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Higher Dose Weekly Topotecan In The Treatment Of Patients With Extensive Stage Small-Cell Lung Cancer

Phase 2
Completed
Conditions
Small Cell Lung Cancer
Carcinoma, Small Cell
Interventions
Registration Number
NCT00294190
Lead Sponsor
SCRI Development Innovations, LLC
Brief Summary

This proposed phase II trial will investigate weekly topotecan at a higher dose than was used in the previous trials in an attempt to achieve improved response rates and disease control without added toxicity. To help ameliorate the fatigue, planned rest weeks will be incorporated into the schedule. This trial will be the first clinical trial to evaluate a higher dose of weekly topotecan in the treatment of extensive-stage SCLC.

Detailed Description

All patients will receive weekly topotecan.

Topotecan 6mg/m2 IV weekly x 6 consecutive weeks followed by a 2 week break. Cycles are repeated every 8 weeks, for 3 cycles. Restaging studies will be performed every cycle (or 8 weeks.)

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
38
Inclusion Criteria
  • Extensive small cell lung cancer with progression after one previous chemotherapy or chemotherapy/radiation therapy regimen
  • Measurable or evaluable disease
  • Able to perform activities of daily living with minimal assistance
  • Adequate bone marrow, liver and kidney function
  • May have received no more than 3 previous courses of radiation therapy
  • Give written informed consent prior to study entry
Exclusion Criteria
  • Patients with limited stage disease
  • History of a prior malignancy within three years
  • Female patients who are pregnant or are breast feeding
  • Significant history of uncontrolled cardiac disease
  • Myocardial infarction or stroke within six months
  • Symptomatic peripheral vascular disease
  • CNS involvement
  • Serious active infection or underlying medical condition

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
TopotecanTopotecan-
Primary Outcome Measures
NameTimeMethod
Overall response rate18 months
Secondary Outcome Measures
NameTimeMethod
overall toxicity18 months
time to progression18 months
duration of response18 months
overall survival18 months

Trial Locations

Locations (13)

Watson Clinic Center for Cancer Care and Research

🇺🇸

Lakeland, Florida, United States

Consultants in Blood Disorders and Cancer

🇺🇸

Louisville, Kentucky, United States

Northeast Georgia Medical Center

🇺🇸

Gainesville, Georgia, United States

Florida Cancer Specialists

🇺🇸

Fort Myers, Florida, United States

Chattanooga Oncology Hematology Associates

🇺🇸

Chattanooga, Tennessee, United States

Oncology Hematology Care

🇺🇸

Cincinnati, Ohio, United States

Tennessee Oncology, PLLC

🇺🇸

Nashville, Tennessee, United States

Grand Rapids Clinical Oncology Program

🇺🇸

Grand Rapids, Michigan, United States

Florida Hospital Cancer Institute

🇺🇸

Orlando, Florida, United States

Northeast Arkansas Clinic

🇺🇸

Jonesboro, Arkansas, United States

Hematology Oncology Life Center

🇺🇸

Alexandria, Louisiana, United States

Methodist Cancer Center

🇺🇸

Omaha, Nebraska, United States

Spartanburg Regional Medical Center

🇺🇸

Spartanburg, South Carolina, United States

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