Understanding response to stereotactic body radiotherapy in early-stage lung cancer

MONDRIAN: Multi-omics Integrative Modelling for Stereotactic Body Radiotherapy in Early-stage Non-small Cell Lung Cancer

Observational European Institute of Oncology · NCT05974475

This study is trying to understand why some people with early-stage lung cancer respond better to a specific type of radiation treatment than others, to help improve future treatments.

Quick facts

Study typeObservational
Enrollment270 (estimated)
Ages18 Years and up
SexAll
SponsorEuropean Institute of Oncology Academic / other
Drugs / interventionsradiation
Locations2 sites (Milan, Italy and 1 other locations)
Trial IDNCT05974475 on ClinicalTrials.gov

What this trial studies

This observational trial aims to investigate the factors influencing the response of early-stage non-small cell lung cancer (NSCLC) patients to stereotactic body radiotherapy (SBRT). It will collect clinical, imaging, and biological data to develop models that predict treatment outcomes. The study includes tasks such as analyzing routine clinical data, performing quantitative imaging analysis, and conducting gene expression and proteomics studies. The goal is to identify why some patients respond well to SBRT while others do not, potentially leading to improved treatment strategies.

Who should consider this trial

Good fit: Ideal candidates are patients with histologically proven early-stage non-small cell lung cancer who are eligible for SBRT and have an ECOG performance status of 0-1.

Not a fit: Patients with prior invasive cancer diagnoses within the last three years or those with severe comorbidities that contraindicate SBRT may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance the ability to predict which patients will benefit from SBRT, leading to more personalized treatment approaches.

How similar studies have performed: Other studies have shown promise in using multi-omics approaches to understand cancer treatment responses, suggesting this methodology could be beneficial.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histologically proven NSCLC; all histologies will be considered eligible (e.g. squamous, adenocarcinoma, large cell carcinoma);
* American Joint Committee on Cancer Tumor Node Metastasis (AJCC TNM) classification (8th Edition) clinical stage I-II;
* Eastern Cooperative Oncology Group (ECOG) performance status 0-1;
* No absolute contraindications to either surgery (e.g. severe comorbidities) or SBRT (e.g. active connective diseases, severe pulmonary fibrosis);
* Ability and willingness to sign a written informed consent for treatment and study participation.

Exclusion Criteria:

* Prior diagnosis of invasive cancer (within 3 years before the diagnosis of ES-NSCLC);
* Mental diseases or psychiatric disorders preventing the acquisition of a valid informed consent.

Where this trial is running

Milan, Italy and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Lung Neoplasm MalignantEarly stage non-small cell lung cancerStereotactic body radiotherapyRadiosensitivityRadioresistanceMulti-omicsRadiomicsGenomics
Last reviewed 2026-06-13 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.