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Paclitaxel With or Without Carboplatin in Treating Patients With Advanced Non-small Cell Lung Cancer

Phase 3
Completed
Conditions
Lung Cancer
Interventions
Registration Number
NCT00003117
Lead Sponsor
Alliance for Clinical Trials in Oncology
Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Randomized phase III trial to compare the effectiveness of paclitaxel with or without carboplatin in treating patients who have recurrent, stage IIIB, or stage IV non-small cell lung cancer.

Detailed Description

OBJECTIVES: I. Compare the overall survival of patients with non-small cell lung cancer treated with paclitaxel alone or in combination with carboplatin. II. Compare the quality of life of these patients treated with these chemotherapy regimens. III. Compare the response rates and the toxic effects of the two regimens in this patient population.

OUTLINE: This is a randomized study. Patients are stratified according to stage of disease (stage IIIB vs stage IV vs recurrent or progressive after surgery and/or radiotherapy), performance status (0-1 vs 2), and age (under 70 vs 70 and over). Patients are randomized to one of two treatment arms. Arm I receives paclitaxel IV over 3 hours on day 1 of each course. Arm II receives paclitaxel as in Arm I, followed by carboplatin IV over 1 hour. Treatment is repeated every 21 days for 6 courses in the absence of tumor progression or unacceptable toxicity. Quality of life assessments are conducted before treatment and at 2, 6, 9, and 12 months. Patients are followed every 3 months for 2 years, then every 6 months until disease progression or death.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
584
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Paclitaxel + CarboplatinpaclitaxelPatients receives paclitaxel as in Arm I, followed by carboplatin IV over 1 hour. Treatment is repeated every 21 days for 6 courses in the absence of tumor progression or unacceptable toxicity. Quality of life assessments are conducted before treatment and at 2, 6, 9, and 12 months. Patients are followed every 3 months for 2 years, then every 6 months until disease progression or death.
PaclitaxelpaclitaxelPatients receive paclitaxel IV over 3 hours on day 1 of each course. Treatment is repeated every 21 days for 6 courses in the absence of tumor progression or unacceptable toxicity. Quality of life assessments are conducted before treatment and at 2, 6, 9, and 12 months. Patients are followed every 3 months for 2 years, then every 6 months until disease progression or death.
Paclitaxel + CarboplatincarboplatinPatients receives paclitaxel as in Arm I, followed by carboplatin IV over 1 hour. Treatment is repeated every 21 days for 6 courses in the absence of tumor progression or unacceptable toxicity. Quality of life assessments are conducted before treatment and at 2, 6, 9, and 12 months. Patients are followed every 3 months for 2 years, then every 6 months until disease progression or death.
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (35)

Norris Cotton Cancer Center

🇺🇸

Lebanon, New Hampshire, United States

CCOP - Christiana Care Health Services

🇺🇸

Wilmington, Delaware, United States

University of Iowa Hospitals and Clinics

🇺🇸

Iowa City, Iowa, United States

Barnes-Jewish Hospital

🇺🇸

Saint Louis, Missouri, United States

Walter Reed Army Medical Center

🇺🇸

Washington, District of Columbia, United States

Mount Sinai Medical Center, NY

🇺🇸

New York, New York, United States

University of California San Diego Cancer Center

🇺🇸

La Jolla, California, United States

Comprehensive Cancer Center of Wake Forest University Baptist Medical Center

🇺🇸

Winston-Salem, North Carolina, United States

CCOP - Mount Sinai Medical Center

🇺🇸

Miami Beach, Florida, United States

New York Presbyterian Hospital - Cornell Campus

🇺🇸

New York, New York, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

Massey Cancer Center

🇺🇸

Richmond, Virginia, United States

CCOP - Southeast Cancer Control Consortium

🇺🇸

Winston-Salem, North Carolina, United States

University of Tennessee, Memphis Cancer Center

🇺🇸

Memphis, Tennessee, United States

Dana-Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

University of Massachusetts Memorial Medical Center

🇺🇸

Worcester, Massachusetts, United States

CCOP - North Shore University Hospital

🇺🇸

Manhasset, New York, United States

CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.

🇺🇸

Syracuse, New York, United States

Vermont Cancer Center

🇺🇸

Burlington, Vermont, United States

CCOP - Southern Nevada Cancer Research Foundation

🇺🇸

Las Vegas, Nevada, United States

University of Illinois at Chicago Health Sciences Center

🇺🇸

Chicago, Illinois, United States

University of Chicago Cancer Research Center

🇺🇸

Chicago, Illinois, United States

Marlene & Stewart Greenebaum Cancer Center, University of Maryland

🇺🇸

Baltimore, Maryland, United States

Ellis Fischel Cancer Center - Columbia

🇺🇸

Columbia, Missouri, United States

North Shore University Hospital

🇺🇸

Manhasset, New York, United States

Lineberger Comprehensive Cancer Center, UNC

🇺🇸

Chapel Hill, North Carolina, United States

Duke Comprehensive Cancer Center

🇺🇸

Durham, North Carolina, United States

UCSF Cancer Center and Cancer Research Institute

🇺🇸

San Francisco, California, United States

University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

State University of New York - Upstate Medical University

🇺🇸

Syracuse, New York, United States

Mount Sinai Comprehensive Cancer Center

🇺🇸

Miami Beach, Florida, United States

MBCCOP - Massey Cancer Center

🇺🇸

Richmond, Virginia, United States

Memorial Sloan-Kettering Cancer Center

🇺🇸

New York, New York, United States

Roswell Park Cancer Institute

🇺🇸

Buffalo, New York, United States

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

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