Lung Cancer Clinical Trial
Official title:
A Major Randomised Trial to Determine the Value of Cisplatin-Based Chemotherapy For All Patients With Non-Small Cell Lung Cancer
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die. It is not known whether giving chemotherapy in addition to
standard therapy is a more effective treatment for lung cancer.
PURPOSE: Randomized phase III trial to compare the effectiveness of standard therapy given
with or without combination chemotherapy in treating patients with non-small cell lung
cancer.
OBJECTIVES: I. Assess whether the addition of cisplatin-based chemotherapy to standard
treatment improves survival in patients with non-small cell lung cancer.
OUTLINE: This is a randomized study. Patients are randomized to 1 of 2 treatment arms. Arm
I: Patients undergo primary surgery, radical radiotherapy, radiotherapy with surgery, or
best supportive care. Arm II: Patients undergo treatment as in arm I. Beginning within 10
weeks after surgery or radical radiotherapy or as soon as possible after diagnosis, patients
receive 1 of the following regimens: Regimen A: Patients receive cisplatin IV on day 1
followed by vindesine on days 1 and 8. Regimen B: Patients receive mitomycin, ifosfamide,
and cisplatin on day 1. Regimen C: Patients receive mitomycin, vinblastine, and cisplatin on
day 1. Regimen D: Patients receive vinorelbine on days 1 and 8 and cisplatin on day 1.
Treatment in all 4 regimens repeats every 3 weeks for 3 courses. Patients are followed at 3
months, 6 months, 1 year, and then annually thereafter.
PROJECTED ACCRUAL: A total of 1,800 patients will be accrued for this study within 3 years.
;
Allocation: Randomized, Primary Purpose: Treatment
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