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Paclitaxel, Carboplatin, and Radiation Therapy With or Without Adjuvant Paclitaxel and Carboplatin in Treating Patients With Stage II or Stage III Unresectable Non-Small Cell Lung Cancer

Phase 3
Conditions
Lung Cancer
Registration Number
NCT00077220
Lead Sponsor
GERCOR - Multidisciplinary Oncology Cooperative Group
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as paclitaxel and carboplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known whether giving chemotherapy together with radiation therapy is more effective with or without adjuvant chemotherapy in treating unresectable stage II or stage III non-small cell lung cancer.

PURPOSE: This randomized phase III trial is studying giving paclitaxel, carboplatin, and radiation therapy together with adjuvant paclitaxel and carboplatin to see how well it works compared to giving paclitaxel, carboplatin, and radiation therapy alone in treating patients with unresectable stage II or stage III non-small cell lung cancer.

Detailed Description

OBJECTIVES:

Primary

* Compare the progression-free survival of patients with stage II or III unresectable non-small cell lung cancer treated with paclitaxel, carboplatin, and radiotherapy with or without adjuvant paclitaxel and carboplatin.

Secondary

* Compare the objective response rate in patients treated with these regimens.

* Compare the overall survival of patients treated with these regimens.

* Compare the toxicity of these regimens in these patients.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to radiotherapy regimen (conformational vs nonconformational).

Patients receive paclitaxel IV over 1 hour and carboplatin IV over 30 minutes once weekly for up to 6 weeks. Patients concurrently undergo radiotherapy 5 days a week for 7-7.5 weeks. Three weeks after completion of chemoradiotherapy, patients with stable or responding disease are randomized to 1 of 2 treatment arms.

* Arm I: Patients undergo routine follow-up.

* Arm II: Patients receive paclitaxel IV over 3 hours and carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for a maximum of 3 courses.

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

PROJECTED ACCRUAL: A total of 390 patients will be accrued for this study within 3 years.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Progression-free survival
Secondary Outcome Measures
NameTimeMethod
Toxicity
Objective response rate
Overall survival

Trial Locations

Locations (67)

Institut Sainte Catherine

🇫🇷

Avignon, France

Centre Hospitalier Bayeux

🇫🇷

Bayeux, France

Clinique Tivoli

🇫🇷

Bordeaux, France

Polyclinique Bordeaux Nord Aquitaine

🇫🇷

Boucher, France

C.H.G Laval

🇫🇷

Laval, France

Centre Hospitalier d'Annecy

🇫🇷

Annecy, France

Hopital Duffaut

🇫🇷

Avignon, France

Centre Hospitalier Chaumont

🇫🇷

Chaumont, France

Clinique des Cedres

🇫🇷

Cornebarrieu, France

Hopital Jean Monnet

🇫🇷

Epinal, France

Centre d'Oncologie et de Radiotherapie de Chaumont le Bois

🇫🇷

Chaumont, France

Centre Eugene Marquis

🇫🇷

Rennes, France

Hopital Tenon

🇫🇷

Paris, France

Polyclinique De Courlancy

🇫🇷

Reims, France

Clinique les Bleuets

🇫🇷

Reims, France

Hopital Saint-Louis

🇫🇷

Paris, France

Hopital Notre-Dame de Bon Secours

🇫🇷

Metz, France

Polyclinique Saint - Roch

🇫🇷

Montpellier, France

Clinique De Valdegour

🇫🇷

Nimes, France

Groupe Medical St. Remy

🇫🇷

Reims, France

Centre Hospitalier De Saint Dizier

🇫🇷

Saint Dizier, France

C. H. De Saumur

🇫🇷

Saumur, France

Polyclinique de L'Ormeau

🇫🇷

Tarbes, France

Centre Hospitalier De Vernon

🇫🇷

Vernon, France

Centre Hospitalier de la Cote Basque

🇫🇷

Bayonne, France

C.H.G. Beauvais

🇫🇷

Beauvais, France

Hopital Avicenne

🇫🇷

Bobigny, France

Centre Hospitalier D'Evreux

🇫🇷

Evreux, France

Clinique Pasteur

🇫🇷

Evreux, France

Clinique du Petit Colmouilins

🇫🇷

Harfleur, France

Centre Mallet - Proux

🇫🇷

Laval, France

Centre Jean Bernard

🇫🇷

Le Mans, France

C. H. Du Mans

🇫🇷

Le Mans, France

Hopital Robert Boulin

🇫🇷

Libourne, France

Clinique de le Louviere

🇫🇷

Lille, France

Clinique Chenieux

🇫🇷

Limoges, France

Clinique du Pont de Chaume

🇫🇷

Montauban, France

Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle

🇫🇷

Montpellier, France

Clinique Clementville

🇫🇷

Montpellier, France

Centre Hospitalier de Mulhouse

🇫🇷

Mulhouse, France

Maison Medicale Marzet

🇫🇷

Pau, France

Clinique Saint - Pierre

🇫🇷

Perpignan, France

Clinique Armoricaine De Radiologie

🇫🇷

Saint Brieuc, France

Clinique Saint Vincent

🇫🇷

Saint Gregoire, France

Clinique de l'Orangerie

🇫🇷

Strasbourg, France

Polyclinique Du Parc Centre Maurice Tubiana

🇫🇷

Caen, France

Clinique du Cedre

🇫🇷

Bois-Guillaume, France

Hopital Saint Andre

🇫🇷

Bordeaux, France

Centre Hospitalier Chateaudun

🇫🇷

Chateaudun, France

Hopital Louis Pasteur

🇫🇷

Comar, France

Centre d'Oncologie et de Radiotherapie du Parc

🇫🇷

Dijon, France

Centre Hospitalier General

🇫🇷

Le Mans, France

Centre Guillaume Le Conquerant

🇫🇷

Le Havre, France

Medipole Gentilly Saint-Jacques

🇫🇷

Maxeville, France

Centre Hospitalier Robert Bisson

🇫🇷

Lisieux, France

C.H. Du Havre

🇫🇷

Montivilliers, France

Centre D'Oncologie De Gentilly

🇫🇷

Nancy, France

CHR D'Orleans - Hopital de la Source

🇫🇷

Orleans, France

C.H.G. De Pau

🇫🇷

Pau, France

Centre Frederic Joliot

🇫🇷

Rouen, France

Centre Rene Huguenin

🇫🇷

Saint Cloud, France

Clinique de l'Union

🇫🇷

Saint Jean, France

Centre du Rouget

🇫🇷

Sarcelles, France

Centre Hospitalier de Saint - Brieuc

🇫🇷

Saint-Brieuc, France

Centre Hospitalier Regional Metz Thionville

🇫🇷

Thionville, France

Centre Hospitalier de Valenciennes

🇫🇷

Valenciennes, France

Clinique Medico Chirurgicale Teissier Groupe

🇫🇷

Valenciennes, France

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