A Phase III Randomised Study Comparing Concomitant Radiochemotherapy With Cisplatin and Docetaxel as Induction Versus Consolidation Treatment in Patients With Locally Advanced Unresectable Non-small Cell Lung Cancer.
Overview
- Phase
- Phase 3
- Intervention
- Concomitant Radiochemotherapy - Radiotherapy 66 Gy, Cisplatin, and Docetaxel
- Conditions
- Non-small Cell Lung Carcinoma
- Sponsor
- European Lung Cancer Working Party
- Enrollment
- 125
- Locations
- 19
- Primary Endpoint
- Survival
- Status
- Terminated
- Last Updated
- 11 years ago
Overview
Brief Summary
The purpose of the present trial is to assess if induction concurrent chemoradiotherapy followed by consolidation chemotherapy will improve survival in comparison with the same chemotherapy given as induction followed by consolidation concurrent chemoradiotherapy.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Histological or cytological diagnosis of non-small cell carcinoma of the lung
- •Initially unresectable non-metastatic stage III disease
- •Availability for participating in the detailed follow-up of the protocol
- •Presence of an evaluable or measurable lesion
- •Written informed consent
- •No functional or anatomical contraindication to chest irradiation
Exclusion Criteria
- •Prior treatment with chemotherapy, radiotherapy or surgery
- •Performance status \< 60 on the Karnofsky scale
- •History of prior malignant tumour, except non-melanoma skin cancer or in situ carcinoma of the cervix or cured malignant tumour (more than 5 year disease-free interval)
- •Neutrophils \< 2,000/mm³
- •Platelet cells \< 100,000/mm3
- •Serum bilirubin \> 1.5 mg/100 ml
- •Hepatic disease contra-indicating the administration of docetaxel and/or GOT or GPT ≥ 2.5x the normal value and/or alkaline phosphatase ≥ 5x the normal value
- •Serum creatinine \> 1.5 mg/100 ml and/or creatinine clearance \< 60 ml/min
- •Recent myocardial infarction (less than 3 months prior to date of diagnosis) or uncontrolled angina pectoris
- •Congestive cardiac failure or cardiac arrhythmia requiring medical treatment
Arms & Interventions
A
One course of chemotherapy with cisplatin and docetaxel followed by induction chemoradiotherapy followed by two courses of consolidation chemotherapy
Intervention: Concomitant Radiochemotherapy - Radiotherapy 66 Gy, Cisplatin, and Docetaxel
B
Three courses of induction chemotherapy followed by consolidation chemoradiotherapy
Intervention: Concomitant Chemoradiotherapy - Radiotherapy 66 Gy, Cisplatin, and Docetaxel
Outcomes
Primary Outcomes
Survival
Time Frame: Survival will be dated from the day of randomisation until death or last follow up
Secondary Outcomes
- Local control rate(After completion of treatment)
- Response rate(At the end of the whole treatment)
- Toxicity(After each course of chemotherapy and at the end of treatment)