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Gefitinib After Chemotherapy in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer

Phase 3
Terminated
Conditions
Lung Cancer
Registration Number
NCT00091156
Lead Sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Brief Summary

RATIONALE: Gefitinib may stop the growth of tumor cells by blocking the enzymes necessary for their growth. It is not yet known whether giving gefitinib after initial chemotherapy is effective in delaying the recurrence of non-small cell lung cancer.

PURPOSE: This randomized phase III trial is studying gefitinib to see how well it works compared to placebo in delaying tumor recurrence in patients who have undergone initial chemotherapy for stage IIIB or stage IV non-small cell lung cancer.

Detailed Description

OBJECTIVES:

Primary

* Compare overall survival of patients with stage IIIB or IV non-small cell lung cancer that did not progress on prior first-line palliative induction chemotherapy when treated with adjuvant gefitinib vs placebo.

Secondary

* Compare progression-free survival of patients treated with these regimens.

* Determine the safety and toxicity of gefitinib in these patients.

OUTLINE: This is a randomized, placebo-controlled, double-blind, multicenter study. Patients are stratified according to initial disease stage (IIIB vs IV), WHO performance status at the end of prior first-line palliative induction chemotherapy (0-1 vs 2), best patient response to prior first-line palliative induction chemotherapy (objective response vs stable disease), and participating center. Patients are randomized to 1 of 2 treatment arms.

* Arm I: Patients receive oral gefitinib once daily.

* Arm II: Patients receive oral placebo once daily. In both arms, treatment continues in the absence of disease progression or unacceptable toxicity.

Patients are followed every 3 months for 2 years and then every 6 months thereafter.

PROJECTED ACCRUAL: A total of 598 patients (299 per treatment arm) will be accrued for this study within 8.5 years.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
598
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Overall survival
Secondary Outcome Measures
NameTimeMethod
Progression-free survival
Toxicity as assessed by CTC

Trial Locations

Locations (28)

Clinique Sainte Elisabeth

🇧🇪

Namur, Belgium

Bank Of Cyprus Oncology Centre

🇨🇾

Nicosia, Cyprus

National Cancer Institute of Egypt

🇪🇬

Cairo, Egypt

Ospedale Santa Croce

🇮🇹

Cuneo, Italy

Azienda Ospedale S. Luigi at University of Torino

🇮🇹

Orbassano, Italy

Arcispedale S. Maria Nuova

🇮🇹

Reggio Emilia, Italy

Ziekenhuis Netwerk Antwerpen Middelheim

🇧🇪

Antwerpen, Belgium

CHR - Clinique Saint Joseph - Hopital de Warqueguies

🇧🇪

Mons, Belgium

Azienda Ospedaliera Maggiore Della Carita

🇮🇹

Novara, Italy

Azienda Ospedaliera Di Parma

🇮🇹

Parma, Italy

Ospedale di Circolo e Fondazione Macchi

🇮🇹

Varese, Italy

Ospedale Luigi Sacco

🇮🇹

Milan, Italy

Azienda Ospedaliera - Universitaria di Modena

🇮🇹

Modena, Italy

Azienda Ospedaliera Policlinico Paolo Giaccone

🇮🇹

Palermo, Italy

Ghent University

🇧🇪

Ghent, Belgium

Jeroen Bosch Ziekenhuis

🇳🇱

's-Hertogenbosch, Netherlands

Universita di Ferrara

🇮🇹

Ferrara, Italy

Ospedali Riuniti di Bergamo

🇮🇹

Bergamo, Italy

Ospedale Niguarda Ca'Granda

🇮🇹

Milan, Italy

Ospedale Sta. Maria Delle Croci

🇮🇹

Ravenna, Italy

Kennemer Gasthuis - Locatie EG

🇳🇱

Haarlem, Netherlands

St. Franciscus Gasthuis

🇳🇱

Rotterdam, Netherlands

Azienda Ospedaliera "Santa Maria Degli Angeli"

🇮🇹

Pordenone, Italy

Presidio Ospedaliero di Livorno

🇮🇹

Livorno, Italy

Azienda Ospedaliera S. Camillo-Forlanini

🇮🇹

Rome, Italy

Rijnstate Hospital

🇳🇱

Arnhem, Netherlands

Leiden University Medical Center

🇳🇱

Leiden, Netherlands

Ospedale Civile Maggiore - Borgo Trento

🇮🇹

Verona, Italy

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