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Paclitaxel Plus Radiation Therapy in Treating Patients With Untreated Stage III Non-small Cell Lung Cancer



Paclitaxel Plus Radiation Therapy in Treating Patients With Untreated Stage III Non-small Cell Lung Cancer

For Condition: stage 3B non-small cell lung cancer,stage 3A non-small cell lung cancer
Status: No longer recruiting
Sponsor(s): National Cancer Institute (NCI) , Vanderbilt-Ingram Cancer Center
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining radiation therapy with chemotherapy may kill more tumor cells. PURPOSE: Phase I trial to study the effectiveness of chemotherapy with paclitaxel in combination with radiation therapy to the chest in patients with previously untreated stage III non-small cell lung cancer that cannot be surgically removed.
Details: OBJECTIVES: I. Determine the toxicity and maximum tolerated dose of paclitaxel when combined with standard thoracic radiotherapy in patients with locally advanced non-small cell lung cancer. II. Determine the plasma levels of paclitaxel in these patients. III. Determine the effect of this regimen on the tumor cell cycle distribution in these patients. PROTOCOL OUTLINE: This is a dose escalation study of paclitaxel. Patients undergo standard thoracic radiotherapy 5 days a week for 7 weeks and paclitaxel IV continuously beginning 48 hours before initiating radiotherapy and continuing until the last day of radiotherapy in the absence of disease progression or unacceptable toxicity. Cohorts of 3-5 patients receive escalating doses of paclitaxel until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 5 patients experience dose-limiting toxicity. Patients are followed monthly for 2 years. PROJECTED ACCRUAL: A total of 3 to 5 patients per dose level will be accrued for this study within 2 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically proven previously untreated non-small cell lung cancer that is not amenable to potentially curative surgery due to the following: Direct invasion of the mediastinum, heart, great vessels, trachea, esophagus, vertebral body, or carina by tumor (T4) Cytologically positive scalene or supraclavicular nodes; Mediastinal or contralateral hilar nodes 3 cm or greater on CT, with or without pathological confirmation; Pathologically positive mediastinal or contralateral hilar nodes on mediastinoscopy or Chamberlain procedure (N2 or N3); Medically inoperable stage IIIA disease (e.g., resection would result in insufficient pulmonary volume) allowed - No distant metastases - No pleural effusion (regardless of fluid cytology) - Evaluable disease --Prior/Concurrent Therapy-- - Biologic therapy: Not specified - Chemotherapy: No prior chemotherapy - Endocrine therapy: Not specified - Radiotherapy: No prior thoracic irradiation - Surgery: See Disease Characteristics - Other: No concurrent medications known to alter cardiac conduction or cause bradycardia (e.g., digoxin, beta blockers, or calcium channel blockers) --Patient Characteristics-- - Age: 18 and over - Performance status: 0-2 - Hematopoietic: WBC normal; Platelet count normal - Hepatic: Bilirubin no greater than 2 times upper limit of normal (ULN); Transaminases no greater than 2 times ULN; Alkaline phosphatase no greater than 2 times ULN - Renal: Creatinine less than 2.0 mg/dL - Cardiovascular: No significant coronary artery disease, e.g.: Documented myocardial infarction; Angina, arrhythmia, or congestive heart failure requiring medication - Pulmonary: FEV1 greater than 1 liter; pO2 greater than 55 mm Hg on room air; pCO2 less than 45 mm Hg on room air - Other: No prior severe hypersensitivity reaction to products containing Cremaphor EL; No clinical evidence of pre-existing polyneuropathy; Not pregnant; Negative pregnancy test
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
DavidCarbone,  Study Chair,  Vanderbilt-Ingram Cancer Center

Sarah Cannon-Minnie Pearl Cancer Center
Nashville,  Tennessee,  37203
United States
 

University of Pennsylvania Cancer Center
Philadelphia,  Pennsylvania,  19104
United States
 

Vanderbilt Cancer Center
Nashville,  Tennessee,  37232-6838
United States
 


Additional Information:
Study ID Numbers:
  CDR0000078258;  VU-VCC-LUN-65,NCI-T92-0246D,UPCC-3597
Study Start Date: July 1993
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002519

Other Stage 3a Non-Small Cell Lung Cancer Studies:
1. Megestrol in Treating Patients Who Are Undergoing Radiation Therapy for Lung Cancer

2. Combination Chemotherapy as Induction Therapy in Treating Patients With Stage III Non-small Cell Lung Cancer

3. Combination Chemotherapy Plus Radiation Therapy With or Without Gefitinib in Treating Patients With Unresectable Stage III Non-Small Cell Lung Cancer

4. Radiation Therapy in Treating Patients With Non-small Cell Lung Cancer

5. Combination Chemotherapy, Gefitinib, and Radiation Therapy in Treating Patients With Stage III Non-Small Cell Lung Cancer

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Paclitaxel Plus Radiation Therapy in Treating Patients With Untreated Stage III Non-small Cell Lung Cancer

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