A Prospective, Phase II Trial of a Trimodality Regimen for Stage III (N2) Non-small-cell Lung Cancer Using Concurrent Chemoradiotherapy as Induction Treatment Followed by Subsequent Resection
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Non-small Cell Lung Cancer Stage IIIA
- Sponsor
- Zhejiang Cancer Hospital
- Enrollment
- 75
- Locations
- 1
- Primary Endpoint
- PFS
- Last Updated
- 12 years ago
Overview
Brief Summary
The investigators hypothesized that the Neoadjuvant Chemoradiotherapy was a beneficial treatment for Patients with Stage IIIA-N2 Non-Small Cell Lung Cancer, so we try to evaluate the security of treatment, the QoL of patients and the influence to the PFS and OS.
Detailed Description
Scheme: Patients will receive different chemotherapy regimens depending on the pathological type. Squamous cell carcinoma:Docetaxel/Cisplatin and concurrent radiation (46Gy/23f) followed by surgery, consolidate Docetaxel/Cisplatin 2 cycles. Non-squamous cell carcinoma:Pemetrexed/Cisplatin and concurrent radiation (46Gy/23f) followed by surgery, consolidate Pemetrexed/Cisplatin 2 cycles.
Investigators
Eligibility Criteria
Inclusion Criteria
- •18≤Age≤65;
- •ECOG performance status of 0 or 1;
- •Pathological diagnosis with Stage IIIA-N2 NSCLC which is clinically resectable and the N2 is diagnosed by either mediastinoscopy,EBUS,PET/CT;
- •WBC≥4.0×109/l, ANC≥1.5×109/l, PLT≥100.0×109/l, Hb≥90g/l;hepatorenal function is normal;
- •Without a history of other malignancies before enrollment, except for non-melanoma skin cancer, in situ cervical cancer;
- •The patient can understand the research and sign the informed consent.
Exclusion Criteria
- •Female in pregnancy or lactating;Female of childbearing age without contraception;
- •With acute infection or other serious underlying disease;
- •With a significant history of neurological of psychiatric disease,including the dementia which may affect the ability to understand and sign the informed consent;
- •Have received other treatment within the last 30 days before enrollment;
- •With uncontrollable diabetes(blood glucose is unstable after treatment or FBG≥8mol/L).
Outcomes
Primary Outcomes
PFS
Time Frame: up to 3 years
Secondary Outcomes
- QOL(up to 3 years)
- OS(up to 3 years)
- Adverse events(participants will be followed for the duration of hospital stay,an expected average of 100 days and every 3 months thereafter for 5 years)