Phase II Trial of Dose-dense Paclitaxel and Cisplatin as Neo-adjuvant Chemotherapy for Operable Stage II and IIA NSCLC
Phase II Trial of Dose-dense Paclitaxel and Cisplatin as Neo-adjuvant Chemotherapy for Operable Stage II and IIA Non-Small Cell Lung Cancer
調査の概要
詳細な説明
This is an open-label, single-arm Phase II study of dose-dense regimen with paclitaxel and cisplatin supported by pegfilgrastim as neo-adjuvant chemotherapy in patients with operable stage II, IIA NSCLC.
Paclitaxel will be administered via intravenous infusion over approximately 3 hours at dose of 175mg/m2 on Day 1 of each 14-day cycle. Cisplatin 75mg/m2 will be given via intravenous infusion on day 1 (after paclitaxel) according to institutional guidelines.
Pegfilgrastim (Neulasta) fixed dose of 6mg (0.6mL of a 10mg/mL solution) as a single subcutaneous injection on Day 2 of each study cycle.
All drugs will be given in 2-weekly cycle. Three cycles of pre-operative chemotherapy are planned.
研究の種類
入学 (実際)
段階
- フェーズ2
連絡先と場所
研究場所
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Vienna、オーストリア、1090
- AKH, Universitätsklinik für Innere Medizin 1
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Mosdos、ハンガリー
- Somogy Country Pulmo and Cardio Hospital,
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Szombathely、ハンガリー
- Markusovszky Hospital
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Warszawa、ポーランド、02-781
- M. Sklodowska-Curie Memorial Dep. Of Lung and Thoracic Tumours,
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Warszawa、ポーランド
- Klinika Chirurgii Instytutu Gruzlicy i Chorob Pluc
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- histologic or cytologic diagnosis of NSCLC
- Presence of clinical Stage IIA,IIB or IIA disease
- tumor amenable to curative surgical resection
- Patients with clinically measurable lesions will be enrolled in this study.
- No prior tumor therapy
- Performance status of 0-1 on ECOG Scale
- Patients compliance and geographic proximity that allow adequate follow-up.
- Medical fitness of patient, including respiratory function, adequate for radical NSCLC surgery.
Exclusion Criteria:
- Presence of clinical Stage IIIA disease, according to the revision by Mountain CF of American Joint Committee on Cancer.
- Treatment within the last 30 days with any investigational drug.
- Cocurrent administration of any other tumor therapy, including radiotherapy, cytotoxic chemotherapy, immunotherapy, molecular target therapy.
- Active infection that in the opinion of the investigator would compromise the patient's ability to tolerate therapy.
- pregnancy/breast feeding
- Serious concomitant disorders that would compromise the safety of the patient or compromise the patients ability to complete the study, at the discretion of the investigator.
- poorly controlled diabetes mellitus
- Second primary malignancy that is clinically detectable at the time of consideration for study enrollment.
- History of significant neurological or mental disorder, including seizures or dementia.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:非ランダム化
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
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the evaluation of the clinical response rate of neo-adjuvant chemotherapy with dose-dense therapy of paclitaxel and cisplatin(PC) with peg-filgrastim in patients with operable NSCLC
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二次結果の測定
結果測定 |
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- 全生存
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>To evaluate the safety of neo-adjuvant chemotherapy with PC
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- to characterize the toxicity of PC, include febrile neutropenia.
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- to evaluate peri- and post-operative mortality
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> to determine the pathological complete response rate
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> to determine the complete tumor resection rate
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> to evaluate proportion of cycle 2 and all cycles chemotherapy given with planned dose-on-time and proportion of patients receiving planned dose-on-time in cycle 2 and over all cycles.
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> To evaluate the following time-to-event efficacy variables:
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- disease free survival
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> to evaluate Quality of life (EORTC QLQ-C30 and QLQ-LC13)
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協力者と研究者
捜査官
- 主任研究者:Maciej Krzakowski, MD、M.Sklodowska-Curie Memorial, Dep of Lung and Thoracic Tumours, Warsaw
研究記録日
主要日程の研究
研究開始
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。