November 2022

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Welcome to the NRG Oncology eNewsletter

If you have a suggestion or would like to submit content to our Communications team, please email nrg-broadcasts@nrgoncology.org.

Assessing the Addition of IMPRINT to Surgery and Systemic Therapy for Malignant Pleural Mesothelioma (NRG-LU006)

The NRG-LU006 Phase III clinical trial compares adjuvant hemithoracic intensity-modulated pleural radiation therapy (IMPRINT) combined with pleurectomy/decortication (P/D) surgery and systemic therapy to surgery and systemic therapy alone for patients with malignant pleural mesothelioma (MPM). The goal of this study is to see if the addition of adjuvant hemithoracic IMPRINT can improve overall survival for this patient population. 




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Assessing SBRT to the Primary Tumor Followed by Conventional Radiation Therapy with Concurrent Chemotherapy for Patients with Locally Advanced Non-Small Cell Lung Cancer (NRG-LU008)

NRG-LU008 is a protocol that is currently in development at NRG Oncology and expected to open early in 2023. This phase III trial will assess the addition of stereotactic body radiation therapy (SBRT) delivered to the primary lung tumor followed by conventional radiotherapy (RT) and concurrent platinum-based chemotherapy for patients with locally advanced, inoperable, node-positive non-small cell lung cancer (NSCLC). 

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REGISTER TODAY! Information Webinar for the NRG-LU006 Clinical Trial


NRG Oncology will be hosting an informational webinar regarding the NRG-LU006 clinical trial on Thursday, November 17, 2022 from 7:00-8:00PM ET. This webinar is open to all who register. This webinar is specifically aimed to engage thoracic surgeons and will address surgical concerns, barriers to enrollment and answer protocol-specific questions.


The Phase III randomized NRG-LU006 study is currently active and enrolling patients with malignant pleural mesothelioma (MPM). The trial is designed to compare adjuvant hemithoracic intensity-modulated pleural radiation therapy (IMPRINT) combined with pleurectomy/decortication surgery and systemic therapy to surgery and systemic therapy alone. The goal of this study is to see if the addition of adjuvant hemithoracic IMPRINT can improve overall survival for patients with MPM.


The webinar will be led by Andreas Rimner, MD, the Director of Thoracic Radiation Oncology Research at Memorial Sloan Cancer Kettering Center and NRG-LU006 Principal Investigator. Presentations will be followed by a question and answer segment with the study team.


Register here: https://bit.ly/NRG-LU006-Webinar-Registration

The month of November is National Family Caregivers Awareness Month. During this month we recognize and appreciate those who help patients with cancer and make an impact not only on an individual level, but also in the community at large.

 

Please always be aware of opportunities to access additional resources and help for questions regarding caregiving. The National Cancer Institute (NCI) website has an extensive glossary of resources pertaining to education, planning, and support for caregivers. You can access their webpage here.

Study Video Feature

Over the next few NRG newsletters, we will be featuring some video interviews regarding a handful of currently active trials in the NRG portfolio. Below, Dr. Stuart Wong, the Vice Chair of the NRG Head and Neck Cancer Committee discusses NRG-HN010, a controlled, randomized phase II trial of docetaxel plus trastuzumab versus ado-trastuzumab emtansine for recurrent, metastatic, or treatment-naïve, unresectable HER2-positive salivary gland cancer. 


Go to www.YouTube.com/@NRGOnc for more NRG video content.


FORTE Study News

#FORTEStudy is on YouTube!  


Watch the video aimed towards medical professionals and research staff today!


The NRG-CC005 team recorded a video at the NRG Summer meeting in June of 2022 to answer the question: “Why would your site want to be a part of the FORTE Clinical Trial?” We encourage site staff to distribute this internally to encourage participation at your institution among research professionals in the conduct of the FORTE trial.

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New Protocols Under Development

NRG Oncology has issued a chart of new protocols under development. These protocols will include the study’s disease site, title, Principal Investigator, and any comments pertaining to the study’s anticipated activation.


The updated listing as of October 31, 2022 can be found here.


NRG SDMC Corner

Dr. Jong H. Jeong Joins NRG Oncology SDMC


Dr. Jong H. Jeong is a Professor of Biostatistics at the University of Pittsburgh and rejoined the NRG Oncology SDMC Pittsburgh Office on November 1, 2022. Previously, he has been actively involved in NRG Oncology working on B-30, B-31, B-33, and B-42 protocols as the primary statistician, or a co-investigator, and was also the primary statistician for the seminal update papers on B-04, B-14, and B-20 studies together with Dr. Bernard Fisher. 

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NRG Protocol Support Committee (PSC) Column

NRG Best Practice Tool

Written by the NRG Oncology Quality Control & Communications Working Group


The purpose of this is to provide a general best practice document. If the protocol states otherwise, the protocol overrides the information within this document


Eligibility Criteria: 

  • No protocol waivers will be granted for eligibility criteria.  
  • All eligibility criteria must have supporting source documents for verification
  • The enrolling investigator should sign and date the protocol specific eligibility criteria, prior to registration of a subject. Follow institutional guidelines for others that also need to verify eligibility (ie: research nurse or research coordinator). Some sites require 2 to 3 signatures as verification of eligibility.
  • Consider creating a stratification worksheet for the enrolling physician to also sign indicating the pertinent stratification factors. Alternatively, the registration worksheet from CTSU may be used if available. 
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NRG at ASTRO 2022

Press Releases 



The Addition of Stereotactic Body Radiation Therapy (SBRT) to Sorafenib in Patients with Advanced Hepatocellular Carcinoma Improves Overall Survival

In the NRG Oncology clinical trial NRG-RTOG 1112, which sought to better determine the role of stereotactic body radiation therapy (SBRT) in the treatment of patients with advanced hepatocellular carcinoma (HCC), it was demonstrated that adding SBRT to Sorafenib improved overall survival (OS). These results were presented during the Plenary Session of the American Society for Radiation Oncology’s (ASTRO) Annual Meeting in October 2022. NRG Oncology designed and led this trial which was conducted in the National Clinical Trials Network with funding from the National Cancer Institute, part of the National Institutes of Health.


Read the full press release


Multi-Modal Artificial Intelligence Models Offer a More Accurate Prognostication Method for Intermediate- to High-Risk Localized Prostate Cancer than Current NCCN Standard

NRG Oncology investigators analyzed clinical and digital histopathology data from five Phase III prostate cancer trials (NRG/RTOG 9202, 9408, 9413, 9910, and 0126) to develop and validate multi-modal intelligence models (MMAI) that could outperform the National Comprehensive Cancer Network (NCCN) in the prediction of distant metastasis (DM) and other outcomes. MMAI models could, in fact, stratify patients into risk groups that more accurately reflected their prognosis in comparison to NCCN risk groups. These results were presented during the Plenary Session of the American Society for Radiation Oncology's (ASTRO) Annual Meeting in October 2022.


Read the full press release


Three Week Hypo-fractionated Whole Breast Irradiation (WBI) with Concurrent Boost is not Inferior to Conventional WBI with a Sequential Boost Following Lumpectomy for Patients with High-Risk, Early-Stage Breast Cancer

Results from the analysis of the NRG Oncology RTOG 1005 clinical trial data concluded that treating patients with early-stage, high-risk breast cancer with a supplemental radiation boost to the surgical cavity concurrently during hypo-fractionated whole breast irradiation (H-WBI) for a 3-week treatment course was not considered inferior to treating patients over several weeks with conventional whole breast irradiation (C-WBI) and a sequential boost following lumpectomy. These results were recently presented during the Plenary Session of the American Society for Radiation Oncology (ASTRO) Annual Meeting in October 2022.


Read the full press release


NRG Oncology Trial NRG-HN004 Shows Addition of Durvalumab to Radiation Does Not Improve Outcomes over Cetuximab for Head & Neck Squamous Cell Carcinoma Patients with a Contraindication to Cisplatin, Highlights Need for Further Research

The Phase II results of the NRG Oncology HN004 trial indicate that radiotherapy (RT) with the PD-L1 inhibitor durvalumab did not improve progression-free survival (PFS) and led to significantly higher rates of locoregional failure (LRF) when compared to RT + cetuximab in patients with locoregionally advanced head and neck squamous cell carcinoma (HNSCC) that have a contraindication to cisplatin. These findings were presented during the plenary session at American Society for Radiation Oncology (ASTRO) annual meeting held in San Antonio, Texas. This was one of four NRG Oncology papers presented during the 2022 ASTRO plenary session.


Read the full press release


Toxicity Data Reveal No Safety Concerns with S/N1806 Bladder Cancer Trial

Updated toxicity data from the ongoing SWOG/NRG 1806 clinical trial, which tests combining chemoradiation therapy with immunotherapy in patients with localized muscle-invasive bladder cancer, reveal no significant safety concerns with the combination.


Read the full press release



ASTRO Fellows


Congratulations to the 2022 ASTRO Fellows for a much-earned achievement! ASTRO provided a listing of all physicians who received this designation for 2022 on their website here. (Photo from @ASTRO_org Twitter). 



NRG Member News

Dr. Knoll Receives Castle Connolly Top Doctor Designation


Congratulations to Miriam Knoll, MD from Montefiore Nyack Hospital in New Jersey, on her recent designation as a Castle Connolly Top Doctor for 2022. Dr. Knoll is a member of the NRG Oncology Communications Committee and a frequent chair of NRG Oncology Social Media Workshops held during our semi-annual meetings.

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