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Gemcitabine/Oxaliplatin (GEMOX) vs Carboplatin/Paclitaxel (CP) in Non-Small Cell Lung Cancer (NSCLC)

Phase 3
Completed
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
Drug: gemcitabine/Eloxatin (GEMOX)
Drug: carboplatin/paclitaxel (CP)
Registration Number
NCT00087802
Lead Sponsor
Sanofi
Brief Summary

The purpose of this study is to compare combination treatment of gemcitabine + oxaliplatin (GEMOX) with carboplatin + paclitaxel (CP) to determine if there is a difference in response and safety between the two drug combinations for the treatment of advanced non-small cell lung cancer (NSCLC).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
383
Inclusion Criteria
  • Newly diagnosed, Stage IIIb or IV NSCLC, chemo or other systemic therapy naive
  • One (1) unidimensionally measurable lesion
  • ECOG Performance Status of 0 or 1, no peripheral neuropathy >Grade 1
  • Patients with clinically stable brain metastases on a stable dose of (or no longer requiring) dexamethasone at registration will be eligible. Patients who have received cranial radiation for brain metastases must be at least 4 weeks from last radiation treatment.
  • Recovery in full from any previous surgical procedure
  • No history of an acute cardiac or CNS event within 6 months of entry or current clinical evidence of congestive heart failure or non-stable coronary artery disease
Exclusion Criteria
  • Hypersensitivity to any of the 4 study drugs
  • Concurrent immunotherapy or participation in any investigational drug study within 4 weeks
  • Serious uncontrolled intercurrent medical or psychiatric illness and organ allograft
  • History of other malignancy within the last 5 years (except for squamous or basal cell carcinoma of the skin, carcinoma in situ of the cervix, or superficial transitional cell carcinoma of the bladder)
  • Patient is a pregnant or lactating female

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Stratum 1gemcitabine/Eloxatin (GEMOX)Subjects will be randomized in a 1:1 allocation to either GEMOX or CP after signed consents and baseline evaluations are completed, allowing for safe entry into the study. In order to avoid an unbalanced distribution by baseline characteristics, randomization will be stratified by one factor: disease stage (in a 1:4 proportion for Stage IIIb vs. Stage IV or relapsed disease). Randomization schedules will be produced for each stratum, and treatment allocation will be carried out centrally
Stratum 2carboplatin/paclitaxel (CP)Subjects will be randomized in a 1:1 allocation to either GEMOX or CP after signed consents and baseline evaluations are completed, allowing for safe entry into the study. In order to avoid an unbalanced distribution by baseline characteristics, randomization will be stratified by one factor: disease stage (in a 1:4 proportion for Stage IIIb vs. Stage IV or relapsed disease).
Primary Outcome Measures
NameTimeMethod
To determine the relative efficacy, safety and clinical benefit of the GEMOX regimen compared to the standard combination regimen of CP as first-line treatment of Stage IIIB and IV NSCLC22 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (59)

Dayton Oncology & Hematology, P.A.

🇺🇸

Kettering, Ohio, United States

Interlakes Oncology & Hematology, P.C.

🇺🇸

Rochester, New York, United States

Florida Cancer Institute

🇺🇸

New Port Richey, Florida, United States

Berkshire Hematology Oncology, PC

🇺🇸

Pittsfield, Massachusetts, United States

Maryland Oncology Hematology, P.A.

🇺🇸

Columbia, Maryland, United States

New York Oncology Hematology, P.C.

🇺🇸

Rexford, New York, United States

New York Oncology Hematology

🇺🇸

Latham, New York, United States

Raleigh Hematology Oncology Clinic

🇺🇸

Cary, North Carolina, United States

Cancer Centers of the Carolinas

🇺🇸

Seneca, South Carolina, United States

Texas Cancer Center - Sherman

🇺🇸

Sherman, Texas, United States

Tyler Cancer Center

🇺🇸

Tyler, Texas, United States

Waco Cancer Care and Research Center

🇺🇸

Waco, Texas, United States

Northwest Cancer Specialists, P.C.

🇺🇸

Vancouver, Washington, United States

Cancer Care Northwest

🇺🇸

Spokane, Washington, United States

Northern Arizona Hematology & Oncology Associates

🇺🇸

Sedona, Arizona, United States

Arizona Oncology Associates - Hematology Oncology Physicians

🇺🇸

Tucson, Arizona, United States

South Florida Oncology & Hematology Consultants

🇺🇸

Plantation, Florida, United States

Ocala Oncology Center

🇺🇸

Ocala, Florida, United States

Arch Medical Services, Inc.

🇺🇸

St. Louis, Missouri, United States

Fairfax Northern Virginia Hematology Oncology, PC

🇺🇸

Fairfax, Virginia, United States

Cancer Centers of Florida, P.A.

🇺🇸

Ocoee, Florida, United States

New Mexico Cancer Care Associates

🇺🇸

Santa Fe, New Mexico, United States

Missouri Cancer Associates

🇺🇸

Columbia, Missouri, United States

Cancer Care Associates

🇺🇸

Tulsa, Oklahoma, United States

Mamie McFaddin Ward Cancer Center

🇺🇸

Beaumont, Texas, United States

Deke Slayton Cancer Center

🇺🇸

Webster, Texas, United States

Northwest Medical Specialists, PC

🇺🇸

Niles, Illinois, United States

Oncology Associates of Cedar Rapids

🇺🇸

Cedar Rapids, Iowa, United States

Hematology Oncology Associates of Illinois

🇺🇸

Skokie, Illinois, United States

Kansas City Oncology and Hematology Group

🇺🇸

Overland Park, Kansas, United States

Willamette Valley Cancer Center

🇺🇸

Eugene, Oregon, United States

Texas Oncology, P.A.

🇺🇸

Irving, Texas, United States

Texas Cancer Center - Abilene

🇺🇸

Abilene, Texas, United States

The Texas Cancer Center

🇺🇸

Dallas, Texas, United States

Texas Cancer Center at Medical City

🇺🇸

Dallas, Texas, United States

El Paso Cancer Treatment Ctr-East

🇺🇸

El Paso, Texas, United States

San Antonio Tumor and Blood Clinic

🇺🇸

Fredericksburg, Texas, United States

Texas Cancer Center - Denton

🇺🇸

Denton, Texas, United States

Texas Oncology Cancer Center

🇺🇸

Austin, Texas, United States

Longview Cancer Center

🇺🇸

Longview, Texas, United States

South Texas Cancer Center - McAllen

🇺🇸

McAllen, Texas, United States

Lake Vista Cancer Center

🇺🇸

Lewisville, Texas, United States

Allison Cancer Center

🇺🇸

Midland, Texas, United States

West Texas Cancer Center

🇺🇸

Odessa, Texas, United States

Texas Cancer Center of Mesquite

🇺🇸

Mesquite, Texas, United States

Paris Regional Cancer Center

🇺🇸

Paris, Texas, United States

Virginia Oncology Associates

🇺🇸

Norfolk, Virginia, United States

Oncology & Hematology Associates of Southwest Virginia, Inc.

🇺🇸

Salem, Virginia, United States

Birmingham Hematology and Oncology Associates, LLC

🇺🇸

Birmingham, Alabama, United States

Birmingham Hematology and Oncology Associates

🇺🇸

Birmingham, Alabama, United States

Hematology Oncology Associates

🇺🇸

Phoenix, Arizona, United States

Rocky Mountain Cancer Centers

🇺🇸

Denver, Colorado, United States

Central Indiana Cancer Centers

🇺🇸

Indianapolis, Indiana, United States

Minnesota Oncology Hematology, P.A.

🇺🇸

Minneapolis, Minnesota, United States

Minnesota Oncology Hematology

🇺🇸

Minneapolis, Minnesota, United States

Comprehensive Cancer Centers of Nevada

🇺🇸

Las Vegas, Nevada, United States

Piedmont Hematology Oncology Associates, PLLC.

🇺🇸

Winston-Salem, North Carolina, United States

Puget Sound Cancer Centers

🇺🇸

Seattle, Washington, United States

Hematology Oncology Associates of South Texas

🇺🇸

San Antonio, Texas, United States

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