Surgery With or Without Preoperative Chemotherapy in Treating Patients With Resectable Non-small Cell Lung Cancer
- Conditions
- Lung Cancer
- Registration Number
- NCT00003159
- Lead Sponsor
- Medical Research Council
- Brief Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known if surgery is more effective with or without preoperative chemotherapy in treating non-small cell lung cancer.
PURPOSE: This randomized phase III trial is studying surgery and preoperative chemotherapy to see how well they work compared to surgery alone in treating patients with resectable non-small cell lung cancer.
- Detailed Description
OBJECTIVES:
Primary
* Compare the survival of patients with resectable non-small cell lung cancer treated with surgery with or without preoperative chemotherapy.
Secondary
* Compare the quality of life of patients treated with these regimens.
* Compare pre-randomization clinical and post-surgical pathological staging in patients treated with these regimens.
* Compare resectability rates in patients treated with these regimens.
* Compare time to and site of relapse in patients treated with these regimens.
* Determine response in patients treated with preoperative chemotherapy.
* Determine the adverse effects of preoperative chemotherapy in these patients.
OUTLINE: This is a randomized study. Patients are randomized to 1 of 2 treatment arms.
* Arm I: Patients undergo surgical resection no more than 4 weeks after randomization.
* Arm II: Patients receive one of the following chemotherapy regimens immediately after randomization:
* Regimen 1: Patients receive mitomycin IV, vinblastine IV, and cisplatin IV on day 1.
* Regimen 2: Patients receive mitomycin IV, ifosfamide IV over 3 hours, and cisplatin IV over 1 hour on day 1.
* Regimen 3: Patients receive cisplatin IV over 2 hours on day 1 and vinorelbine IV over 5 -10 minutes on days 1 and 8.
* Regimen 4: Patients receive paclitaxel IV and carboplatin IV on day 1.
* Regimen 5: Patients receive gemcitabine IV on days 1 and 8 and cisplatin IV over 2 hours on day 1.
* Regimen 6: Patients receive docetaxel IV and carboplatin IV on day 1. In all regimens, treatment repeats every 3 weeks for a total of 3 courses. Patients undergo surgical resection at least 4 weeks after the last course of chemotherapy.
Quality of life is assessed at 6 and 12 months and then annually thereafter.
Patients are followed 1 month after surgery, 6 months after randomization, every 3 months for 2 years, and then every 6 months thereafter.
PROJECTED ACCRUAL: A total of 600 patients (300 per treatment arm) will be accrued for this study.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 600
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Survival
- Secondary Outcome Measures
Name Time Method Time to and site of relapse Quality of life as measured by SF-36 questionnaire at baseline, 6 months, 12 months, and then annually thereafter Adverse effects of chemotherapy Extent of surgery Tumor response to chemotherapy Clinical and post-surgery pathological staging at pre-randomization Resectability rates
Trial Locations
- Locations (2)
Medical Research Council Clinical Trials Unit
🇬🇧London, England, United Kingdom
Royal Marsden NHS Foundation Trust - Surrey
🇬🇧Sutton, England, United Kingdom