Non-small Cell Lung Cancer Clinical Trial
Official title:
A Phase II,Randomized Controlled Clinical Trial of Staged Thoracic Radiotherapy Combined With Albumin Bound Paclitaxel and Nedaplatin Twice a Week for Locally Advanced NSCLC
This phase II randomized study is to investigate the efficacy and toxicity of fractional thoracic radiotherapy combined with albumin bound paclitaxel and nedaplatin twice a week in the treatment of locally advanced non-small cell lung cancer compared with weekly chemotherapy.
This phase II randomized study is to investigate the efficacy and toxicity of fractional
thoracic radiotherapy combined with albumin bound paclitaxel and nedaplatin twice a week in
the treatment of locally advanced non-small cell lung cancer compared with weekly
chemotherapy.
Radiotherapy:
All patients will receive intensity modulated radiotherapy (IMRT) once a day, 5 days a week.
The first stage: DT 3000 cGy / 6 FX; the second stage, DT 3500 cGy / 7 FX. Or: the first
segment: DT 4000 cGy / 10 FX; the second segment DT 2400 cGy / 6 FX. The interval between two
stages of radiotherapy was 4 weeks.
Concurrent chemotherapy:
The patients were randomly divided into two groups and received one of the following
concurrent chemotherapy regimens:
Group A: during the same period of radiotherapy, 30 mg / m2 albumin bound paclitaxel was
intravenously infused twice a week for 0.5 hours, and nedaplatin 10 mg / m2 twice a week for
0.5 hours.
1. When the radiotherapy dose was 3000 cGy / 6 FX + DT 3500 cGy / 7 FX, the infusion time
was D1, D4, D8 of the first stage of radiotherapy; D1, D4, D8 of the second stage of
radiotherapy.
2. When the radiotherapy dose was 4000 cGy / 10 FX + DT 2400 cGy / 6 FX, the infusion time
was D1, D4, D8, D11 of the first stage radiotherapy, and D1, D4, D8 of the second stage
radiotherapy.
Group B: during the same period of radiotherapy, albumin bound paclitaxel (50 mg / m2) was
intravenously infused once a week for 0.5 hours; nedaplatin (25 mg / m2) was intravenously
infused once a week for 0.5 hours. The infusion time was D1, D8 of the first radiotherapy and
D1, D8 of the second radiotherapy.
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