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Paclitaxel, Carboplatin, and Dimethylxanthenone Acetic Acid in Treating Patients With Extensive-Stage Small Cell Lung Cancer

Phase 2
Completed
Conditions
Lung Cancer
Interventions
Registration Number
NCT01057342
Lead Sponsor
Swiss Group for Clinical Cancer Research
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as paclitaxel and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Dimethylxanthenone acetic acid may stop the growth of small cell lung cancer by blocking blood flow to the tumor. Giving paclitaxel and carboplatin together with dimethylxanthenone acetic acid may kill more tumor cells.

PURPOSE: This phase II trial is studying the side effects of giving paclitaxel and carboplatin together with dimethylxanthenone acetic acid and to see how well they work in treating patients with extensive-stage small cell lung cancer.

Detailed Description

OBJECTIVES:

Primary

* To assess the 24-week (6 months) progression-free survival of patients with extensive stage small cell lung cancer treated with paclitaxel, carboplatin, and dimethylxanthenone acetic acid.

Secondary

* To assess efficacy and safety of this regimen in these patients.

* To evaluate predictive molecular markers for gene expression analyses, serum proteomics, and pharmacogenomics. (exploratory)

OUTLINE: This is a multicenter study.

Patients receive paclitaxel IV over 3 hours, carboplatin IV over 30 minutes, and dimethylxanthenone acetic acid IV over 20 minutes on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.

Blood and tissue samples may be collected periodically for predictive molecular markers for gene expression analysis, plasma proteomics, and pharmacogenomics.

After completion of study treatment, patients are followed every 6 months.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
17
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Paclitaxel, Carboplatin, ASA404paclitaxel-
Paclitaxel, Carboplatin, ASA404carboplatin-
Paclitaxel, Carboplatin, ASA404vadimezan-
Primary Outcome Measures
NameTimeMethod
Progression-free survival rateat 24 weeks (6 months)

The status of progression free survival at 24 weeks (+/- 2 weeks) from trial registration will be assessed. A PFS event is defined as (whichever occurs first):

* Relapse or progression assessed according to the RECIST 1.1 criteria (Appendix 1)

* Death of any cause.

Secondary Outcome Measures
NameTimeMethod
Adverse events by NCI CTCAE v3.0until 30 days after trial therapy end
Best objective response OR complete or partial response according to RECIST 1.1whilst receiving the trial therapy
Time to progressionDefined as the time from registration until documented Small-cell Lung Cancer (SCLC) progression or death as a result of SCLC.
Overall survivalTime from registration until death as a result of any cause.
One-year survival rateat 1 year

Patients alive one year after trial registration

Trial Locations

Locations (12)

Inselspital Bern

🇨🇭

Bern, Switzerland

Spitalzentrum Biel

🇨🇭

Biel, Switzerland

Saint Claraspital AG

🇨🇭

Basel, Switzerland

Universitaetsspital-Basel

🇨🇭

Basel, Switzerland

Istituto Oncologico della Svizzera Italiana - Ospedale San Giovanni

🇨🇭

Bellinzona, Switzerland

Centre Hospitalier Universitaire Vaudois

🇨🇭

Lausanne, Switzerland

Kantonsspital Olten

🇨🇭

Olten, Switzerland

Onkologie Schaffhausen

🇨🇭

Schaffhausen, Switzerland

Regionalspital

🇨🇭

Thun, Switzerland

Kantonsspital - St. Gallen

🇨🇭

St. Gallen, Switzerland

Kantonsspital Winterthur

🇨🇭

Winterthur, Switzerland

Klinik Hirslanden

🇨🇭

Zurich, Switzerland

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