Small Cell Lung Cancer Clinical Trial
Official title:
AMR PH GL 2007 CL001 Phase 3 A Randomized, Open-Label, Multinational Phase 3 Trial Comparing Amrubicin Versus Topotecan in Patients With Extensive or Limited and Sensitive or Refractory Small Cell Lung Cancer After Failure of First-Line Chemotherapy
This study drug (Amrubicin) is believed to work by stopping the tumor cells in your body from growing. The purpose of this study is to evaluate the effect of amrubicin compared to topotecan in the treatment of small cell lung cancer.
Small cell lung cancer represents approximately 13% of the cancers of the lung and presents
as extensive stage disease in 60% to 70% of patients. Sites of metastases include bone (35%),
liver (25%), bone marrow (20%), brain (10%), extrathoracic lymph nodes (5%), and subcutaneous
masses (5%). Small-cell lung cancer has prominent markers of neuroendocrine differentiation.
The staging classification for SCLC is the 2-stage Veterans Administration Lung Study Group
system that categorizes patients as having limited or extensive disease. Limited stage SCLC
is disease confined to 1 hemithorax with or without adjacent mediastinal and/or
supraclavicular lymph node involvement, but without a pleural effusion. This extent of
disease can be included in a tolerable radiation field. Extensive-disease SCLC is any disease
beyond the definition of limited-stage disease.
There are few proven treatment options for SCLC patients who fail first-line chemotherapy.
New treatment strategies must be evaluated. The need to discover active agents with better
toxicity profiles continues to be of great importance. Amrubicin may be an effective
treatment for this population.
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