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Gefitinib in Treating Patients With Non-Small Cell Lung Cancer That Has Been Surgically Removed



Gefitinib in Treating Patients With Non-Small Cell Lung Cancer That Has Been Surgically Removed

For Condition: Non-small cell lung cancer
Status: Recruiting
Sponsor(s): National Cancer Institute of Canada , National Cancer Institute (NCI),Eastern Cooperative Oncology Group,Southwest Oncology Group
Synopsis: RATIONALE: Biological therapies such as gefitinib may interfere with the growth of the tumor cells and slow the growth of the tumor. It is not yet known if gefitinib is effective in delaying the recurrence of non-small cell lung cancer. PURPOSE: Randomizedphase III trial to study the effectiveness of gefitinib in treating patients who have undergone surgery for stage IB, stage II, or stage IIIA non-small cell lung cancer.
Details: OBJECTIVES: - Compare the overall survival of patients with completely resected primary stage IB, II, or IIIA non-small cell lung cancer treated with gefitinib vs placebo. - Compare the disease-free survival of patients treated with these regimens. - Determine the prognostic significance of epidermal growth factor receptor expression, phosphorylation, and mutations in the primary tumor in predicting relative impact of gefitinib on survival of these patients. - Determine the toxicity of gefitinib in these patients. OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to disease stage (IB vs II vs IIIA), histological subtype (squamous cell vs others), postoperative radiotherapy (yes vs no), prior adjuvant platinum-based chemotherapy (yes vs no), and gender. Patients are randomized to 1 of 2 treatment arms. - Arm I: Patients receive oral gefitinib daily. - Arm II: Patients receive oral placebo daily. Treatment in both arms continues for up to 2 years in the absence of disease progression or unacceptable toxicity. Patients are followed every 3 months for 6 months, every 6 months for 3 years, and then annually thereafter. PROJECTED ACCRUAL: A total of 1,242 patients (621 per treatment arm) will be accrued for this study within 3.5 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed primary non-small cell lung cancer (NSCLC) - Bronchoalveolar carcinoma presenting as discrete solitary radiological mass or nodule allowed - Stage IB, II, or IIIA disease - Completely resected by lobectomy, sleeve resection, bilobectomy, or pneumonectomy within the past 16 weeks (26 weeks for patients who received adjuvant platinum-based chemotherapy) - Mediastinal lymph node resection or lymph node sampling attempted with no evidence of metastatic involvement - No combination of small cell and non-small cell carcinoma or pulmonary carcinoid tumor - No more than 1 discrete area of apparent primary cancer (even within the same lobe) PATIENT CHARACTERISTICS: Age - 18 and over Performance status - ECOG 0-2 Life expectancy - Not specified Hematopoietic - WBC at least 3,000/mm^3 - Absolute granulocyte count at least 1,500/mm^3 - Platelet count at least 100,000/mm^3 Hepatic - Bilirubin normal - AST/ALT no greater than 2.5 times upper limit of normal (ULN) - Alkaline phosphatase no greater than 2.5 times ULN Renal - Creatinine no greater than 1.5 times ULN Cardiovascular - No uncontrolled congestive heart failure - No angina - No arrhythmias Other - No active uncontrolled infection - No clinically significant or untreated ophthalmologic conditions (e.g., Sjögren's syndrome) - No clinically significant or untreated gastrointestinal conditions (e.g., Crohn's disease or ulcerative colitis) - No other malignancy within the past 5 years except adequately treated nonmelanoma skin cancer or carcinoma in situ of the cervix - No other concurrent malignancy - No prior allergic reaction to compounds of similar chemical or biological composition to gefitinib - No history of psychiatric or neurologic disorder that would preclude study compliance - No active pathological condition that would preclude study participation - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception during and for 3 months after study participation PRIOR CONCURRENT THERAPY: Biologic therapy - No prior or concurrent neoadjuvant or adjuvant immunotherapy for NSCLC Chemotherapy - See Disease Characteristics - At least 3 weeks since prior adjuvant platinum-based chemotherapy for NSCLC and recovered - No prior non-platinum-based chemotherapy - No other prior or concurrent neoadjuvant or adjuvant chemotherapy for NSCLC Endocrine therapy - Not specified Radiotherapy - Prior preoperative limited-field, low-dose external beam radiotherapy (less than 1,000 cGy) or endobronchial brachytherapy allowed - At least 3 weeks since prior radiotherapy and recovered - No prior full-dose preoperative radiotherapy with curative intent Surgery - See Disease Characteristics - Recovered from prior oncologic or other major surgery Other - Prior laser therapy for short-term control of hemoptysis or lobar obstruction allowed - No other concurrent anticancer therapy - No concurrent drugs that induce CYP3A4 enzymes (e.g., phenytoin, carbamazepine, barbiturates, rifampin, or Hypericum perforatum [St. John's wort])
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
PeterRoberts,  Study Chair,  University of California Davis Cancer Center

L'Hotel Dieu de Levis *Recruiting*
Levis,  Quebec,  G6V 3Z1
Canada
Recruiting Felix  Couture 418-691-5225

Kingston Regional Cancer Centre *Recruiting*
Kingston,  Ontario,  K7L 5P9
Canada
Recruiting Kenneth  Reid 613-548-2383

New York Weill Cornell Cancer Center at Cornell University *Recruiting*
New York City,  New York,  10021
United States
Recruiting Nasser  Altorki 212-746-4528

Ottawa Regional Cancer Centre *Recruiting*
Ottawa,  Ontario,  K1H 1C4
Canada
Recruiting Glenwood  Goss 613-737-7700 ext. 56758

Westmead Hospital *Recruiting*
Westmead,  New South Wales,  2145
Australia
Recruiting Richard  Kefford 61-2-9845-6033

Veterans Affairs Medical Center - Chicago (Westside Hospital) *Recruiting*
Chicago,  Illinois,  60612
United States
Recruiting Thomas  Lad 312-996-2046

Veterans Affairs Medical Center - Biloxi *Recruiting*
Biloxi,  Mississippi,  39531-2410
United States
Recruiting Robert  Veith 504-568-5151

Iowa Lutheran Hospital *Recruiting*
Des Moines,  Iowa,  50316-2301
United States
Recruiting Roscoe  Morton 515-663-5612

Hopital Charles Lemoyne *Recruiting*
Greenfield Park,  Quebec,  J4V 2H1
Canada
Recruiting Pierre  Desjardins 450-466-5065

Hotel Dieu Health Sciences Hospital - Niagara *Recruiting*
St. Catharines,  Ontario,  L2R 5K3
Canada
Recruiting Brian  Findlay 905-682-6451

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

Trillium Health Centre *Recruiting*
Mississauga,  Ontario,  L5B 1B8
Canada
Recruiting John  Gapski 905-848-7160

Mercy Cancer Center at Mercy Medical Center-Des Moines *Recruiting*
Des Moines,  Iowa,  50314
United States
Recruiting Roscoe  Morton 515-247-3121

University of California Davis Cancer Center *Recruiting*
Sacramento,  California,  95817-2280
United States
Recruiting Peter  Roberts 916-734-3861

James P. Wilmot Cancer Center at University of Rochester Medical Center *Recruiting*
Rochester,  New York,  14642
United States
Recruiting Richard  Fisher 585-275-0842

MBCCOP - University of New Mexico HSC *Recruiting*
Albuquerque,  New Mexico,  87131
United States
Recruiting Cynthia  Cathcart 505-272-5688

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

Medical City Dallas Hospital *Recruiting*
Dallas,  Texas,  75230
United States
Recruiting Mark  Capistrano 972-566-5588

University of Tennessee Cancer Institute *Recruiting*
Memphis,  Tennessee,  38103
United States
Recruiting Mohammad  Jahanzeb 901-722-0532

Hollings Cancer Center at Medical University of South Carolina *Recruiting*
Charleston,  South Carolina,  29425
United States
Recruiting Carolyn  Reed 843-792-3362

Penn State Cancer Institute at Milton S. Hershey Medical Center *Recruiting*
Hershey,  Pennsylvania,  17033-0850
United States
Recruiting Witold  Rybka 717-531-1050

Cross Cancer Institute *Recruiting*
Edmonton,  Alberta,  T6G 1Z2
Canada
Recruiting Timothy  Winton 780-407-3624

Prince Edward Island Cancer Center at Queen Elizabeth Hospital *Recruiting*
Charlottetown,  Prince Edward Island,  C1A 8T5
Canada
Recruiting Philip  Champion 902-894-2027

MBCCOP - Hawaii *Recruiting*
Honolulu,  Hawaii,  96813
United States
Recruiting Brian  Issell 808-586-3013

Durham Regional Cancer Centre at Lakeridge Health Oshawa *Recruiting*
Oshawa,  Ontario,  L1G 2B9
Canada
Recruiting Rafal  Wierzbicki 905-576-8711 ext. 4044

Saint John Regional Hospital *Recruiting*
Saint John,  New Brunswick,  E2L 4L2
Canada
Recruiting Margot  Burnell 506-648-6884

John Stoddard Cancer Center at Iowa Methodist Medical Center *Recruiting*
Des Moines,  Iowa,  50309
United States
Recruiting Roscoe  Morton 515-241-4245

Midlands Cancer Center at Midlands Community Hospital *Recruiting*
Papillion,  Nebraska,  68128-4157
United States
Recruiting James  Mailliard 402-593-3000

MBCCOP - Massey Cancer Center *Recruiting*
Richmond,  Virginia,  23298-0037
United States
Recruiting John  Roberts 804-828-0450

Toronto Sunnybrook Regional Cancer Centre *Recruiting*
Toronto,  Ontario,  M4N 3M5
Canada
Recruiting Yee  Ung 416-480-4951

Harrington Cancer Center *Recruiting*
Amarillo,  Texas,  79106
United States
Recruiting James  Clarkson 806-359-4673

Princess Margaret Hospital *Recruiting*
Toronto,  Ontario,  M5G 2M9
Canada
Recruiting Gail  Darling 416-340-3121

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

Northwestern Ontario Regional Cancer Care *Recruiting*
Thunder Bay,  Ontario,  P7B 6V4
Canada
Recruiting Adrien  Chan 807-684-7200

Veterans Affairs Medical Center - Charleston *Recruiting*
Charleston,  South Carolina,  29401-5799
United States
Recruiting Andrew  Turrisi 843-792-273

Northeastern Ontario Regional Cancer Centre - Sudbury *Recruiting*
Sudbury,  Ontario,  P3E 5J1
Canada
Recruiting Jonathan  Noble 705-522-6237 ext. 2320

Allan Blair Cancer Centre *Recruiting*
Regina,  Saskatchewan,  S4T 7T1
Canada
Recruiting Haji  Chalchal 306-766-2691

Fletcher Allen Health Care - University Health Center Campus *Recruiting*
Burlington,  Vermont,  05401
United States
Recruiting Steven  Grunberg 802-847-8400

San Juan City Hospital *Recruiting*
San Juan,  ,  00936-7344
Puerto Rico
Recruiting Luis  Baez-Diaz 787-641-3693

St. Joseph's Health Centre - Toronto *Recruiting*
Toronto,  Ontario,  M6R 1B5
Canada
Recruiting John  Blondal 416-530-6586

Robert H. Lurie Comprehensive Cancer Center at Northwestern University *Recruiting*
Chicago,  Illinois,  60611-3013
United States
Recruiting Gregory  Masters 312-908-5250


Additional Information:
Study ID Numbers:
  CDR0000258118;  SWOG-CAN-NCIC-BR19,CAN-NCIC-BR19,CTSU,ECOG-CAN-NCIC-BR19
Study Start Date: 
Record last reviewed: December 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00049543

Other Non-Small Cell Lung Cancer Studies:
1. Phase II Study of Taxotere in Combination with Exisulind in Non-Small Cell Lung Cancer (NSCLC) Patients

2. Evaluation of efficacy, safety and tolerability of Targretin capsules in patients with advanced or metastatic non-small cell lung cancer

3. Helical Computed Tomography Compared With Chest X-Ray in Screening Individuals at High Risk for Lung Cancer

4. Computed Tomography for Early Detection of Cancer in Women Who Are at Risk for Lung Cancer

5. Oral Investigational Drug Vs. Approved Intravenous Treatment In Pretreated, Advanced Non-Small Cell Lung Cancer (NSCLC).

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Gefitinib in Treating Patients With Non-Small Cell Lung Cancer That Has Been Surgically Removed

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