Concurrent chemoradiotherapy for stage III non small cell lung cancer followed by consolidation pemetrexed: a phase II study - CONCEPT

Christie Hospital NHS Foundation Trust0 sites35 target enrollmentStarted: October 10, 2007Last updated: March 19, 2012

Conditions

Drugs

Trial Snapshot

No summary available.

•a)Histologically or cytologically confirmed NSCLC (mixed small cell, non-small cell histology is not permitted)
•b)Inoperable Stage III disease (T4N0/1; T4N2; any TN3) confirmed by PET scanning, mediastinoscopy or thoracoscopy.
•c)Tumour judged inoperable by a thoracic surgeon
•d)Measurable or evaluable disease on CT scan
•e)Age >= 18, no upper age limit
•f)Performance status - ECOG 0 or 1 (appendix 1)
•g)No prior chemotherapy, radiotherapy or investigational agents
•h)Willing and able to give informed consent
•i)Patient considered able to tolerate platinum based chemotherapy and radical radiotherapy:
•Creatinine clearance >= 50 ml/min. The Cockcroft and Gault formula (see appendix 5) may be used to estimate GFR, but if <60 ml/min then EDTA clearance should be performed.
•Adequate bone marrow reserve (i.e. white cell count > 4 x 109/l, absolute neutrophil count > 1.5 x 109/l, haemoglobin > 10.0 g/dl and platelet count
•>100 x 109/l).
•Tumour that can be encompassed within a radical radiotherapy treatment volume (V20 expected to be < 35% - see section 4.3.2)
•FEV1 >= 1.0 L or DLCO (transfer factor) >= 50% of predicted
•Are the trial subjects under 18? no
•Number of subjects for this age range:
•F.1.2 Adults (18-64 years) yes
•F.1.2.1 Number of subjects for this age range
•F.1.3 Elderly (>=65 years) yes
•F.1.3.1 Number of subjects for this age range

•a)Stage IIIb wet (cytologically proven malignant pleural effusion). Pleural effusion permitted if it developed after exploratory surgery or mediastinoscopy or if present only on CT scan and deemed too small to tap under ultrasound or CT guidance.
•b)Pericardial effusion
•c)Other previous or current malignant disease likely to interfere with protocol treatment or comparisons
•d)Abnormal LFTs with any of: alkaline phosphatase, gammaGT, transaminases or bilirubin >1.5 times upper limit of normal range
•e)Calcium above normal limits
•f)Superior vena cava symdrome, haemoptysis causing a decrease in Hb of >=1g/L
•g)V20 > 35% (see section 4.3.2)
•g)h)Medically unstable (e.g. unstable diabetes, uncontrolled arterial hypertension, infection, hypercalcaemia or ischaemic heart disease)
•h)i)Patients who are pregnant or lactating.
•j)Patients (of reproductive potential) who are unable to comply with effective contraception if sexually active during the study and for a period of at least 6 months after treatment.
•k)Inability to interrupt aspirin or other nonsteroidal anti-inflammatory agents, other than an aspirin dose = 1.3 grams per day, for a 5-day period (8-day period for long-acting agents, such as piroxicam).”

Sponsor

Christie Hospital NHS Foundation Trust