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Home > "C" Clinical Trials Conditions > Combination Chemotherapy Compared With No Treatment Following Surgery in Treating Patients With Non-small Cell Lung Cancer

Combination Chemotherapy Compared With No Treatment Following Surgery in Treating Patients With Non-small Cell Lung Cancer



Combination Chemotherapy Compared With No Treatment Following Surgery in Treating Patients With Non-small Cell Lung Cancer

For Condition: stage 3 non-small cell lung cancer,large cell lung cancer,stage 1 non-small cell lung cancer,adenosquamous cell lung cancer,squamous cell lung cancer,adenocarcinoma of the lung,stage 2 non-small cell lung cancer
Status: No longer recruiting
Sponsor(s): Institut Gustave Roussy ,
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known if combination chemotherapy given after surgery is more effective than surgery alone for non-small cell lung cancer. PURPOSE: Randomized phase III trial to compare the effectiveness of combination chemotherapy following surgery with that of surgery alone in treating patients who have stage I, stage II, or stage IIIA non-small cell lung cancer.
Details: OBJECTIVES: I. Compare the impact on overall survival of adjuvant cisplatin and either a vinca alkaloid or etoposide (with or without radiotherapy) vs. no adjuvant chemotherapy in patients with completely resected stage I/II/III non-small cell lung cancer. II. Assess the frequency of treatment-related deaths and severe toxic effects. III. Describe the patterns of failure, second malignancies, and toxic effects associated with each treatment regimen. PROTOCOL OUTLINE: This is a randomized, multicenter study. Patients are stratified by participating institution, type of prior surgery, and pathologic stage. Each participating center will determine which combination chemotherapy regimen and which of three cisplatin doses will be given to all patients treated at that center. The treatment group receives cisplatin combined with either vindesine, vinblastine, vinorelbine, or etoposide every 3-4 weeks for 3-4 courses, depending on the dose of cisplatin. The second group receives no adjuvant chemotherapy. Treating institutions determine prior to entering the trial which patients receive adjuvant radiotherapy: none; those with node-positive disease; those with N1 disease only; those with N2 disease only; or those eligible for a randomized radiotherapy trial. For patients in the treatment group, radiotherapy begins 3-4 weeks after the last course. Patients are followed at 6 months, then annually. PROJECTED ACCRUAL: A maximum of 3,300 patients will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/75 Years
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically documented non-small cell lung cancer; Any non-small cell histology eligible - Pathologic stage I/II/III disease that is completely resected with microscopically clear margins within 60 days of entry (30 days preferred) --Prior/Concurrent Therapy-- - Biologic therapy: No prior immunotherapy - Chemotherapy: No prior chemotherapy - Endocrine therapy: Not specified - Radiotherapy: No prior thoracic radiotherapy - Surgery: Complete resection required prior to entry --Patient Characteristics-- - Age: 18 to 75 - Performance status: Not specified - Hematopoietic: Not specified - Hepatic: Not specified - Renal: Not specified - Other: No clear contraindication to chemotherapy; No second malignancy except: Nonmelanomatous skin cancer; Carcinoma in situ of the cervix
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
ThierryChevalier,  Study Chair,  Institut Gustave Roussy

Centre Hospitalier de Saint-Brieuc
Saint-Brieuc,  ,  22023
France
 

Hopital Antoine Beclere
Clamart,  ,  92141
France
 

Ospedale San Giovanni
Bellinzona,  ,  CH-6500
Switzerland
 

Massachusetts General Hospital Cancer Center
Boston,  Massachusetts,  02114
United States
 

CHU De Pontchaillou
Rennes,  ,  35033
France
 

Kantonsspital, Luzern
Luzern (Lucerne),  ,  CH-6000
Switzerland
 

Clinica Las Nieves
Santiago,  , 
Chile
 

Ospedale Molinette
Turin,  ,  10126
Italy
 

Regional Hospital for Lung Disease
Zdunowo,  ,  20
Poland
 

C.H.G. De Pau
Pau,  ,  64000
France
 

Universitair Ziekenhuis Antwerpen
Edegem,  ,  B-2650
Belgium
 

Hopital Tenon
Paris,  ,  75970
France
 

C.M.C. Du Cedre
Bois Guillaume (Rouen),  ,  76235
France
 

Department of Children Hematology/Oncology University of Medicine Wroclaw
Wroclaw,  ,  50345
Poland
 

C.H. Henri Mondor
Aurillac,  ,  15002
France
 

Bialystok Medical School
Bialystok,  ,  15276
Poland
 

Groote Schuur Hospital, Cape Town
Cape Town,  ,  7925
South Africa
 

Hospital Santa Maria
Lisbon (Lisboa),  ,  1699
Portugal
 

Istituto Europeo Di Oncologia
Milano,  ,  20141
Italy
 

Centre de Radiologie et de Traitement des Tumeurs
Meudon-La-Foret,  ,  92360
France
 

Hopital D'Etampes
Etampes,  ,  91150
France
 

Kaplan Hospital
Rehovot,  ,  76100
Israel
 

Institut Catala d'Oncologia - Hospital Duran i Reynals
Barcelona,  ,  08907
Spain
 

Istituto Di Clinica Chirurgica
Torino,  ,  10126
Italy
 

Hopital Universitaire F. Bourguiba
Monastir,  ,  5000
Tunisia
 

Centre Du Meridien
Cannes,  ,  06400
France
 

University Hospital - Uppsala
Uppsala,  ,  S-751 85
Sweden
 

Sismanoglio Hospital
Athens,  ,  15126
Greece
 

Chest Disease Clinic, Charles University
Prague (Praha),  ,  162 00
Czech Republic
 

Centre Leon Berard
Lyon,  ,  69373
France
 

Hospital A.C. Camargo
Sao Paulo,  ,  01509--010
Brazil
 

Institute of Radiotherapy and Oncology
Skopje,  ,  91000
Macedonia, The Former Yugoslav Republic of
 

Hospital Militar Central
Bogota,  , 
Colombia
 

Ospedale Cervello
Palermo,  ,  90146
Italy
 

U.Z. Gasthuisberg
Leuven,  ,  B-3000
Belgium
 

C.H.G. Du Havre-Hopital J. Monod
Le Havre,  ,  76083
France
 

Centre Hospitalier General
Compiegne,  ,  60321
France
 

Peter MacCallum Cancer Institute
East Melbourne,  Victoria,  8006
Australia
 

Hopital Intercommunal De Creteil
Creteil,  ,  94010
France
 

C.H. Armentieres
Armentieres,  ,  59427
France
 

Hopital Avicenne
Bobigny,  ,  93009
France
 

C.H.G. Troyes
Troyes,  ,  10003
France
 

Centre Hospitalier de Lagny
Lagny,  ,  77405
France
 

Tel-Aviv Medical Center
Tel Aviv,  ,  62995
Israel
 

C.H. Nord Mayenne
Mayenne,  ,  53013
France
 

Institut Mutualiste Montsouris
Paris,  ,  75013
France
 

Getlac
Buenos Aires,  ,  1638
Argentina
 

Athens University-Laikon General Hospital
Athens,  ,  11527
Greece
 

University Hospital of Heraklion
Iraklion (Heraklion),  Crete,  71110
Greece
 

Comprehensive Cancer Center at JFK Medical Center
Atlantis,  Florida,  33462
United States
 

George Papanicolaou General Hospital
THESSALONIKI,  ,  57010
Greece
 

Centre Antoine Lacassagne
Nice,  ,  06189
France
 

C.H. De Grasse
Grasse,  ,  06130
France
 

Hospital Saint-Joseph
Paris,  ,  75014
France
 

Ospedale Di Borgo Trento
Verona,  ,  37126
Italy
 

University of Tromso
Tromso,  ,  N-9037
Norway
 

Ospedale Oncologico M. Ascoli
Palermo,  , 
Italy
 

Evangelismos Hospital
Athens,  ,  10676
Greece
 

University Hospital
Basel,  ,  CH-4031
Switzerland
 

Universitaetsspital
Zurich,  ,  CH-8091
Switzerland
 

Hopital Cantonal Universitaire de Geneva
Geneva,  ,  CH-1211
Switzerland
 

AKH Vienna
Vienna,  ,  A-1090
Austria
 

Assistance Publique Hopitaux de Marseille Hopitaux Sud
Marseille,  ,  13274
France
 

Hopital Arnaud de Villeneuve
Montpellier,  ,  34295
France
 

Centre Oscar Lambret
Lille,  ,  59020
France
 

Centre Alexis Vautrin
Vandoeuvre-les-Nancy,  ,  54511
France
 

Centre Paul Papin
Angers,  ,  49036
France
 

University of Patras Medical School
Rio Patras,  ,  GR-26500
Greece
 

Lund University Hospital
Lund,  ,  S-22185
Sweden
 

University of Clementino Fraga
Rio de Janeiro,  , 
Brazil
 

Universita Degli Studi di Udine
Udine,  ,  33100
Italy
 

Hopitaux Universitaire de Strasbourg
Strasbourg,  ,  67091
France
 

Clinica Ars Medica
Rome,  ,  00191
Italy
 

Ratisches Kantons und Regionalspital
Chur,  ,  CH-7000
Switzerland
 

Institut Curie - Section Medicale
Paris,  ,  75248
France
 

Alfred Hospital
Melbourne,  Victoria,  3181
Australia
 

Sahlgrenska University Hospital
Gothenburg (Goteborg),  ,  S-413 45
Sweden
 

Royal Melbourne Hospital
Parkville,  Victoria,  3050
Australia
 

Institut National D'Oncologie
Rabat,  , 
Morocco
 

South Eastern Sydney Area Health Service
Randwick,  New South Wales,  2031
Australia
 

Clinique Hauts De Seine Bagneux
Bagneux,  ,  92220
France
 

Lithuanian Oncology Center
Vilnius,  ,  2600
Lithuania
 

Centre Regional Francois Baclesse
Caen,  ,  14076
France
 

Park Lane Oncology Practice
Johannesburg,  , 
South Africa
 

Federico II University Medical School
Naples,  ,  80131
Italy
 

Sandton Oncology Centre
Johannesburg,  ,  2121
South Africa
 

A.Z. St. Jan
Brugge,  ,  8000
Belgium
 

Hospital Virgen de las Nieves
Granada,  ,  18014
Spain
 

Centre Hospital General Robert Ballanger
Aulnay-sous-Bois,  ,  93602
France
 

Institute for Lung Diseases
Belgrade,  ,  11000
Yugoslavia
 

University of Ljubljana
LJUBLJANA,  ,  61105
Slovenia
 

Western Hospital
Melbourne,  Victoria,  3011
Australia
 

Sint Elizabeth Ziekenhuis
Zottegem,  ,  9620
Belgium
 

Metaxa's Memorial Cancer Hospital
Piraeus,  ,  18537
Greece
 

Centre du Rouget
Sarcelles,  ,  95250
France
 

Hospital Arnau Vilanova
Valencia,  ,  46015
Spain
 

Hopital Clinique Claude Bernard
Metz,  ,  57070
France
 

Institut Gustave Roussy
Villejuif,  ,  F-94805
France
 

Centre Hospitalier Regional et Universitaire d'Angers
Angers,  ,  49033
France
 

CHU de Caen
Caen,  ,  14033
France
 

Instituto Nacional De Cancerologia
Bogota,  , 
Colombia
 

National Kinki Central Hospital
Osaka,  ,  591
Japan
 

Clinique Hartmann
Neuilly-sur-Seine,  ,  92200
France
 

Institute of Oncology
Lodz,  ,  93509
Poland
 

Royal Adelaide Hospital
Adelaide,  South Australia,  5000
Australia
 

Hopital Jean Bernard
Poitiers,  ,  86021
France
 

National Cancer Institute of Egypt
Cairo,  , 
Egypt
 

K. Dluski Hospital-Medical Academy
Wroclaw,  ,  53 439
Poland
 

Centre de Lute Contre le Cancer,Georges-Francois Leclerc
Dijon,  ,  21079
France
 

Sotiria Hospital Chest Diseases
Athens,  , 
Greece
 

Ospedale Civile Rimini
Rimini,  ,  47037
Italy
 

AZ Zusters Van Barmhartigheid
Ronse,  ,  B-9600
Belgium
 

C.H. De Sens
Sens,  ,  89106
France
 

University Hospital of Linkoping
Linkoping,  ,  S-581 85
Sweden
 

Ospedale San Filippo Neri
Rome,  ,  00135
Italy
 

Porto Alegre Hospital
Porto Alegre,  Rio Grande do Sul,  90035--003
Brazil
 

Hopital Fontenoy
Chartres,  ,  28018
France
 

City Hospital Triemli
Zurich,  ,  8063
Switzerland
 

Instituto Nacional de Cancer
Rio de Janeiro,  ,  Cep 2-0230
Brazil
 

C.H.G. Beauvais
Beauvais,  ,  60021
France
 

Institut Bergonie
Bordeaux,  ,  33076
France
 

Karolinska Hospital
Stockholm,  ,  S-171 76
Sweden
 

Lung Centre of the Philippines
Quezon City Diliman,  ,  1100
Philippines
 


Additional Information:
Study ID Numbers:
  CDR0000065002;  FRE-IALT,EU-96010
Study Start Date: February 1995
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002823

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