Weekly Paclitaxel Plus Gemcitabine as Second-line in Small Cell Lung Cancer
2010年7月9日 更新者：National Cancer Center, Korea
A Phase II Study of Weekly Paclitaxel and Gemcitabine as Second-line Therapy in Patients With Metastatic or Recurrence Small Cell Lung Cancer
As a single agent, paclitaxel has a response rate of 33% and 25-29% in SCLC patients with sensitive relapse and with resistant relapse, respectively.
As a single agent, gemcitabine also has a response rate 16% and 6-13% in SCLC patients with sensitive relapse and with resistant relapse, respectively.
Because of single-agent activity, different mechanism of action, non-overlapping toxicities, and beneficial pharmacologic interaction, paclitaxel and gemcitabine combinations are attractive for testing in clinical trials.
研究概览
详细说明
The treatment consists of paclitaxel 80 mg/m2 and gemcitabine 1,000 mg/m2 given intravenously on days 1 and 8 of a 21-day cycle.
Patients receive treatment every 3 weeks till disease progression
研究类型
介入性
注册 (实际的)
35
阶段
- 阶段2
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Gyeonggi-do
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Goyang-si、Gyeonggi-do、大韩民国、411-769
- National Cancer Center, Korea
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Histologically or cytologically confirmed SCLC
- Clinically diagnosed metastatic or recurrent SCLC according to Sixth Edition of the AJCC Cancer Staging Manual
- At least 18 years old
- ECOG performance status 0-2
- Disease status must be that of measurable disease defined as RECIST:Lesions that can be accurately measured in at least one dimension > 10 mm with chest x-ray, spiral CT scan or physical examination
- Progression during or after prior first line chemotherapy or chemoradiotherapy.
- Before study entry, a minimum of 21 days must have elapsed since any prior chemotherapy or radiation
- No prior radiotherapy to measurable lesion(s) but previous surgery and/or chest radiotherapy for the primary lesion is allowed
- Adequate major organ function including the following:Hematologic function: WBC ≥ 3,500/mm3 or absolute neutrophil count (ANC) ≥ 1,500/mm3, platelet count ≥ 100,000/mm3Hepatic function: bilirubin ≤ 1.5 x UNL , AST/ALT levels ≤ 2.5 x UNLRenal function: serum creatinine ≤ 1.5mg/dL
- Patients should sign an informed consent
- If female: childbearing potential either terminated by surgery, radiation, or menopause, or attenuated by use of an approved contraceptive method (intrauterine device [IUD], birth control pills, or barrier device) during and for 3 months after trial. If male, use of an approved contraceptive method during the study and 3 months afterwards. Females with childbearing potential must have a urine negative hCG test within 7 days prior to the study registration.
Exclusion Criteria:
- MI within preceding 6 months or symptomatic heart disease including unstable angina, congestive heart failure, or uncontrolled arrhythmia
- Serious concurrent infection or nonmalignant illness that is uncontrolled or whose control may be jeopardized by complication of study therapy
- Other malignancy with the past 5 years except adequately treated cutaneous basal cell carcinoma or uterine cervix in situ cancer
- Pregnant or nursing women
- Psychiatric disorder that would preclude compliance.
- Major surgery other than biopsy within the past two weeks.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：非随机化
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：研究组
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Paclitaxel 80mg/m2 iv on day 1 and 8, every 3 weeks until disease progression
Gemcitabine 1000mg/m2 iv on day 1 and 8, every 3 weeks until disease progression
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研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
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To evaluate the response rate of paclitaxel plus gemcitabine
大体时间：the ratio between the number of responders and number of patients assessable for tumor response
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the ratio between the number of responders and number of patients assessable for tumor response
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次要结果测量
结果测量 |
大体时间 |
|---|---|
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获取毒性
大体时间：治疗的第一天到最后一次研究药物给药后 30 天
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治疗的第一天到最后一次研究药物给药后 30 天
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To estimate the time to progression
大体时间：the first day of treatment to the date that disease progression is reported
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the first day of treatment to the date that disease progression is reported
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To examine the association between genotypes of paclitaxel biotransformation and the pharmacokinetics /
大体时间：before the first treatment date, each response evaluation until disease progression
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before the first treatment date, each response evaluation until disease progression
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To estimate the overall survival
大体时间：the first day of treatment to death date
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the first day of treatment to death date
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Heung Tae Kim, M.D.、National Cancer Center, Korea
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2005年12月1日
初级完成 (实际的)
2009年12月1日
研究完成 (实际的)
2010年3月1日
研究注册日期
首次提交
2007年3月27日
首先提交符合 QC 标准的
2007年3月27日
首次发布 (估计)
2007年3月28日
研究记录更新
最后更新发布 (估计)
2010年7月12日
上次提交的符合 QC 标准的更新
2010年7月9日
最后验证
2010年7月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
Paclitaxel的临床试验
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Fujian Cancer HospitalJiangsu Hengrui Pharmaceutical Co., Ltd.; SunWay Biotech Co., LTD.尚未招聘肝转移 | 恶性黑色素瘤