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Home > "C" Clinical Trials Conditions > Chemotherapy Combined With Radiation Therapy in Treating Patients With Limited-Stage Small Cell Lung Cancer

Chemotherapy Combined With Radiation Therapy in Treating Patients With Limited-Stage Small Cell Lung Cancer



Chemotherapy Combined With Radiation Therapy in Treating Patients With Limited-Stage Small Cell Lung Cancer

For Condition: limited stage small cell lung cancer
Status: Recruiting
Sponsor(s): Radiation Therapy 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. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining chemotherapy with radiation therapy may kill more tumor cells. PURPOSE: Phase I trial to study the effect on the body when combining irinotecan and cisplatin with radiation therapy in treating patients who have limited-stage small cell lung cancer that could not be completely removed during surgery.
Details: OBJECTIVES: - Determine the maximum tolerated dose of irinotecan administered with cisplatin and thoracic radiotherapy (given at two different schedules) in patients with limited stage small cell lung cancer. - Determine the qualitative and quantitative toxicity and non-dose-limiting toxicity of these regimens in these patients. - Determine the reversibility of all toxic effects associated with these regimens in these patients. OUTLINE: This is a non-randomized, dose-escalation study of irinotecan. Patients are assigned to 1 of 2 radiotherapy (RT) treatment groups. - Group I: Patients undergo thoracic RT twice daily, 5 days a week, for 3 weeks. - Group II: Patients undergo thoracic RT once daily, 5 days a week, for 7 weeks. - Concurrent chemotherapy: Patients receive irinotecan IV over 60-90 minutes on days 1 and 8 and cisplatin IV over 1 hour on day 1. Treatment repeats every 3 weeks for 1 course for group I and 2 courses for group II. - Post RT chemotherapy: Patients receive irinotecan and cisplatin as above for 3 courses for group I and 2 courses, beginning after RT is complete, for group II. Sequential cohorts of 6 patients per group receive escalating doses of irinotecan until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. Patients are followed every 3 months for 1 year and then 6 months for 4 years. PROJECTED ACCRUAL: A total of 12-36 patients (6-18 per group) will be accrued for this study within 18 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed small cell lung cancer by one of two methods: - Fine needle aspiration biopsy - Two positive sputa - Must have limited disease as defined by all of the following: - Stage I-IIIB - Confined to 1 hemithorax - No T4 tumor based on malignant pleural or pericardial effusion - Patients with pleural effusion too small to tap under CT guidance and not evident on chest x-ray are allowed - No N3 disease based on contralateral hilar or contralateral supraclavicular involvement - Measurable or evaluable disease - Tumor must be able to be encompassed by specified radiotherapy fields without unacceptable risk of serious pulmonary compromise - No complete tumor resection - No pericardial effusion (regardless of cytology) PATIENT CHARACTERISTICS: Age - 18 and over Performance status - Zubrod 0-1 Life expectancy - Not specified Hematopoietic - Absolute granulocyte count at least 1,500/mm^3 - Platelet count at least 120,000/mm^3 Hepatic - Bilirubin no greater than 1.5 mg/dL - No known Gilbert's Disease Renal - Creatinine no greater than 1.5 mg/dL Cardiovascular - No myocardial infarction within the past 6 months - No symptomatic heart disease Pulmonary - FEV_1 at least 1.0 L/sec - No uncontrolled bronchospasms - No uncompensated chronic obstructive pulmonary disease Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No pre-existing peripheral neuropathy grade 2 or greater - No other malignancy within the past 2 years except curatively treated basal or squamous cell skin cancer or carcinoma in situ of the bladder or cervix - No other serious concurrent medical illness PRIOR CONCURRENT THERAPY: Biologic therapy - No prior biologic therapy Chemotherapy - No prior chemotherapy Endocrine therapy - Not specified Radiotherapy - No prior radiotherapy - No concurrent intensity-modulated radiotherapy Surgery - See Disease Characteristics Other - At least 7 days since prior enzyme-inducing anti-convulsant drugs (EIACDs) (e.g., phenytoin, carbamazepine, or phenobarbital) if used on a regular basis for more than 2 weeks - Less than 2 weeks of regular use of EIACDs does not require a 7-day wash-out period - At least 14 days since prior Hypericum perforatum (St. John's wort) - No concurrent EIACDs - Concurrent gabapentin or other non-EIACDs allowed
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
CoreyLanger,  Study Chair,  Fox Chase Cancer Center

Dixie Regional Medical Center *Recruiting*
St. George,  Utah,  84770
United States
Recruiting Ray  Richards 801-688-4175

Providence Saint Joseph Medical Center - Burbank *Recruiting*
Burbank,  California,  91505
United States
Recruiting Nancy  Ellerbroek 818-847-3440

CCOP - Mount Sinai Medical Center *Recruiting*
Miami,  Florida,  33140
United States
Recruiting Michael  Samuels 305-674-2625

CCOP - Bay Area Tumor Institute *Recruiting*
Oakland,  California,  94609-3305
United States
Recruiting Brenda  Shank 510-456-8570

Akron General Medical Center *Recruiting*
Akron,  Ohio,  44302
United States
Recruiting Mitchell  Fromm 330-296-5019

Newark Beth Israel Medical Center *Recruiting*
Newark,  New Jersey,  07112
United States
Recruiting Robert  Ivker 201-926-7320

McKay-Dee Hospital Center *Recruiting*
Ogden,  Utah,  84403
United States
Recruiting Contact  Person 801-627-2800

Greenville Hospital System *Recruiting*
Greenville,  South Carolina,  29605
United States
Recruiting Contact  Person 864-455-700

Kimmel Cancer Center at Thomas Jefferson University - Philadelphia *Recruiting*
Philadelphia,  Pennsylvania,  19107
United States
Recruiting Maria  Werner-Wasik 215-955-7679

Shands Cancer Center at the University of Florida Health Science Center *Recruiting*
Gainesville,  Florida,  32610-0385
United States
Recruiting William  Mendenhall 352-265-0287

Duke Comprehensive Cancer Center *Recruiting*
Durham,  North Carolina,  27710
United States
Recruiting Contact  Person 919-419-5740

Cottonwood Hospital Medical Center *Recruiting*
Murray,  Utah,  84107
United States
Recruiting Contact  Person 801-314-5300

Sutter Health Western Division Cancer Research Group *Recruiting*
Greenbrae,  California,  94904
United States
Recruiting David  Irwin 415-925-7916

Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute *Recruiting*
Boston,  Massachusetts,  02114
United States
Recruiting William  Shipley 617-726-8146

CCOP - Christiana Care Health Services *Recruiting*
Newark,  Delaware,  19713
United States
Recruiting Christopher  Koprowski 302-733-1830

Utah Valley Regional Medical Center - Provo *Recruiting*
Provo,  Utah,  84604
United States
Recruiting Tarlton  Blair 801-373-7850 ext. 2480

Ellis Fischel Cancer Center at University of Missouri - Columbia *Recruiting*
Columbia,  Missouri,  65203
United States
Recruiting Mark  Bryer 573-882-2100

Fox Chase Cancer Center at St. Francis Medical Center *Recruiting*
Trenton,  New Jersey,  08629
United States
Recruiting Jo  Chalal 609-599-5179

Monmouth Medical Center *Recruiting*
Long Branch,  New Jersey,  07740-6395
United States
Recruiting Smitha  Gollamudi 732-923-6890

Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center *Recruiting*
La Crosse,  Wisconsin,  54601
United States
Recruiting Philip  Doescher 608-782-7300 ext. 2588

Marlene and Stewart Greenebaum Cancer Center, University of Maryland *Recruiting*
Baltimore,  Maryland,  21201
United States
Recruiting Mohan  Suntharalingam 410-328-6080

Massachusetts General Hospital Cancer Center *Recruiting*
Boston,  Massachusetts,  02114
United States
Recruiting Contact  Person 877-726-5130

Alta Bates Comprehensive Cancer Center *Recruiting*
Berkeley,  California,  94704
United States
Recruiting Contact  Peson 510-204-1591

Vanderbilt-Ingram Cancer Center at Vanderbilt Medical Center *Recruiting*
Nashville,  Tennessee,  37232-5671
United States
Recruiting A.J.  Cmelak 615-322-2555

Wendt Regional Cancer Center of Finley Hospital *Recruiting*
Dubuque,  Iowa,  52001
United States
Recruiting Thomas  Lally 319-589-2468

University of Texas - MD Anderson Cancer Center *Recruiting*
Houston,  Texas,  77030-4009
United States
Recruiting Ritsuko  Komaki 713-563-2328

CCOP - Greenville *Recruiting*
Greenville,  South Carolina,  29615
United States
Recruiting Michael  Zurenko 864-241-6251

Cooper Cancer Institute at Cooper University Hospital *Recruiting*
Voorhees,  New Jersey,  08043
United States
Recruiting Contact  Person 800-826-6737

Wayne Memorial Hospital, Inc. *Recruiting*
Goldsboro,  North Carolina,  27533
United States
Recruiting Contact  Person 919-736-1110

Beebe Medical Center *Recruiting*
Lewes,  Delaware,  19958
United States
Recruiting Contact  Person 302-645-3770

California Pacific Medical Center - California Campus *Recruiting*
San Francisco,  California,  94118-1618
United States
Recruiting Contact  Person 415-600-6000


Additional Information:
Study ID Numbers:
  CDR0000269348;  RTOG-0241
Study Start Date: 
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00059761

Other Limited Stage Small Cell Lung Cancer Studies:
1. Brain Irradiation in Treating Patients With Limited-Stage Small Cell Lung Cancer

2. Radiation Therapy Plus Combination Chemotherapy in Treating Patients With Small Cell Lung Cancer

3. Diagnosis and Treatment Planning in Patients Suspected of Having Lung Cancer

4. Radiation Therapy Plus Combination Chemotherapy In Treating Patients With Limited Stage Small Cell Lung Cancer

5. Amifostine to Prevent Side Effects in Patients Who Are Receiving Chemotherapy and Radiation Therapy for Limited-Stage Small Cell Lung Cancer

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Chemotherapy Combined With Radiation Therapy in Treating Patients With Limited-Stage Small Cell Lung Cancer

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