Non Small Cell Lung Cancer Clinical Trial
Official title:
A Multicenter Randomized Phase II Trial in NSCLC Stage IV et IIIB in Elderly Dependent Patients With Evaluation of the Sequence Gemcitabine First Line Followed by Erlotinib When Progression Versus Erlotinib First Line Followed by Gemcitabine When Progression.
The purpose of this study is in non small-cell lung cancer stage IV et IIIB (T4 with pleural effusion) in elderly dependent patients with evaluation of the sequence Gemcitabine first line followed by Erlotinib when progression versus Erlotinib first line followed by Gemcitabine when progression
Status | Completed |
Enrollment | 100 |
Est. completion date | March 2010 |
Est. primary completion date | September 2006 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - Age > 65 - Comorbidities score, PS and frailty score according to table 1 - No dementia, faecal or urinary incontinence, repeated falls - ADL = 0, IADL = 0-1 - Life expectancy at least 12 weeks - Creatinin clearance > = 30 ml/mn (according to Cockcrofts-Gault formula) - Competency to give written informed consent - Haematological functions as follows : neutrophiles count > 1.5 x 109/l and platelets > 100 x 109/l hemoglobin > 9,5 g/dl - Hepatic function as follows : Bilirubin < 1,25 LNS ASAT / ALAT <5 x NAlcPh <5 x N - PS < 3 - cerebral metastasis eligible if asymptomatic - Histologically or cytologically confirmed NSCLC - Stage IV/IIIB4 (T4 with pleural effusion) - No prior chemotherapy - relapses of previous NSCLC treated by surgery or radiotherapy are eligible, if the target is measurable out of initial radiotherapy field and if cytological or histological proof - At least one measurable target lesion by RECIST guidelines Exclusion Criteria: - symptomatic cerebral metastasis - Any severe comorbidity calculated by Charlson score according to table 1 - ADL > 0 and IADL > 1- performance status >2 (ECOG) - peripheral neuropathy grade 2 or more - dementia, repeated falls, urinary or faecal incontinence - contra-indication to corticosteroids - contra indication to a product of this study - unwilling or unable to comply with study requirements, for personal, family, sociologic, geographic or any other reason - inability of the subject to give written informed consent - lack of liberty following legal or administrative decision - hypersensitivity to polysorbate - hypersensitivity to erlotinib or any excipients of this product - unusual hereditary disorders, as galactosemia, deficit in lactase and syndrome of malabsorption in glucose or galactose - participation in concomitant clinical trial - bronchioloalveolar or neuroendocrine or composite carcinoma - superior vena cava syndrome |
Observational Model: Case-Only, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
France | Site 12 | Aix En Provence | |
France | Site 05 | Bastia | |
France | Site 22 | Beauvais | |
France | Site 43 | Caen | |
France | Site 30 | Charleville Mezieres | |
France | Site 33 | Creteil | |
France | Site 07 | Draguignan | |
France | Site 32 | Elbeuf | |
France | Site 04 | GAP | |
France | Site 41 | Le Chesnay | |
France | Site 00 | Limoges | |
France | Site 25 | Mantes La Jolie | |
France | Site 06 | Marseille | |
France | Site 27 | Martigues | |
France | Site 01 | Meaux | |
France | Site 42 | Orleans | |
France | Site 26 | Paris | |
France | Site 19 | Perigueux | |
France | Site 02 | Reims | |
France | Site 20 | Rennes | |
France | Site 17 | Rouen | |
France | Site 14 | Toulon | |
France | Site 11 | Villefranche Sur Saone |
Lead Sponsor | Collaborator |
---|---|
Groupe Francais De Pneumo-Cancerologie |
France,
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