Gemcitabine and Carboplatin Followed by Paclitaxel in Treating Patients With Stage III or Stage IV Non-Small Cell Lung Cancer

Lung Cancer Clinical Trial

Official title:

Phase II Trial of Gemcitabine/Paraplatin® (Carboplatin) Followed by Taxol® (Paclitaxel) in Patients With Performance Status = 2,3 or Other Significant Co-Morbidity (HIV Infection or s/p Organ Transplantation) in Advanced Non-Small Cell Lung Cancer

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00276588
• Other study ID #: JHOC-J0428, CDR0000450843
• Secondary ID: P30CA006973JHOC-
• Status: Completed
• Phase: Phase 2
• First received: January 12, 2006
• Last updated: August 5, 2010
• Start date: July 2005

Study information

• Verified date: August 2010
• Source: Sidney Kimmel Comprehensive Cancer Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Federal Government
• Study type: Interventional

Clinical Trial Summary

RATIONALE: Drugs used in chemotherapy, such as gemcitabine, carboplatin, and paclitaxel work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving gemcitabine together with carboplatin followed by paclitaxel works in treating patients with stage III or stage IV non-small cell lung cancer.

Description:

OBJECTIVES:

Primary

• Determine the efficacy and tolerability of gemcitabine hydrochloride and carboplatin followed by paclitaxel in patients with stage IIIB-IV non-small cell lung cancer in regard to response rate, median survival, and one year survival.

• Determine the toxicity of this regimen in these patients.

OUTLINE: This is multicenter study.

• Part 1: Patients receive carboplatin IV over 30 minutes on day 1 and gemcitabine hydrochloride IV over 30 minutes on days 1 and 8. Treatment repeats every 3 weeks for 2 courses. In week 7, all patients proceed to part 2 regardless of disease response.

• Part 2: Patients receive paclitaxel IV over 1-3 hours once weekly for 6 weeks. Treatment repeats every 8 weeks in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed periodically.

PROJECTED ACCRUAL: A total of 46 patients will be accrued for this study.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 46
• Est. primary completion date: March 2007
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

DISEASE CHARACTERISTICS:

• Histologically confirmed non-small lung cancer (NSCLC) of any of the following histologic types:

• Squamous cell

• Adenocarcinoma

• Large cell carcinoma

• Unspecified

• Evidence of at least 1 of the following criteria:

• Newly diagnosed inoperable stage IIIB (pleural effusion) disease

• Patients with stage III disease who are unable to undergo combined modality therapy

• Stage IV disease

• Recurrent non-small cell lung cancer regardless of site

• Diagnosis based on sputum cytology acceptable if confirmed by an independent pathologic review

• Patients must have measurable or evaluable disease

• Measurable or evaluable disease must be outside the previous radiation field or a new lesion must be present

• Patients with brain metastases are eligible, provided they are either asymptomatic (no neurological symptoms or signs, no evidence of midline shift), or controlled (i.e., after surgical resection or radiotherapy/radiosurgery), and off all steroid therapy for at least two weeks with no evidence of progression by symptoms or radiologic imaging

PATIENT CHARACTERISTICS:

• ECOG performance status of 2 or 3 OR HIV-positive OR underwent prior status post organ transplantation

• No active serious infection (except for HIV infection)

• No symptomatic, untreated malignant pericardial effusion

• No congestive heart failure

• No other serious underlying medical condition that would otherwise impair their ability to receive protocol treatment

• Absolute granulocyte count = 1,500/mm^3

• Platelet count = 100,000/mm ^3

• Creatinine clearance = 40 mL/min

• Creatinine = 1.8 mg/dL

• Bilirubin < 1.5 mg/dL

• SGOT = 2 times upper limit of normal

• Not pregnant or nursing

• Negative pregnancy test

• Males or females of reproductive potential may not participate unless they have agreed to use effective barrier contraceptive methods

• No prior malignancy within the past 5 years except for adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix

PRIOR CONCURRENT THERAPY:

• See Disease Characteristics

• Prior chemotherapy is not allowed

• At least three weeks since prior radiotherapy and recovered from all toxicities

• At least three weeks must have elapsed from major surgery and recovered from all adverse effects of surgery

• No prior colony-stimulating factors or interferon

• No concurrent hormonal, biologic, or radiotherapy to measurable lesions

• Patients may receive concurrent palliative radiotherapy to small-field nonmeasurable sites of disease (e.g., painful bony metastases)

Study Design

Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Carcinoma, Non-Small-Cell Lung
• Lung Cancer
• Lung Neoplasms

Intervention

Drug:
• carboplatin

• gemcitabine hydrochloride

• paclitaxel

Locations

Country	Name	City	State
United States	Greenebaum Cancer Center at University of Maryland Medical Center	Baltimore	Maryland
United States	Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins	Baltimore	Maryland

Sponsors (2)

Lead Sponsor	Collaborator
Sidney Kimmel Comprehensive Cancer Center	National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

References & Publications (1)

Bridges BB, Thomas L, Hausner PF, Doyle LA, Bedor M, Smith R, Brahmer J, Edelman MJ. Phase II trial of gemcitabine/carboplatin followed by paclitaxel in patients with performance status=2,3 or other significant co-morbidity (HIV infection or s/p organ tra — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Overall survival			No
Primary	Progression-free survival			No
Primary	Time to treatment failure			No
Primary	Time to progression			No
Secondary	Duration of response (complete response and partial response)			No