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Docetaxel in Treating Patients With Non-Small Cell Lung Cancer
Docetaxel In Second-Line Treatment Of Advanced Non-Small-Cell Lung Cancer - The Distal Study
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 which chemotherapy regimen is more effective in treating non-small cell lung cancer.
PURPOSE: Randomized phase III trial to compare two different docetaxel regimens in treating patients who have stage IIIB or stage IV non-small cell lung cancer.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
OBJECTIVES:
- Compare the quality of life of patients with stage IIIB or IV non-small cell lung cancer treated with 2 different schedules of docetaxel as second-line therapy.
- Compare the toxicity of these regimens in these patients.
- Compare the response rate, time to progression, and survival of these patients treated with these regimens.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to center, ECOG performance status (0 vs 1 vs 2), response to prior chemotherapy (partial or complete response vs stable disease vs progressive disease), and prior cisplatin-containing chemotherapy regimen (yes vs no). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive docetaxel IV on day 1. Treatment continues every 3 weeks for a maximum of 6 courses.
- Arm II: Patients receive docetaxel IV weekly for 6 weeks. Treatment continues every 8 weeks for a maximum of 2 courses.
Quality of life is assessed at baseline and days 22 and 43-56 for arm I, and at baseline and days 22 and 43 for arm II.
PROJECTED ACCRUAL: A total of 200 patients will be accrued for this study.
Studietype
Inschrijving (Verwacht)
Fase
- Fase 3
Contacten en locaties
Studie Locaties
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Bari, Italië, 70126
- Istituto Di Ricovero E Cura A Carattere Scientifico
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Benevento, Italië, 82100
- Azienda Ospedaliena G. Rummo
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Campobasso, Italië
- Ospedale Cardarelli - Campobasso
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Cosenza, Italië, 87100
- Ospedale Civile Cosenza
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Milan, Italië, 20157
- Ospedale Luigi Sacco
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Milan, Italië, 20153
- Ospedale San Giuseppe
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Milano, Italië, 20142
- Ospedale San Paolo
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Naples, Italië, 80131
- Federico II University Medical School
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Naples, Italië, 80131
- Istituto Nazionale per lo Studio e la Cura dei Tumori
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Naples, Italië, 80131
- Ospedale Vincenzo Monaldi
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Naples, Italië, 80133
- Seconda Universita di Napoli
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Noale, Italië
- Ospedale Civile P.F. Calvi
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Palermo, Italië
- Ospedale La Maddalena - Palermo
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Palermo, Italië, 90127
- Azienda Ospedaliera Policlinico Paolo Giaccone
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Potenza, Italië, 85100
- Ospedale San Carlo
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Salerno, Italië
- Ospedale da Procida
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
DISEASE CHARACTERISTICS:
Histologically or cytologically confirmed stage IIIB or IV non-small cell lung cancer (NSCLC)
- Metastatic supraclavicular lymphadenopathy or malignant pleural effusion
- Progressive disease
- Must have received prior chemotherapy
- No symptomatic brain metastases
PATIENT CHARACTERISTICS:
Age:
- 18 to 75
Performance status:
- ECOG 0-2
Life expectancy:
- Not specified
Hematopoietic:
- Absolute neutrophil count at least 2,000/mm^3
- Platelet count at least 100,000/mm^3
- Hemoglobin at least 10 g/dL
Hepatic:
- Bilirubin no greater than 1.25 times upper limit of normal (ULN) AST and ALT no greater than 1.25 times ULN
Renal:
- Creatinine no greater than 1.25 times ULN
Cardiovascular:
- No prior or concurrent cardiovascular disease that would preclude study
Pulmonary:
- See Disease Characteristics
- No prior or concurrent pulmonary disease that would preclude study
Other:
- No prior or other concurrent illness or medical condition that would preclude study
- No other prior malignancy except adequately treated carcinoma in situ of the cervix or nonmelanomatous skin cancer
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- See Disease Characteristics
- No prior docetaxel
- At least 3 weeks since other prior chemotherapy
Endocrine therapy:
- Not specified
Radiotherapy:
- Prior radiotherapy allowed
- No concurrent radiotherapy
Surgery:
- Prior radical surgery for NSCLC allowed
- Concurrent palliative surgery allowed
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
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Toxiciteit
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Tijd voor progressie
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Responspercentage
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Kwaliteit van het leven
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Overleving
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Medewerkers en onderzoekers
Onderzoekers
- Studie stoel: Cesare Gridelli, MD, Istituto Nazionale per lo Studio e la Cura dei Tumori
Publicaties en nuttige links
Algemene publicaties
- Di Maio M, Perrone F, Chiodini P, Gallo C, Camps C, Schuette W, Quoix E, Tsai CM, Gridelli C. Individual patient data meta-analysis of docetaxel administered once every 3 weeks compared with once every week second-line treatment of advanced non-small-cell lung cancer. J Clin Oncol. 2007 Apr 10;25(11):1377-82. doi: 10.1200/JCO.2006.09.8251.
- Gridelli C, Gallo C, Di Maio M, Barletta E, Illiano A, Maione P, Salvagni S, Piantedosi FV, Palazzolo G, Caffo O, Ceribelli A, Falcone A, Mazzanti P, Brancaccio L, Capuano MA, Isa L, Barbera S, Perrone F. A randomised clinical trial of two docetaxel regimens (weekly vs 3 week) in the second-line treatment of non-small-cell lung cancer. The DISTAL 01 study. Br J Cancer. 2004 Dec 13;91(12):1996-2004. doi: 10.1038/sj.bjc.6602241.
Studie record data
Bestudeer belangrijke data
Studie start
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Ziekten van de luchtwegen
- Neoplasmata
- Longziekten
- Neoplasmata per site
- Neoplasmata van de luchtwegen
- Thoracale neoplasmata
- Carcinoom, bronchogeen
- Bronchiale neoplasmata
- Longneoplasmata
- Carcinoom, niet-kleincellige long
- Moleculaire mechanismen van farmacologische werking
- Antineoplastische middelen
- Tubuline-modulatoren
- Antimitotische middelen
- Mitose modulatoren
- Docetaxel
Andere studie-ID-nummers
- CDR0000068702
- ITA-INTN-DISTAL
- EU-20103
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