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Home > "C" Clinical Trials Conditions > Carboplatin, Paclitaxel, and Radiation Therapy With or Without Thalidomide in Treating Patients With Stage III Non-small Cell Lung Cancer

Carboplatin, Paclitaxel, and Radiation Therapy With or Without Thalidomide in Treating Patients With Stage III Non-small Cell Lung Cancer



Carboplatin, Paclitaxel, and Radiation Therapy With or Without Thalidomide in Treating Patients With Stage III Non-small Cell Lung Cancer

For Condition: squamous cell lung cancer,bronchoalveolar cell lung cancer,adenocarcinoma of the lung,large cell lung cancer,adenosquamous cell lung cancer,Non-small cell lung cancer
Status: Recruiting
Sponsor(s): Eastern Cooperative Oncology Group , National Cancer Institute (NCI)
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Thalidomide may stop the growth of non-small cell lung cancer by stopping blood flow to the tumor. It is not yet known if combination chemotherapy plus radiation therapy is more effective with or without thalidomide. PURPOSE: Randomizedphase III trial to compare the effectiveness of carboplatin, paclitaxel, and radiation therapy with or without thalidomide in treating patients who have newly diagnosed stage III non-small cell lung cancer.
Details: OBJECTIVES: - Compare the survival and time to progression of patients with stage IIIA or IIIB non-small cell lung cancer when treated with carboplatin, paclitaxel, and chemoradiotherapy with or without thalidomide. - Evaluate the toxicity of the thalidomide-containing regimen and compare response rates of the two groups. - Determine whether the inactivation of p16, DAP-kinase, MGMT, or TIMP-3 genes can be used to predict survival in these patients treated with this regimen. - Determine whether the detection of a methylation biomarker in serum can be used to predict survival in these patients treated with this regimen. OUTLINE: This is a randomized study. Patients are stratified according to disease histology (squamous vs nonsquamous), performance status (0 vs 1), disease stage (IIIA vs IIIB), and time of randomization (before addition of chemoradiotherapy vs after). Patients are randomized to one of two treatment arms. - Arm I: Patients receive paclitaxel IV over 3 hours immediately followed by carboplatin IV over 15-30 minutes on day 1. Treatment continues for a second course beginning on day 22 in the absence of unacceptable toxicity or disease progression. - Arm II: Patients receive paclitaxel and carboplatin as in arm I. Patients also receive oral thalidomide daily beginning on day 1 for up to 24 months. Beginning between days 43-50, patients in both arms with stable or responding disease receive chemoradiotherapy comprising paclitaxel IV over 1 hour and carboplatin IV over 15-30 minutes once weekly for 6 weeks and radiotherapy 5 days a week for 6 weeks. Arm II patients continue oral thalidomide. Patients are followed every 2 months for 2 years and then every 6 months for 3 years. PROJECTED ACCRUAL: A total of 588 patients will be accrued for this study within 7 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed newly diagnosed non-small cell bronchogenic carcinoma - Squamous cell - Adenocarcinoma - Large cell undifferentiated - Bronchoalveolar - Non-small cell carcinoma not otherwise stated - Unresectable stage IIIA - Mediastinal lymph node enlargement of at least 1 cm but less than 2 cm on CT scans must have mediastinotomy or thoracoscopy to rule out resectability OR - Stage IIIB disease without significant pleural effusion - Seen on CT scan only (not seen on chest x-ray) or does not reaccumulate after 1 thoracentesis and is cytologically negative - Metastases to contralateral, mediastinal, or supraclavicular nodes allowed - Bidimensionally measurable or evaluable disease PATIENT CHARACTERISTICS: Age: - 18 and over Performance status: - ECOG 0-1 Life expectancy: - Not specified Hematopoietic: - Platelet count at least 100,000/mm^3 - WBC at least 4,000/mm OR - Absolute neutrophil count at least 2,000/mm^3 Hepatic: - Bilirubin normal - SGOT no greater than 2.5 times upper limit of normal Renal: - Creatinine no greater than 1.5 mg/dL OR - Creatinine clearance at least 60 mL/min Cardiovascular: - No uncontrolled high blood pressure, unstable angina, congestive heart failure, or myocardial infarction within the prior year - No serious cardiac arrhythmias requiring medication Other: - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use 2 methods of effective contraception for 4 weeks prior to, during, and for 4 weeks after study therapy - No other active malignancies - No serious uncontrolled active infection - No evidence of greater than grade 1 neuropathy by history or physical examination - No history of seizure disorders PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - At least 5 years since prior chemotherapy Endocrine therapy: - Not specified Radiotherapy: - No prior radiotherapy to only area of measurable or active tumor Surgery: - See Disease Characteristics
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
JoanSchiller,  Study Chair,  University of Wisconsin Comprehensive Cancer Center

CCOP - Marshfield Clinic Research Foundation *Recruiting*
Marshfield,  Wisconsin,  54449
United States
Recruiting Tarit  Banerjee 715-387-5134

Porter Adventist Hospital *Recruiting*
Denver,  Colorado,  80210
United States
Recruiting David  Trevarthen 303-788-8675

Instituto de Enfermedades Neoplasicas *Recruiting*
Lima,  ,  34
Peru
Recruiting Carlos  Vallejos-Sologuren 51-14-499-137

Veterans Affairs Medical Center - Lakeside Chicago *Recruiting*
Chicago,  Illinois,  60611-4494
United States
Recruiting Timothy  Kuzel 312-469-3748

CCOP - Duluth *Recruiting*
Duluth,  Minnesota,  55805
United States
Recruiting Robert  Dalton 218-786-8364

St. Joseph Hospital *Recruiting*
Denver,  Colorado,  80218-1191
United States
Recruiting Michael  McLaughlin 303-861-3302

Rocky Mountain Cancer Centers - Rose *Recruiting*
Denver,  Colorado,  80220
United States
Recruiting Scot  Sedlacek 303-321-0302

Vanderbilt-Ingram Cancer Center at Vanderbilt Medical Center *Recruiting*
Nashville,  Tennessee,  37232-6307
United States
Recruiting David  Johnson 615-343-9454

CCOP - Kalamazoo *Recruiting*
Kalamazoo,  Michigan,  49007-3731
United States
Recruiting Raymond  Lord 269-373-7488

CCOP - Cedar Rapids Oncology Project *Recruiting*
Cedar Rapids,  Iowa,  52403-1206
United States
Recruiting Martin  Wiesenfeld 319-363-8303

Swedish Medical Center *Recruiting*
Englewood,  Colorado,  80110
United States
Recruiting Marshall  Davis 303-788-5860

CCOP - Northern New Jersey *Recruiting*
Hackensack,  New Jersey,  07601
United States
Recruiting Richard  Rosenbluth 201-996-5917

CCOP - Southern Nevada Cancer Research Foundation *Recruiting*
Las Vegas,  Nevada,  89106
United States
Recruiting John  Ellerton 702-384-0013

CCOP - Iowa Oncology Research Association *Recruiting*
Des Moines,  Iowa,  50309-1016
United States
Recruiting Roscoe  Morton 515-244-7586

CCOP - Wichita *Recruiting*
Wichita,  Kansas,  67214-3882
United States
Recruiting Shaker  Dakhil 316-268-5784

St. Mary-Corwin Regional Medical Center *Recruiting*
Pueblo,  Colorado,  81004
United States
Recruiting Marlow  Sloan 719-560-6000

Penrose Cancer Center *Recruiting*
Colorado Springs,  Colorado,  80933
United States
Recruiting Robert  Sayre 719-577-2555

Longmont United Hospital *Recruiting*
Longmont,  Colorado,  80501
United States
Recruiting Robert  Fisher 303-485-4132

MBCCOP-Our Lady of Mercy Cancer Center *Recruiting*
Bronx,  New York,  10466
United States
Recruiting Peter  Wiernik 718-920-1100

Boulder Community Hospital *Recruiting*
Boulder,  Colorado,  80301-9019
United States
Recruiting John  Fleagle 303-440-2399

CCOP - MainLine Health *Recruiting*
Wynnewood,  Pennsylvania,  19096
United States
Recruiting Paul  Gilman 610-645-2057

CCOP - Geisinger Clinic and Medical Center *Recruiting*
Danville,  Pennsylvania,  17822-2001
United States
Recruiting Suresh  Nair 570-271-6413

CCOP - St. Vincent Hospital Cancer Center, Green Bay *Recruiting*
Green Bay,  Wisconsin,  54307-3453
United States
Recruiting Gerald  Bayer 920-433-8889

Medical College of Wisconsin Cancer Center *Recruiting*
Milwaukee,  Wisconsin,  53226-3596
United States
Recruiting David  Vesole 414-805-4646

Cancer Institute of New Jersey *Recruiting*
New Brunswick,  New Jersey,  08903
United States
Recruiting Joseph  Aisner 732-235-7464

CCOP - Metro-Minnesota *Recruiting*
St. Louis Park,  Minnesota,  55416
United States
Recruiting Patrick  Flynn 952-993-15175

CCOP - Michigan Cancer Research Consortium *Recruiting*
Ann Arbor,  Michigan,  48106
United States
Recruiting Philip  Stella 734-712-2000

CCOP - Scott and White Hospital *Recruiting*
Temple,  Texas,  76508
United States
Recruiting Lucas  Wong 254-724-7048

Sky Ridge Medical Center *Recruiting*
Lone Tree,  Colorado,  80124
United States
Recruiting Dennis  Carter 720-225-4211

Tufts - New England Medical Center *Recruiting*
Boston,  Massachusetts,  02111
United States
Recruiting John  Erban 617-636-5147

CCOP - Toledo Community Hospital *Recruiting*
Toledo,  Ohio,  43623-3456
United States
Recruiting Paul  Schaefer 419-843-6147

Rocky Mountain Cancer Centers *Recruiting*
Thornton,  Colorado,  80260
United States
Recruiting Alvin  Otsuka 303-386-7622

Pretoria Academic Hospital *Recruiting*
Pretoria,  ,  0001
South Africa
Recruiting Coenraad  Slabber 27-12-354-1054

CCOP - Northern Indiana CR Consortium *Recruiting*
South Bend,  Indiana,  46601
United States
Recruiting Rafat  Ansari 574-284-7977

Medical Center of Aurora - South Campus *Recruiting*
Aurora,  Colorado,  80012-0000
United States
Recruiting Sami  Diab 303-418-7600

Robert H. Lurie Comprehensive Cancer Center at Northwestern University *Recruiting*
Chicago,  Illinois,  60611
United States
Recruiting Al  Benson 312-695-1382

Albert Einstein Clinical Cancer Center *Recruiting*
Bronx,  New York,  10461
United States
Recruiting Joseph  Sparano 718-904-2555

MetroHealth Medical Center *Recruiting*
Cleveland,  Ohio,  44109
United States
Recruiting Edward  Mansour 216-778-4394

University of Wisconsin Comprehensive Cancer Center *Recruiting*
Madison,  Wisconsin,  53792
United States
Recruiting Minesh  Mehta 608-263-8500

Presbyterian-St Luke's Medical Center *Recruiting*
Denver,  Colorado,  80218
United States
Recruiting Robert  Jotte 303-388-4876

CCOP - Colorado Cancer Research Program, Incorporated *Recruiting*
Denver,  Colorado,  80224
United States
Recruiting Eduardo  Pajon 303-777-2663


Additional Information:
Study ID Numbers:
  CDR0000067510;  ECOG-3598
Study Start Date: 
Record last reviewed: April 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004859

Other Squamous Cell Lung Cancer Studies:
1. Gemcitabine and Docetaxel in Treating Patients With Inoperable Stage IIIB or Stage IV Non-Small Cell Lung Cancer

2. Prognostic Study of Metastases in Patients With Stage I, Stage II, or Stage III Non-small Cell Lung Cancer That Can Be Removed by Surgery

3. Vinorelbine Followed by Docetaxel in Treating Patients With Advanced Non-Small Cell Lung Cancer

4. Antineoplaston Therapy in Treating Patients With Stage IV Lung Cancer

5. Carboplatin, Paclitaxel, and Radiation Therapy With or Without Thalidomide in Treating Patients With Stage III Non-small Cell Lung Cancer

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