Lung Cancer Clinical Trial
Official title:
Tandem Autologous Peripheral Blood Stem Cell Transplantation (PBSCT) After High Dose Paclitaxel Followed by Ifosfamide, Carboplatin, and Etoposide (ICE) for the Treatment of Lung Cancer
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die. Combining chemotherapy with peripheral stem cell
transplantation may allow the doctor to give higher doses of chemotherapy drugs and kill
more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of high-dose combination chemotherapy
followed by peripheral stem cell transplantation in treating patients with lung cancer.
OBJECTIVES: I. Evaluate the response rate of high dose chemotherapy followed by autologous
peripheral blood stem cell transplantation in the treatment of lung cancer.
OUTLINE: Patients undergo stem cell harvesting. Patients receive radiation therapy to
primary site and metastatic sites, if necessary. Patients receive a high dose of paclitaxel
by 24 hour continuous infusion, then stem cells are infused 72 hours later. After a 3-4 week
recovery period, patients receive ifosfamide and carboplatin by daily continuous infusion on
days -7, -6, -5, and -4. Etoposide is administered by continuous infusion twice daily on
days -7, -6, -5, and -4. Stem cells are again infused on day 0. Filgrastim (granulocyte
colony-stimulating factor; G-CSF) begins on day 0. Patients may receive radiotherapy
following recovery from chemotherapy. Patients are followed weekly for the first 6 months,
then periodically for at least 2 years.
PROJECTED ACCRUAL: This study will accrue 30 patients in 3 years.
;
Primary Purpose: Treatment
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