Lung Cancer Clinical Trial
Official title:
Carboplatin and Irinotecan Concomitantly With Radiation Therapy Followed by Consolidation Chemotherapy With Docetaxel for Locally Advanced Non-Small Cell Lung Cancer (GIA 12177).
RATIONALE: Drugs used in chemotherapy, such as carboplatin, irinotecan, and docetaxel, 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. Radiation therapy uses high-energy x-rays to kill tumor cells. Giving
combination chemotherapy together with radiation therapy may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving carboplatin and irinotecan together
with radiation therapy followed by docetaxel works in treating patients with newly diagnosed
stage III non-small cell lung cancer.
OBJECTIVES:
Primary
- Determine the objective response rate in patients with newly diagnosed stage IIIA or
IIIB non-small cell lung cancer treated with concurrent carboplatin, irinotecan
hydrochloride, and radiotherapy followed by consolidation docetaxel.
Secondary
- Evaluate the safety, toxicity, and complications of this regimen in these patients.
- Evaluate the median survival, 1-year and 2-year survival, and time to tumor progression
in these patients.
OUTLINE:
- Chemoradiotherapy: Patients receive carboplatin IV over 30 minutes followed by
irinotecan hydrochloride IV over 90 minutes on day 1. Patients also undergo
radiotherapy once daily on days 1-5. Treatment repeats weekly for up to 7 courses in
the absence of disease progression or unacceptable toxicity.
- Consolidation chemotherapy: Beginning 3-4 weeks after completion of chemoradiotherapy,
patients receive docetaxel IV over 1 hour on day 1. Treatment repeats every 3 weeks for
up to 3 courses in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed periodically for 4 years and then
annually thereafter.
PROJECTED ACCRUAL: A total of 32 patients will be accrued for this study.
;
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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