MedPath

Three Modalities of Treatment in Operable and Resectable Stage IIIA (T1-3, N2) Non-Small Cell Lung Cancer (NSCLC)

Phase 2
Completed
Conditions
Non-small Cell Lung Cancer
Interventions
Drug: Cisplatin-Gemzar
Drug: Cisplatin-Navelbine-Radiotherapy
Drug: Carboplatin-Taxol-Radiotherapy
Registration Number
NCT00198367
Lead Sponsor
Hospices Civils de Lyon
Brief Summary

Stage IIIA non-small cell lung cancers comprising a mediastinal ganglionic invasion N2 account for 20 to 30% of the NSCLCs. They are almost always potentially resectable, but the results obtained by surgery alone or surgery followed by chemotherapy (CT) and/or radiotherapy (RT) are insufficient. The neoadjuvant approach was tested, in randomized tests of exclusive CT, or in noncomparative tests of RT-CT.

Detailed Description

These results justify the choice of the study design currently suggested, testing the preoperative feasibility

1. chemotherapy: cisplatin-Gemzar (arm A) or

2. chemoradiotherapy: cisplatin-navelbine-radiotherapy (arm B) or Carboplatin-Taxol-radiotherapy (arm C).

The results obtained, in terms of feasibility and toxicity, will make it possible to select the optimal diagrams for a phase III study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Operable and resectable stage IIIA (T1-3, N2) NSCLC
  • World Health Organization (WHO) performance status of 1 or less
Exclusion Criteria
  • Severe cardiac, respiratory, renal or hepatic failure

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cisplatin-GemzarCisplatin-GemzarCisplatin-Gemzar
Cisplatin-Navelbine-RadiotherapyCisplatin-Navelbine-RadiotherapyCisplatin-Navelbine-Radiotherapy
Carboplatin-Taxol-RadiotherapyCarboplatin-Taxol-RadiotherapyCarboplatin-Taxol-Radiotherapy
Primary Outcome Measures
NameTimeMethod
percentage of patients alive and operated on without grade 4 toxicity (except for hematological and N/V toxicities)at week 22
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Centre Hospitalier Lyon-Sud - Radiotherapie/Oncologie

🇫🇷

Pierre-Benite, France

© Copyright 2025. All Rights Reserved by MedPath