Chemotherapy Plus Radiation Therapy in Treating Patients With Limited-Stage Small Cell Lung Cancer
Topotecan/Paclitaxel Induction Followed by Consolidation Chemoradiotherapy for Limited Stage Small Cell Lung Cancer: A Phase II Study
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining more than one drug and giving them before and with radiation therapy may be an effective treatment for limited-stage small cell lung cancer.
PURPOSE: Phase II trial to study the effectiveness of chemotherapy plus radiation therapy in treating patients who have limited-stage small cell lung cancer.
연구 개요
상세 설명
OBJECTIVES: I. Determine the complete response rate to 2 courses of paclitaxel and topotecan followed by consolidation chemoradiotherapy in patients with limited stage small cell lung cancer. II. Determine the toxic effects of this regimen in this patient population. III. Describe the pattern of relapse, documenting carefully the location of relapse with respect to the original disease volume and the radiation treatment field in these patients. IV. Determine the overall and failure free survival of these patients.
OUTLINE: Patients receive topotecan IV on days 1-5 and paclitaxel IV over 3 hours on day 1. Filgrastim (G-CSF) is administered subcutaneously every day starting on day 6 until blood counts recover. The course is repeated once beginning on day 22. After restaging, patients begin thoracic radiotherapy daily, five days per week, for 6-7 weeks. On the same day that radiotherapy begins, patients receive carboplatin IV over 1 hour (day 43) and etoposide IV over 1 hour daily for 3 days (days 43-45). The consolidation chemotherapy is repeated every 21 days for a total of 3 courses. Patients with stable or responding disease undergo prophylactic cranial irradiation. Patients are followed at least every 3 months for 2 years, every 6 months for 3 years, and then at least every year.
PROJECTED ACCRUAL: A total of 70 patients will be accrued for this study within 15-18 months.
연구 유형
등록 (실제)
단계
- 2 단계
연락처 및 위치
연구 장소
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Alabama
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Birmingham, Alabama, 미국, 35233
- Veterans Affairs Medical Center - Birmingham
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California
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La Jolla, California, 미국, 92093-0658
- University of California San Diego Cancer Center
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San Francisco, California, 미국, 94121
- Veterans Affairs Medical Center - San Francisco
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San Francisco, California, 미국, 94115-0128
- UCSF Cancer Center and Cancer Research Institute
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Delaware
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Wilmington, Delaware, 미국, 19899
- CCOP - Christiana Care Health Services
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District of Columbia
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Washington, District of Columbia, 미국, 20307-5000
- Walter Reed Army Medical Center
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Washington, District of Columbia, 미국, 20007
- Vincent T. Lombardi Cancer Research Center, Georgetown University
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Florida
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Miami Beach, Florida, 미국, 33140
- CCOP - Mount Sinai Medical Center
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Illinois
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Chicago, Illinois, 미국, 60612
- Veterans Affairs Medical Center - Chicago (Westside Hospital)
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Chicago, Illinois, 미국, 60637
- University of Chicago Cancer Research Center
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Chicago, Illinois, 미국, 60612
- University of Illinois at Chicago Health Sciences Center
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Iowa
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Iowa City, Iowa, 미국, 52242
- University of Iowa Hospitals and Clinics
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Maine
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Togus, Maine, 미국, 04330
- Veterans Affairs Medical Center - Togus
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Maryland
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Baltimore, Maryland, 미국, 21201
- Marlene & Stewart Greenebaum Cancer Center, University of Maryland
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Massachusetts
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Boston, Massachusetts, 미국, 02115
- Dana-Farber Cancer Institute
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Worcester, Massachusetts, 미국, 01655
- University of Massachusetts Memorial Medical Center
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Minnesota
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Minneapolis, Minnesota, 미국, 55417
- Veterans Affairs Medical Center - Minneapolis
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Missouri
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Columbia, Missouri, 미국, 65201
- Veterans Affairs Medical Center - Columbia (Truman Memorial)
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Columbia, Missouri, 미국, 65203
- Ellis Fischel Cancer Center - Columbia
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Saint Louis, Missouri, 미국, 63110
- Barnes-Jewish Hospital
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Saint Louis, Missouri, 미국, 63131
- Missouri Baptist Cancer Center
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Nebraska
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Omaha, Nebraska, 미국, 68198-3330
- University of Nebraska Medical Center
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Nevada
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Las Vegas, Nevada, 미국, 89106
- CCOP - Southern Nevada Cancer Research Foundation
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New Hampshire
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Lebanon, New Hampshire, 미국, 03756
- Norris Cotton Cancer Center
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New York
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Buffalo, New York, 미국, 14263-0001
- Roswell Park Cancer Institute
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Buffalo, New York, 미국, 14215
- Veterans Affairs Medical Center - Buffalo
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Manhasset, New York, 미국, 11030
- CCOP - North Shore University Hospital
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Manhasset, New York, 미국, 11030
- North Shore University Hospital
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New York, New York, 미국, 10021
- Memorial Sloan-Kettering Cancer Center
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New York, New York, 미국, 10021
- New York Presbyterian Hospital - Cornell Campus
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New York, New York, 미국, 10029
- Mount Sinai Medical Center, NY
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Syracuse, New York, 미국, 13210
- State University of New York - Upstate Medical University
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Syracuse, New York, 미국, 13210
- Veterans Affairs Medical Center - Syracuse
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Syracuse, New York, 미국, 13210
- CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
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North Carolina
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Chapel Hill, North Carolina, 미국, 27599-7295
- Lineberger Comprehensive Cancer Center, UNC
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Durham, North Carolina, 미국, 27705
- Veterans Affairs Medical Center - Durham
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Durham, North Carolina, 미국, 27710
- Duke Comprehensive Cancer Center
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Winston-Salem, North Carolina, 미국, 27104-4241
- CCOP - Southeast Cancer Control Consortium
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Winston-Salem, North Carolina, 미국, 27157-1082
- Comprehensive Cancer Center of Wake Forest University Baptist Medical Center
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Ohio
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Columbus, Ohio, 미국, 43210
- Arthur G. James Cancer Hospital - Ohio State University
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Rhode Island
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Providence, Rhode Island, 미국, 02903
- Rhode Island Hospital
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South Carolina
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Charleston, South Carolina, 미국, 29425-0721
- Medical University of South Carolina
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Tennessee
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Memphis, Tennessee, 미국, 38104
- Veterans Affairs Medical Center - Memphis
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Memphis, Tennessee, 미국, 38163
- University of Tennessee, Memphis Cancer Center
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Vermont
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Burlington, Vermont, 미국, 05401-3498
- Vermont Cancer Center
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White River Junction, Vermont, 미국, 05009
- Veterans Affairs Medical Center - White River Junction
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Virginia
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Richmond, Virginia, 미국, 23298-0037
- MBCCOP - Massey Cancer Center
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Richmond, Virginia, 미국, 23249
- Veterans Affairs Medical Center - Richmond
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed limited stage small cell lung cancer Includes disease restricted to one hemithorax with regional lymph node metastases, including hilar, ipsilateral and contralateral mediastinal lymph nodes Clinically suspected or confirmed supraclavicular lymph node metastases and pleural effusions that are visible on plain chest radiographs, whether cytologically positive or not, are not eligible Unidimensionally or bidimensionally measurable disease
PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: Not specified Hematopoietic: Granulocyte count at least 1,500/mm3 Platelet count at least 100,000/mm3 Hepatic: Bilirubin less than 1.5 mg/dL SGOT less than 2 times upper limit of normal (ULN) Renal: Creatinine no greater than ULN Other: Not pregnant or nursing Fertile patients must use effective contraception No concurrent active second malignancy except nonmelanoma skin cancer (i.e., completed therapy and considered to be at less than 30% risk of relapse)
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior chemotherapy for small cell lung cancer No other concurrent chemotherapy Endocrine therapy: No concurrent steroids except for adrenal failure No concurrent hormones except for nondisease related conditions (e.g., insulin for diabetes) No concurrent dexamethasone except for intermittent use as an antiemetic or as an adjunct to prophylactic cranial irradiation Radiotherapy: No prior mediastinal radiotherapy Surgery: Not specified
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: chemotherapy + radiation therapy
Patients receive topotecan IV on days 1-5 and paclitaxel IV over 3 hours on day 1.
Filgrastim (G-CSF) is administered subcutaneously every day starting on day 6 until blood counts recover.
The course is repeated once beginning on day 22.
After restaging, patients begin thoracic radiotherapy daily, five days per week, for 6-7 weeks.
On the same day that radiotherapy begins, patients receive carboplatin IV over 1 hour (day 43) and etoposide IV over 1 hour daily for 3 days (days 43-45).
The consolidation chemotherapy is repeated every 21 days for a total of 3 courses.
Patients with stable or responding disease undergo prophylactic cranial irradiation.
Patients are followed at least every 3 months for 2 years, every 6 months for 3 years, and then at least every year.
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
|---|---|
|
응답률
기간: 최대 5년
|
최대 5년
|
|
전반적인 생존
기간: 최대 5년
|
최대 5년
|
공동 작업자 및 조사자
수사관
- 연구 의자: Alan P. Lyss, MD, Missouri Baptist Cancer Center
간행물 및 유용한 링크
일반 간행물
- Bogart JA, Herndon JE 2nd, Lyss AP, Watson D, Miller AA, Lee ME, Turrisi AT, Green MR; Cancer and Leukemia Group B study 39808. 70 Gy thoracic radiotherapy is feasible concurrent with chemotherapy for limited-stage small-cell lung cancer: analysis of Cancer and Leukemia Group B study 39808. Int J Radiat Oncol Biol Phys. 2004 Jun 1;59(2):460-8. doi: 10.1016/j.ijrobp.2003.10.021.
- Cicchetti MG, Bogart J, Lyss A, et al.: Spinal cord dose in limited stage small cell lung cancer: a preliminary Quality Assurance Review Committee (QARC) report on CALGB 39808, using target thoracic radiotherapy (TRT) doses of 60 - 70 Gy. [Abstract] Int J Radiat Oncol Biol Phys 51(3 suppl 1): A-656, 356, 2001.
- Lyss AP, Herndon JE, Bogart JE, et al.: Topotecan (Topo) + paclitaxel (Tax) + G-CSF (G) induction followed by concurrent chemoradiotherapy (CCRT) for patients (pts) with limited stage small cell lung cancer (L-SCLC): preliminary analysis of CALGB 39808. [Abstract] Proceedings of the American Society of Clinical Oncology 20: A-1270, 2001.
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
추가 관련 MeSH 약관
기타 연구 ID 번호
- CALGB-39808
- U10CA031946 (미국 NIH 보조금/계약)
- CLB-39808
- CDR0000066958 (레지스트리 식별자: NCI Physician Data Query)
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