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临床试验/NCT01194453
NCT01194453已完成2 期

A Phase 2,Open-label Study of First Line Pemetrexed Plus Cisplatin Versus Gemcitabine Plus Cisplatin for Advanced and Metastatic Non Small Cell Lung Cancer and Biomarker Study

Sun Yat-sen University1 个研究点 分布在 1 个国家目标入组 288 人开始时间: 2009年11月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
288
试验地点
1
主要终点
Progression Free Survival (PFS)

研究概览

简要总结

A phase III trial has demonstrated that in advanced non-small cell lung cancer (NSCLC) cisplatin/ pemetrexed provides similar efficacy with better tolerability and more convenient administration than cisplatin/gemcitabine. Moreover,this trial showed survival differences based on histologic type. The investigators want to research some biomarkers that can predict clinical outcomes.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Chemotherapy-naive patients with histologically or cytologically confirmed adenocarcinoma and large-cell carcinoma, classified as stage IIIB not amenable to curative treatment or stage IV
  • With at least one unidimensionally measurable lesion according to the Response Evaluation Criteria in Solid Tumors;
  • with an Eastern CooperativeOncology Group performance status of 0 or 1,
  • At least 18 years of age
  • adequate bone marrow reserve and organ function including calculated creatinine clearance 45 mL/min based on the standard Cockcroft and Gault formula.
  • Prior radiation therapy was permitted if it was completed at least 4 weeks before study treatment
  • patients had fully recovered from its acute effects.

排除标准

  • peripheral neuropathy > National Cancer Institute Common Toxicity Criteria grade 1
  • progressive brain metastases,
  • uncontrolled third-space fluid retention before study entry.
  • Patients unable to interrupt aspirin and other nonsteroidal anti-inflammatory drugs or if they were unable or unwilling to take folic acid, vitamin B12, or corticosteroids.

研究组 & 干预措施

Group A

Experimental

干预措施: cisplatin, dexamethasone,vitamin B12, folic acid (Drug)

Group B

Active Comparator

干预措施: cisplatin, gemcitabine (Drug)

结局指标

主要结局

Progression Free Survival (PFS)

时间窗: 36months

次要结局

  • Response Rate(6 weeks)

研究者

发起方
Sun Yat-sen University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Li Zhang

Professor

Sun Yat-sen University

研究点 (1)

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