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Efficacy and Safety of Adjuvant Pemetrexed Plus Cisplatin for Adenocarcinoma of Lung

Phase 2
Completed
Conditions
Lung Neoplasm
Adenocarcinoma
Interventions
Drug: Pemebit
Registration Number
NCT02498860
Lead Sponsor
Chonnam National University Hospital
Brief Summary

Two-Year Disease Free Survival Rate of Stage IB\~IIIA adenocarcinoma after Adjuvant Chemotherapy with Pemetrexed and Cisplatin will be assessed. A total of 106 patients will be recruited for 12 months, and followed for two years, thus the duration of study will be 36 months.

Detailed Description

Primary endpoint : 2 year disease free survival

Secondary endpoints:

Overall survival, Frequency and severity of adverse events

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
106
Inclusion Criteria
  • Adenocarcinoma of Lung
  • Postoperative pathologic stage IB~IIIA
  • Complete surgical resection (R0 resection) N1-2: R0 resection with lobectomy and mediastinal lymph nodes dissection (MLND) N0: R0 resection with lobectomy with or without MLND
  • Adjuvant treatment should start between 4 to 6 weeks after surgery
  • ECOG performance status 0-1
  • Weight loss during last 3 months should be less than 10%.
  • Normal hematologic, hepatic and renal function Neutrophil count > 1500 /microliter, Platelet > 100,000/microliter, Hemoglobin > 9 g/dL Bilirubin <=1.5 x upper limit normal, transaminase < 2.5 x upper limit normal Serum Creatinine <=1.5 mg/dL
  • Women in child bearing age should consent using contraceptive measures, and must have negative pregnancy test.
Exclusion Criteria
  • Other malignant neoplastic disease within 5 years.
  • Neoadjuvant chemotherapy before surgery of lung cancer
  • Patients who will be treated with postoperative radiation.
  • Stage IIIB or IV lung cancer
  • Severe infection, or cardiorespiratory, hematologic illness
  • HIV positive cases
  • Pregnancy or lactating women
  • Autoimmune diseases or those who receiving immune suppressive treatment
  • Symptomatic neuropathy > CTCAE grade 1
  • Those who consented other clinical trials within 3 months
  • Other significant medical conditions contraindicated to clinical trial

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Pemebit plus CisplatinPemebitPemetrexed (Pemebit 500 mg/m2) plus cisplatin (75 mg/m2) every 3 weeks up to 4 cycles
Pemebit plus CisplatinCisplatinPemetrexed (Pemebit 500 mg/m2) plus cisplatin (75 mg/m2) every 3 weeks up to 4 cycles
Primary Outcome Measures
NameTimeMethod
Disease free survival rate2 year

Disease free survival time is measured from the date of enrollment to date of tumor recurrence.

Secondary Outcome Measures
NameTimeMethod
Overall survival4 year

Overall survival time is measured from the date of enrollment to date of death from any cause. Participants who are alive when the data lock or is lost to follow-up will have their overall survival time censored on the last date the participant is known to be alive.

Adverse events4 months

adverse events using common terminology criteria for adverse events 4.0

Trial Locations

Locations (7)

Korea university Guro hospital

🇰🇷

Seoul, Korea, Republic of

Severance hospital

🇰🇷

Seoul, Korea, Republic of

Chungnam National University Hospital

🇰🇷

Daejeon, Korea, Republic of

Pusan National University Hospital

🇰🇷

Pusan, Korea, Republic of

Kyungpook National University Medical Center

🇰🇷

Daegu, Kyungpook, Korea, Republic of

Chonnam National University Hwasun Hospital

🇰🇷

Hwasun, Jeonnam, Korea, Republic of

Kosin University Gospel Hospital

🇰🇷

Pusan, Korea, Republic of

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