Lung Cancer Clinical Trial
Official title:
A Phase II Study Of Accelerated High Dose Thoracic Irradiation With Concurrent Chemotherapy For Patients With Limited Small Cell Lung Cancer
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 more than one chemotherapy drug with radiation therapy may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving cisplatin and etoposide together
with radiation therapy works in treating patients with limited-stage small cell lung cancer.
OBJECTIVES:
- Determine the response rate of patients with limited stage small cell lung cancer
treated with cisplatin and etoposide combined with accelerated high-dose thoracic
radiotherapy.
- Determine the progression-free and overall survival in patients treated with this
regimen.
- Determine the qualitative and quantitative toxicity and reversibility of toxicity of
this regimen in these patients.
OUTLINE: Patients undergo radiotherapy once daily 5 days a week for approximately 3 weeks and
then twice daily 5 days a week for approximately 2 weeks (a total of 9 treatment days during
the final 2-week treatment period). Beginning on the first day of radiotherapy, patients
receive cisplatin IV over 2 hours and etoposide IV over 1 hour on day 1 and oral etoposide
once daily on days 2 and 3. Chemotherapy repeats every 3 weeks for up to 4 courses in the
absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months for 1 year, every 6 months for 2 years, and then
annually thereafter.
PROJECTED ACCRUAL: A total of 71 patients will be accrued for this study within 18 months.
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