MILES-3: Cisplatin in Combination With Gemcitabine for Elderly Patients With Lung Cancer
- Conditions
- Non-small Cell Lung Cancer Stage IIIBNon-small Cell Lung Cancer Metastatic
- Interventions
- Registration Number
- NCT01405586
- Lead Sponsor
- National Cancer Institute, Naples
- Brief Summary
The purpose of this study is to evaluate the addition of cisplatin to first-line chemotherapy with gemcitabine in elderly patients with non small cell lung cancer in terms of overall survival.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 299
- Cytological or histological diagnosis of non small-cell lung cancer (NSCLC)
- Stage III B or Stage IV disease
- Age > or = 70 years
- ECOG Performance status 0 or 1
- Patient at first diagnosis or with recurrence after primary surgery
- At least one target or non-target lesion according to RECIST criteria
- Life expectancy of at least 3 months
- Neutrophils > 1500/mm3, platelets > 100,000/mm3, hemoglobin > 10g/dl
- Creatinine < 1.5 x the upper normal limit
- AST and ALT < 2.5 x the upper normal limits (< 5 x the upper normal limit in the presence of hepatic metastasis)
- Bilirubin < 1.5 x the upper normal limit
- Signed informed consent
- Previous chemotherapy for advanced disease
- History of malignant neoplasm within the previous 5 years (not including non-melanoma skin carcinoma and in-situ carcinoma of the uterine cervix, provided they are being adequately treated)
- Symptomatic cerebral or spinal cord metastasis
- Myocardial infarct within the last 12 months
- Systemic disease not controlled with treatment (active infection, cardiovascular, hepatic, renal or metabolic) that would not, in the opinion of the investigator, permit the patient to undergo chemotherapy.
- Known or suspected hypersensitivity to any of the drugs used in the study
- Medical or psychological condition which in the opinion of the investigator would not permit the patient to complete the study or give informed consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description gemcitabine Gemcitabine - gemcitabine + cisplatin Cisplatin - gemcitabine + cisplatin Gemcitabine -
- Primary Outcome Measures
Name Time Method overall survival one year
- Secondary Outcome Measures
Name Time Method progression free survival every 9 weeks quality of life baseline and 8, 21, 29, and 42 days after therapy initiated objective response after 9 and 18 weeks of therapy worst grade toxicity per patient at end of each 3 week cycle of chemotherapy worst toxicity per patient according to Common Toxicitity Criteria for Adverse Events v. 4.03
Trial Locations
- Locations (49)
ASL Viterbo - Ospedale Belcolle
๐ฎ๐นViterbo, Italy
Ospedale Villa Scassi
๐ฎ๐นGenova, GE, Italy
Azienda Ospedaliera Universitaria Senese
๐ฎ๐นSiena, SI, Italy
Policlinico Giaccone
๐ฎ๐นPalermo, PA, Italy
Ospedale Regina Apostolorum
๐ฎ๐นAlbano Laziale, Italy
AOU Ospedale Riuniti Umberto I
๐ฎ๐นAncona, Italy
Ospedale San Lazzaro
๐ฎ๐นAlba, Italy
ASL Latina Distretto 1 Aprilia Univ.degli Studi di Roma
๐ฎ๐นAprilia, Italy
Centro Riferimento Oncologico
๐ฎ๐นAviano, Italy
Ospedale Senatore Antonio Perrino
๐ฎ๐นBrindisi, Italy
Ospedale Cardinale Massaia
๐ฎ๐นAsti, Italy
Ospedale A. Cardarelli
๐ฎ๐นCampobasso, Italy
S. Giuseppe Moscati
๐ฎ๐นAvellino, Italy
Ospedale Ramazzini di Carpi
๐ฎ๐นCarpi, Italy
Ospedale S. Spirito
๐ฎ๐นCasale Monferrato, Italy
A.O. Garibaldi Nesima
๐ฎ๐นCatania, Italy
Ospedale Mater Domini
๐ฎ๐นCatanzaro, Italy
Ospedale della Madonna della Navicella
๐ฎ๐นChioggia, Italy
Ospedale Civile di Faenza
๐ฎ๐นFaenza, Italy
Ospedale Don Luigi Di Liegro
๐ฎ๐นGaeta, Italy
A.O.U. Arcispedale Sant'Anna di Ferrara
๐ฎ๐นFerrara, Italy
IRCCS San Martino -IST Genova
๐ฎ๐นGenova, Italy
AORN Ospedale dei Colli - Osp Monaldi
๐ฎ๐นNapoli, Italy
Ospedale F. Veneziale
๐ฎ๐นIsernia, Italy
Ospedale Civile di Legnano
๐ฎ๐นLegnano, Italy
A.O. Vito Fazzi-Lorusso
๐ฎ๐นLecce, Italy
Istituto Sceintifico Romagnolo
๐ฎ๐นMeldola, Italy
Ospedale L. Sacco Polo Universitario
๐ฎ๐นMilano, Italy
Ospedale San Paolo
๐ฎ๐นMilano, Italy
U.L.S.S. 13
๐ฎ๐นMirano, Italy
Ospedale San Gerardo
๐ฎ๐นMonza, Italy
Azienda Ospedaliera Cardarelli
๐ฎ๐นNapoli, Italy
Second University of Naples
๐ฎ๐นNapoli, Italy
Istituto Oncologico Veneto
๐ฎ๐นPadova, Italy
A.O. Universitร Federico II
๐ฎ๐นNapoli, Italy
Istituto Nazionale dei Tumori
๐ฎ๐นNapoli, Italy
Campus Biomedico Policlinio Universitario
๐ฎ๐นRoma, Italy
Ospedale Guglielmo d Saliceto-Piacenza
๐ฎ๐นPiacenza, Italy
Azienda Ospedaliera S. Carlo
๐ฎ๐นPotenza, Italy
Ospedale Andrea Tortora Pagani - Ospedale Civile Umbero I
๐ฎ๐นPagani, Italy
Casa di Cura La Maddalena
๐ฎ๐นPalermo, Italy
Ospedale Buccheri La Ferla - Fatebenefratelli
๐ฎ๐นPalermo, Italy
Fondazione Salvatore Maugeri
๐ฎ๐นPavia, Italy
Ospedale S. Maria delle Croci
๐ฎ๐นRavenna, Italy
Ospedale Umberto I
๐ฎ๐นRavenna, Italy
A.O. S. Camillo Forlanini
๐ฎ๐นRoma, Italy
Ospedale S. Giovanni Calibita Fatebenefratelli
๐ฎ๐นRoma, Italy
Ospedale S. Andrea
๐ฎ๐นVercelli, Italy
Ospedale S. Bortolo ULSS 6
๐ฎ๐นVicenza, Italy