdong)
StatusRecruiting
StartedFebruary 17, 2025
Main results expectedDecember 30, 2027
Study endsDecember 30, 2027
Registry record updatedDecember 2, 2025
Trial IDNCT07164885 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18 or older with pathologically confirmed unresectable stage III non-small cell lung cancer and ECOG performance status 0–2, including those who have received prior surgery, chemotherapy, immunotherapy, or targeted therapy, are eligible.

Probably not a fit

Patients with contraindications to radiation therapy, those not suitable for close clinical follow-up (such as incarcerated individuals), or those with resectable disease or ECOG >2 are not expected to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized Phase II/III trial comparing Radiosensitivity-Assisted Personalized Adaptive Radiotherapy Technology (RAPART) against conventional 60 Gy radiotherapy in unresectable stage III non-small cell lung cancer. RAPART uses radiosensitivity information to tailor radiation planning and adapt treatment over time, and participants may receive standard or mixed treatment combinations according to protocol. Primary outcomes include overall survival, progression-free survival, and local progression-free survival, with inclusion of patients who have had prior surgery, chemotherapy, immunotherapy, or targeted therapy. The trial is conducted at University of Hong Kong Shenzhen Hospital and enrolls adults with ECOG 0-2.

Why it matters

Potential benefit: If successful, RAPART could increase overall and progression-free survival and improve local tumor control by tailoring radiation to tumor radiosensitivity while potentially limiting normal-tissue toxicity.

How similar studies have gone: Adaptive and biologically guided radiotherapy approaches have shown promising signals in early-phase studies, but large randomized phase III evidence for radiosensitivity-guided personalization in stage III NSCLC is still limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult research participants, aged over 18 years old;
* Non small cell lung cancer that requires pathological confirmation;
* All stage 3 unresectable non-small cell lung cancer, including stage correction after MDT and stage downgrading after treatment (4 → 3), and stage upregulation due to disease progression (2 → 3);
* ECOG physical condition is 0-2;
* In addition to study participants who have not received any treatment, study participants who have undergone surgery, chemotherapy, immunotherapy, and targeted therapy are also eligible for enrollment.

Exclusion Criteria:

* Prisoners who are not convenient for close clinical follow-up;
* Study participants with contraindications to radiation therapy.

Where it's running

  • University of Hong Kong Shenzhen Hospital
    Shenzhen, Guangdong, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.