Elderly NSCLC/D vs DP (JCOG0207)

Phase 3

Terminated

• Conditions: Non-small-cell Lung Cancer

• Registration Number: NCT00190476
• Lead Sponsor: Japan Clinical Oncology Group

Brief Summary

To evaluate the efficacy of docetaxel-cisplatin combination in comparison to docetaxel alone for elderly patients with advanced non-small-cell lung cancer.

Detailed Description

The Elderly Lung Cancer Vinorelbine Italian Study demonstrated the first evidence of the utility of chemotherapy in elderly patients with advanced non-small-cell lung cancer (NSCLC). In a large randomized trial, gemcitabine and vinorelbine failed to show any advantage over either agent alone. With the current evidence, single agent chemotherapy with a third-generation drug can be considered a recommended option for elderly patients with advanced NSCLC. A Japanese phase I/II study showed the activity (overall response rate 52%, median survival 12.4 months) and tolerability of weekly docetaxel/ cisplatin combination in patients older than age 75 years. There have been no randomized prospective trials dedicated to elderly NSCLC patients to evaluate tolerability and efficacy of platinum-based combination.

Comparison: Single-agent weekly docetaxel versus weekly regimen of docetaxel-cisplatin combination for elderly advanced NSCLC.

Study Timeline

• Study Start: 2003-04
• Study First Submitted: 2005-09-11
• Study First Submitted QC: 2005-09-11
• Study First Posted: 2005-09-19
• Study Completion: 2007-04
• Status Verified: 2016-09
• Last Update Submitted: 2016-09-08
• Last Update Posted: 2016-09-12

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 230

Inclusion Criteria

1. histologically or cytologically proven non-small-cell lung cancer
2. stage IV, or stage III disease ineligible for definitive radiotherapy
3. 70 years or older
4. ECOG PS 0-1
5. Ineligible for standard platinum(bolus infusion)-containing combination chemotherapy
6. No prior chemotherapy(containing gefitinib) for non-small cell lung cancer or other neoplasms
7. No prior surgery within 4 weeks before enrollment
8. No prior radiotherapy for primary tumor
9. No prior radiotherapy for metastatic lesions within 2 weeks before enrollment
10. Adequate organ function
11. Signed informed consent

Exclusion Criteria

1. Symptomatic brain metastasis
2. Active another neoplasms
3. Severe SVC syndrome
4. Massive pericardial, pleural effusion, or ascites
5. Bone metastasis emergent for palliative radiotherapy or surgery
6. Uncontrollable systemic hypertension
7. Heart failure, Unstable angina, Myocardial infarction within 6 months
8. Uncontrollable diabetes
9. Active infection
10. Interstitial pneumonia/ Pulmonary fibrosis
11. Hypersensitivity for polysorbate 80
12. Systemic administration of corticosteroids

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
overall survival

Secondary Outcome Measures

Name	Time	Method
Progression-free survival
Response rate
Toxicity
Symptom score

Trial Locations

Locations (29)

International Medical Center of Japan; 🇯🇵 Shinjuku-ku,Toyama,1-21-1, Tokyo, Japan

National Cancer Center Hospital; 🇯🇵 Chuo-ku,Tsukiji,5-1-1, Tokyo, Japan

Aichi Cancer Center,Aichi Hospital; 🇯🇵 Okazaki,Kake-machi,Kuriyado,18, Aichi, Japan

National Cancer Center Hospital East; 🇯🇵 Kashiwa,Kashiwanoha,6-5-1, Chiba, Japan

Gifu Municipal Hospital; 🇯🇵 Gifu,Kashima-cho,7-1, Gifu, Japan

Kumamoto Regional Medical Center Hospital; 🇯🇵 Kumamoto,Honjo,5-16-10, Kumamoto, Japan

National Hospital Organization, Dohoku National Hospital; 🇯🇵 Asahikawa,Hanasaki,7-4048, Hokkaido, Japan

Gunma Prefectural Cancer Center; 🇯🇵 Ota,Takabayashi-nishi-cho,617-1, Gunma, Japan

National Nishigunma Hospital; 🇯🇵 Shibukawa,Kanai,2854, Gunma, Japan

National Hospital Organization Hokkaido Cancer Center; 🇯🇵 Sapporo,Shiroishi-ku,Kikusui,4-2-3-54, Hokkaido, Japan

Hyogo Medical Center for Adults; 🇯🇵 Akashi,Kitaouji-cho,13-70, Hyogo, 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

Sizuoka Cancer Center; 🇯🇵 Sunto-gun,Nagaizumi-cho,Shimonagakubo,1007, Shizuoka, Japan

Yamagata Prefectural Central Hospital; 🇯🇵 Yamagata,Aoyagi,1800, Yamagata, Japan

Aichi Cancer Center Hospital; 🇯🇵 Nagoya,Chikusa-ku,Kanokoden,1-1, Aichi, Japan

Kyushu University Hospital; 🇯🇵 Higashi-ku,Maidashi,3-1-1, Fukuoka, Japan

Tochigi Cancer Center; 🇯🇵 Utsunomiya,Yohnan,4-9-13, Tochigi, Japan

Niigata Cancer Center Hospital; 🇯🇵 Niigata,Kawagishi-cho, 2-15-3, Niigata, Japan

Osaka Prefectural Medical Center for Respiratory and Allergic Disease; 🇯🇵 Habikino,Habikino,3-7-1, Osaka, Japan

National Hospital Organization Toneyama National Hospital; 🇯🇵 Toyonaka,Toneyama,5-1-1, Osaka, Japan

National Hospital Organization Kinki-Chuo Chest Medical Center; 🇯🇵 Sakai,Nagasone,1180, Osaka, Japan

National Hospital Organization Shikoku Cancer Center; 🇯🇵 Matsuyama,Horinouchi,13, Ehime, Japan

Yokohama Mucipical Citizen's Hospital; 🇯🇵 Yokohama,Hodogaya-ku,Okazawa-cho,56, Kanagawa, Japan

Osaka Medical Center for Cancer and Cardiovascular Diseases; 🇯🇵 Osaka,Higashinari-ku,Nakamichi,1-3-3, Osaka, Japan

Kanagawa Cancer Center; 🇯🇵 Yokohama,Asahi-ku,Nakao,1-1-2, Kanagawa, Japan

Osaka City General Hospital; 🇯🇵 Osaka,Miyakojima-ku,Miyakojimahondori,2-13-22, Osaka, Japan

Saitama Cancer Center; 🇯🇵 Kita-adachi,Ina,Komuro,818, Saitama, Japan

Kinki University School of Medicine; 🇯🇵 Osaka-Sayama,Ohno-higashi,377-2, Osaka, Japan