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Chemotherapy Plus Radiation Therapy in Treating Patients With Non-Small Cell Lung Cancer



Chemotherapy Plus Radiation Therapy in Treating Patients With Non-Small Cell Lung Cancer

For Condition: stage 3B non-small cell lung cancer,stage 3A non-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 radiation therapy with chemotherapy may kill more tumor cells. PURPOSE: Phase I trial to study the effectiveness of combination chemotherapy plus radiation therapy in treating patients who have stage IIIA or stage IIIB non-small cell lung cancer.
Details: OBJECTIVES: - Determine the maximum tolerated dose (MTD) of gemcitabine when administered with carboplatin and thoracic radiotherapy followed by adjuvant gemcitabine and carboplatin in patients with stage IIIA or IIIB non-small cell lung cancer. - Determine the MTD of gemcitabine and paclitaxel when administered with thoracic radiotherapy followed by adjuvant gemcitabine and carboplatin in these patients. OUTLINE: This is a multicenter, dose-escalation study of gemcitabine and paclitaxel. Patients are sequentially assigned to 1 of 3 treatment regimens. - Regimen A: Patients receive gemcitabine IV over 30-60 minutes on days 1, 8, 22, 29, and 43 and thoracic radiotherapy daily 5 days a week for 7 weeks beginning on day 1. - Regimen B (closed to accrual as of 5/13/03): Patients receive gemcitabine and thoracic radiotherapy as in regimen A and carboplatin IV over 30 minutes on days 1, 8, 22, 29, and 43. - Regimen C: Patients receive gemcitabine and thoracic radiotherapy as in regimen A and paclitaxel IV over 1 hour on days 1, 8, 22, 29, and 43. At 3 weeks after completion of chemoradiotherapy, all patients receive adjuvant gemcitabine IV over 30-60 minutes on days 71, 78, 92, and 99 and carboplatin IV over 30 minutes on days 71 and 92. The first 6 patients enrolled receive regimen A to determine the safety of the initial dose of gemcitabine. After completion of regimen A, cohorts of 3-6 patients receive escalating doses of gemcitabine in regimen B (closed to accrual as of 5/13/03) until the maximum tolerated dose (MTD) is determined. In a separate sequence, cohorts of 3-6 patients receive alternating escalating doses of gemcitabine and paclitaxel in regimen C until the MTD is determined. The MTD is defined as the dose preceding that at which at least 3 of 6 patients experience dose-limiting toxicity. Patients are followed at 3 months, 6 months, every 3 months for 1 year, every 6 months for 2 years, and then annually thereafter. PROJECTED ACCRUAL: A maximum of 78 patients will be accrued for this study within 29 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed loco-regionally advanced non-small cell lung cancer meeting one of the following staging criteria: - Medically inoperable stage IIIA - Unresectable stage IIIA or IIIB - Measurable disease on three-dimensional planning CT scan - No post-resection intrathoracic tumor recurrence - No pleural effusion on chest x-ray except those occurring after attempted thoracotomy or other invasive thoracic procedure - No evidence of small cell histology - No evidence of hematogenous or distant metastases PATIENT CHARACTERISTICS: Age: - Not specified Performance status: - Zubrod 0-1 Life expectancy: - Not specified Hematopoietic: - Platelet count at least 100,000/mm^3 - Absolute granulocyte count at least 2,000/mm^3 - Hemoglobin at least 8.0 g/dL Hepatic: - Bilirubin no greater than 1.5 mg/dL - SGOT no greater than 1.5 times upper limit of normal (unless caused by documented benign disease) Renal: - Creatinine no greater than 1.5 mg/dL Cardiovascular: - No myocardial infarction within the past 6 months - No symptomatic heart disease, including angina, congestive heart failure, or uncontrolled arrhythmia Pulmonary: - FEV_1 greater than 1,000 mL Other: - No other invasive malignancy within the past 3 years except nonmelanoma skin cancer - No weight loss of more than 10% in 3 months prior to diagnosis - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - No prior chemotherapy Endocrine therapy: - Not specified Radiotherapy: - No prior thoracic or neck radiotherapy Surgery: - See Disease Characteristics - No prior complete or subtotal tumor resection
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
HakChoy,  Study Chair,  Simmons Cancer Center

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

Pocono Cancer Center *Recruiting*
East Stroudsburg,  Pennsylvania,  18301
United States
Recruiting Michael  Greenberg 570-476-3488

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

Medical College of Wisconsin Cancer Center *Recruiting*
Milwaukee,  Wisconsin,  53226
United States
Recruiting Elizabeth  Gore 414-805-4465

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

Mercy Hospital of Pittsburgh *Recruiting*
Pittsburgh,  Pennsylvania,  15219
United States
Recruiting Michael  Dougherty 412-232-7862

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

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

Cancer Care Center, Incorporated *Recruiting*
Salem,  Ohio,  44460
United States
Recruiting Contact  Person 330-375-3557

McKay-Dee Hospital Center *Recruiting*
Ogden,  Utah,  84403
United States
Recruiting Contact  Person 801-408-2182

Delaware County Memorial Hospital *Recruiting*
Drexel Hill,  Pennsylvania,  19026
United States
Recruiting Rachelle  Lanciano 610-284-8240

University of Miami Sylvester Cancer Center *Recruiting*
Miami,  Florida,  33136
United States
Recruiting Arnold  Markoe 305-243-4319

Akron City Hospital *Recruiting*
Akron,  Ohio,  44304
United States
Recruiting William  Demas 330-375-3557

LDS Hospital *Recruiting*
Salt Lake City,  Utah,  84143
United States
Recruiting William  Sause 801-408-1146

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

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

Veterans Affairs Medical Center - Milwaukee (Zablocki) *Recruiting*
Milwaukee,  Wisconsin,  53295
United States
Recruiting Roger  Byhardt 414-384-2000 ext. 2585

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

Danville Regional Medical Center *Recruiting*
Danville,  Virginia,  24541
United States
Recruiting Contact  Person 434-799-2100


Additional Information:
Study ID Numbers:
  CDR0000068622;  RTOG-L-0017
Study Start Date: 
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00016315

Other Stage 3a Non-Small Cell Lung Cancer Studies:
1. Bortezomib With or Without Docetaxel in Treating Patients With Relapsed or Refractory Advanced Non-Small Cell Lung Cancer

2. Polyglutamate Paclitaxel Compared With Gemcitabine or Vinorelbine in Treating Patients With Advanced or Recurrent Non-Small Cell Lung Cancer

3. Vaccine Therapy, Interleukin-2, and Sargramostim in Treating Patients With Advanced Tumors

4. Megestrol in Treating Patients Who Are Undergoing Radiation Therapy for Lung Cancer

5. Docetaxel in Treating Patients With Non-Small Cell Lung Cancer

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