Combination Chemotherapy Before Surgery in Treating Patients With Mesothelioma of the Lung

Malignant Mesothelioma Clinical Trial

Official title:

Preoperative Chemotherapy Of Potentially Resectable Mesothelioma Of The Pleura

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00030745
• Other study ID #: SAKK 17/00
• Secondary ID: SWS-SAKK-17-00EU
• Status: Completed
• Phase: Phase 2
• First received: February 14, 2002
• Last updated: May 14, 2012
• Start date: June 2000
• Est. completion date: August 2003

Study information

• Verified date: May 2012
• Source: Swiss Group for Clinical Cancer Research
• Contact: n/a
• Is FDA regulated: No
• Health authority: Switzerland: Swissmedic
• Study type: Interventional

Clinical Trial Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Giving chemotherapy drugs before surgery may shrink the tumor so that it can be removed during surgery.

PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy in treating patients who have mesothelioma of the lung.

Description:

OBJECTIVES:

• Determine the proportion of patients with potentially resectable mesothelioma of the pleura remaining operable after treatment with neoadjuvant cisplatin and gemcitabine.

• Determine the response rate and overall survival of patients treated with this regimen.

• Determine the tolerability of this regimen in these patients.

• Determine the number of postoperative hospitalization days and occurrence and duration of surgical complications in patients treated with this regimen.

• Determine the quality of life of patients treated with this regimen.

• Compare the proportion of patients who report psychological distress at 3 months after surgery vs at study registration.

OUTLINE: Patients receive cisplatin IV on day 1 and gemcitabine IV on days 1, 8, and 15. Treatment repeats every 28 days for 3 courses. Within 6 weeks after completion of chemotherapy, patients undergo restaging by CT scan followed by surgical resection.

Quality of life is assessed at baseline, day 1 of course 3, within 4 weeks after surgery, and then at 3 and 6 months.

Patients are followed every 3 months for 1 year and then every 6 months thereafter.

PROJECTED ACCRUAL: A total of 61 patients will be accrued for this study.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 61
• Est. completion date: August 2003
• Est. primary completion date: May 2003
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

DISEASE CHARACTERISTICS:

• Histologically and clinically confirmed pleural mesothelioma

• Stages T1-3, N0-2, M0 by CT scan of the chest

• Mediastinoscopy required for staging of mediastinal lymph nodes

• Considered completely resectable

PATIENT CHARACTERISTICS:

Age:

• Over 18

Performance status:

• WHO 0-2

Life expectancy:

• Not specified

Hematopoietic:

• Not specified

Hepatic:

• No severe liver disease

Renal:

• Creatinine no greater than 1.7 mg/dL

Cardiac:

• Adequate cardiac function

• No cardiac disease that would preclude forced hydration or surgery

Pulmonary:

• Predicted postoperative FEV_1 greater than 1 by spirometry

Other:

• No contraindication to surgery

• No other prior or concurrent malignancy except adequately treated carcinoma in situ of the cervix or basal cell or squamous cell skin cancer

• No uncontrolled infection

• No uncontrolled diabetes

• No neurologic or psychiatric disorders that would preclude study compliance

• No other serious illnesses that would preclude study participation

• No other circumstances that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

• Not specified

Chemotherapy

• Not specified

Endocrine therapy

• Not specified

Radiotherapy

• Not specified

Surgery

• No prior pleurectomy or lung resection except for diagnostic purposes

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Lung Neoplasms
• Malignant Mesothelioma
• Mesothelioma

Intervention

Drug:
• cisplatin

• gemcitabine hydrochloride

Procedure:
• conventional surgery

Locations

Country	Name	City	State
Switzerland	UniversitaetsSpital	Zurich

Sponsors (1)

Lead Sponsor	Collaborator
Swiss Group for Clinical Cancer Research

Country where clinical trial is conducted

Switzerland, 

References & Publications (1)

Weder W, Stahel RA, Bernhard J, Bodis S, Vogt P, Ballabeni P, Lardinois D, Betticher D, Schmid R, Stupp R, Ris HB, Jermann M, Mingrone W, Roth AD, Spiliopoulos A; Swiss Group for Clinical Cancer Research. Multicenter trial of neo-adjuvant chemotherapy fol — View Citation