SPITFIRE v1.6

  • Research type

    Research Study

  • Full title

    Single-Cell Sequencing analysis of Radiation Pneumonitis signals In patients Treated For cancer with Radiotherapy

  • IRAS ID

    339413

  • Contact name

    Stephen Harrow

  • Contact email

    stephen.harrow2@nhs.scot

  • Sponsor organisation

    University of Edinburgh

  • Clinicaltrials.gov Identifier

    NCT06557343

  • Duration of Study in the UK

    1 years, 0 months, 0 days

  • Research summary

    Radiation pneumonitis is an inflammatory reaction within the lung caused by radiotherapy and the dose-limiting toxicity to delivering treatment for cancer within the chest. It is very poorly understood with limited treatment options and often comes with significant morbidity and mortality. Other than general supportive measures there has only been steroids and this has not changed in years. Five patients with clinically or radiologically confirmed radiation pneumonitis who have been referred for a bronchoscopy will have had a deep bronchial brushing obtained via the ELFMAN Protocol. ELFMAN is the Edinburgh Lung Fibrosis Molecular Endotyping study and proposes to better characterize suspected inflammatory and fibrotic interstitial lung disease, which may have shared molecular and cellular changed with interstitial pneumonias including idiopathic pulmonary fibrosis. One of these tissue samples can be analyzed using a relatively novel technique of single-cell sequencing to identify which cells are being up/down regulated and in doing so shine light on the mechanisms underpinning it, hopefully revealing new targets for the treatment of tomorrow. This proof-of concept trial aims demonstrate that the combination of bronchoscopy brushings and single-cell sequencing can successfully reveal molecular activity behind the radiation pneumonitis process.

  • REC name

    London - Bloomsbury Research Ethics Committee

  • REC reference

    24/PR/1028

  • Date of REC Opinion

    17 Oct 2024

  • REC opinion

    Further Information Favourable Opinion