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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00144989
Other study ID # JCOG0202-MF
Secondary ID C000000095
Status Completed
Phase Phase 3
First received September 1, 2005
Last updated September 20, 2016
Start date September 2002
Est. completion date September 2011

Study information

Verified date September 2016
Source Japan Clinical Oncology Group
Contact n/a
Is FDA regulated No
Health authority Japan: Ministry of Health, Labor and Welfare
Study type Interventional

Clinical Trial Summary

To evaluate the role of 3 cycles of irinotecan and cisplatin for patients with limited-stage small-cell lung cancer who received one course of etoposide and cisplatin plus concurrent accelerated hyperfractionated thoracic irradiation.


Description:

The Japan Clinical Oncology Group (JCOG) previously conducted a randomized phase III trial comparing irinotecan and cisplatin (IP) with EP in patients with extensive-stage SCLC. The response rate and overall median survival were significantly better for IP, i.e. 84.4% and 12.8 months with IP, versus 67.5% and 9.4 months with EP, respectively. The 2-year survival rates were 19.5% for IP and 5.2% for EP (7). These encouraging results prompted us to explore the use of IP in LSCLC.


Recruitment information / eligibility

Status Completed
Enrollment 281
Est. completion date September 2011
Est. primary completion date September 2011
Accepts healthy volunteers No
Gender Both
Age group 20 Years to 70 Years
Eligibility Inclusion Criteria:

1. cytologically, histologically proven small-cell lung cancer

2. limited disease

3. age 20-70 years old

4. performance status of 0-1

5. measurable disease

6. no prior treatment for small-cell lung cancer

7. no history of chemotherapy

8. adequate organ functions

9. written informed consent

Exclusion Criteria:

1. pericardial effusion

2. active concomitant malignancy

3. pregnant or lactating women

4. interstitial pneumonia/active lung fibrosis on chest x-ray, watery diarrhea, intestinal obstruction or paralysis, uncontrolled heart disease or a history of myocardial infarction within the previous 6 months, uncontrolled diabetes mellitus, active infection, psychological disease deemed unacceptable for inclusion to the study, long-term steroid treatment.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment


Intervention

Drug:
Etoposide and cisplatin after chemoradiotherapy
Etoposide and cisplatin after chemoradiotherapy
Irinotecan and cisplatin after chemoradiotherapy
Irinotecan and cisplatin after chemoradiotherapy

Locations

Country Name City State
Japan Hyogo Medical Center for Adults Akashi,Kitaouji-cho,13-70 Hyogo
Japan National Hospital Organization, Dohoku National Hospital Asahikawa,Hanasaki,7-4048 Hokkaido
Japan National Cancer Center Hospital Chuo-ku,Tsukiji,5-1-1 Tokyo
Japan Gifu Municipal Hospital Gifu,Kashima-cho,7-1 Gifu
Japan Osaka Prefectural Medical Center for Respiratory and Allergic Disease Habikino,Habikino,3-7-1 Osaka
Japan Kyushu University Hospital Higashi-ku,Maidashi,3-1-1 Fukuoka
Japan Rinku General Medical Center Izumisano,rinku-ohrai-kita,2-23 Osaka
Japan National Cancer Center Hospital East Kashiwa-shi,Kashiwanoha,6-5-1 Chiba
Japan Saitama Cancer Center Kita-adachi,Ina,Komuro,818 Saitama
Japan Kobe City General Hospital Kobe,Chuo-ku,Minatojimanakamachi,4-6 Hyogo
Japan Cancer Institute Hospital Koto-ku,Ariake,3-10-6 Tokyo
Japan Kumamoto Regional Medical Center Hospital Kumamoto,Honjo,5-16-10 Kumamoto
Japan National Hospital Organization Shikoku Cancer Center Matsuyama,Horinouchi,13 Ehime
Japan Toranomon Hospital Minato-ku,Toranomon,2-2-2 Tokyo
Japan Aichi Cancer Center Hospital Nagoya,Chikusa-ku,Kanokoden,1-1 Aichi
Japan Niigata Cancer Center Hospital Niigata,Kawagishi-cho,2-15-3 Niigata
Japan Ibaraki Kenritsu Chuo Hospital & Cancer Center Nishi-ibarakigun,Tomobemachi,Koibuchi,6528 Ibaraki
Japan Hyogo College of Medicine Nishinomiya,Mukogawa-cho,1-1 Hyogo
Japan Okayama University Hospital Okayama,Shikata-cho,2-5-1 Okayama
Japan Aichi Cancer Center,Aichi Hospital Okazaki,Kake-machi,Kuriyado,18 Aichi
Japan Graduate School of Medicine, Osaka City University Osaka,Abeno-ku,Asahi-machi,1-5-7 Osaka
Japan Osaka Medical Center for Cancer and Cardiovascular Diseases Osaka,Higashinari-ku,Nakamichi,1-3-3 Osaka
Japan Osaka City General Hospital Osaka,Miyakojima-ku,Miyakojimahondori,2-13-22 Osaka
Japan Osaka General Medical Center Osaka,Sumiyoshi-ku,Bandai-higashi,3-1-56 Osaka
Japan Kinki University School of Medicine Osaka-Sayama,Ohno-higashi,377-2 Osaka
Japan Gunma Prefectural Cancer Center Ota,Takabayashi-nishi-cho,617-1 Gunma
Japan National Hospital Organization Kinki-Chuo Chest Medical Center Sakai,Nagasone,1180 Osaka
Japan National Hospital Organization Hokkaido Cancer Center Sapporo,Shiroishi-ku,Kikusui,4-2-3-54 Hokkaido
Japan Tohoku University Hospital Sendai,Aoba-ku,Seiryo-machi,1-1 Miyagi
Japan National Nishigunma Hospital Shibukawa,Kanai,2854 Gunma
Japan International Medical Center of Japan Shinjuku-ku,Toyama,1-21-1 Tokyo
Japan Sizuoka Cancer Center Sunto-gun,Nagaizumi-cho,Shimonagakubo,1007 Shizuoka
Japan National Hospital Organization Toneyama National Hospital Toyonaka,Toneyama,5-1-1 Osaka
Japan Tochigi Cancer Center Utsunomiya,Yohnan,4-9-13 Tochigi
Japan Yamagata Prefectural Central Hospital Yamagata,Aoyagi,1800 Yamagata
Japan Kanagawa Cancer Center Yokohama,Asahi-ku,Nakao,1-1-2 Kanagawa
Japan Yokohama Mucipical Citizen's Hospital Yokohama,Hodogaya-ku,Okazawa-cho,56 Kanagawa

Sponsors (2)

Lead Sponsor Collaborator
Haruhiko Fukuda Ministry of Health, Labour and Welfare, Japan

Country where clinical trial is conducted

Japan, 

Outcome

Type Measure Description Time frame Safety issue
Primary overall survival during the study conduct No
Secondary adverse events of induction chemoradiotherapy during the study conduct Yes
Secondary chemotherapy after chemoradiotherapy during the study conduct No
Secondary late radiation morbidity during the study conduct Yes
Secondary serious adverse event during the study conduct Yes
Secondary progression-free survival during the study conduct No

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