Lung Cancer Clinical Trial
Official title:
Randomized Phase II Study Comparing Prophylactic Cranial Irradiation Alone to Prophylactic Cranial Irradiation and Consolidative Extra-Cranial Irradiation for Extensive Disease Small Cell Lung Cancer (ED-SCLC)
RATIONALE: Radiation therapy uses high energy x-rays to kill tumor cells. This may be an
effective treatment for extensive stage small cell lung cancer.
PURPOSE: This randomized phase II trial is comparing how well radiation therapy to the brain
works when given with or without radiation therapy to other areas of the body in treating
patients with extensive stage small cell lung cancer.
OBJECTIVES:
Primary
- To compare the 1-year overall median survival rate in patients with extensive stage
small cell lung cancer treated with prophylactic cranial irradiation with vs without
consolidative extracranial radiotherapy following platinum-based chemotherapy.
Secondary
- To compare treatment-related adverse events in these patients.
- To evaluate patterns of failure in these patients.
- To compare the time to first failure in these patients.
- To evaluate the percentage of the planned radiotherapy dose given to each site.
OUTLINE: This is a multicenter study. Patients are stratified according to response to prior
treatment (complete response vs partial response) and number of metastatic lesions (1 vs
2-3). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients undergo prophylactic cranial irradiation 5 days per week for 2 weeks.
- Arm II: Patients undergo prophylactic cranial irradiation as in arm I. Patients also
undergo consolidative extracranial radiotherapy to locoregional and residual metastatic
disease 5 days per week for 2-3 weeks.
After completion of study treatment, patients are followed up at 2 weeks; at 1, 2, 6, 9, and
12 months; every 6 months for 2 years; and then annually thereafter.
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