Comparison of Two Combination Chemotherapy Regimens in Treating Patients With Extensive-Stage Small Cell Lung Cancer

Part of paid clinical trials in Lewes, Delaware.

Sponsor
Eastern Cooperative Oncology Group
Study ID
NCT00057837
Phase
PHASE2
Status
Completed

Conditions

  • Extensive Stage Small Cell Lung Cancer

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • G-CSF — BIOLOGICAL
    G-CSF will be administered subcutaneously at a dose of 5 mcg/kg once a day starting on day 11 until WBC recovery \> 10,000 dL.
  • Cisplatin — DRUG
    Arm PET: 20 mg/m2 IV on days 8, 9 and 10 of each cycle following Etoposide. Arm PIE: 20 mg/m2 IV on days 1 and 8 of each cycle following Irinotecan.
  • Etoposide — DRUG
    Arm PET: 70 mg/m2 IV over 60 minutes on days 8, 9 and 10 of each cycle. Arm PIE: 85 mg/m2 orally (divided into 2 doses, 12 hours apart) on day 3 and 10 of each cycle.
  • Irinotecan — DRUG
    50 mg/m2 IV over 90 minutes on days 1 and 8 of each cycle (Arm PIE only).
  • Topotecan — DRUG
    Topotecan 0.75 mg/m2 IV over 30 minutes on days 1,2 and 3 of each cycle (Arm PET only).

Study Details

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known which combination chemotherapy regimen is more effective in treating extensive-stage small cell lung cancer. PURPOSE: Randomized phase II trial to compare the effectiveness of two combination chemotherapy regimens in treating patients who have extensive-stage small cell lung cancer.

Key Dates

Start date
Jul 14, 2004
Status verified
Jun 2023
Primary completion
Jan 31, 2012
Completion
Aug 31, 2012

Study Design

Enrollment
140 participants (actual)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: PET (Topotecan/Etoposide/Cisplatin/G-CSF)
    Patients receive topotecan intravenously (IV) over 30 minutes on days 1-3; etoposide IV over 60 minutes immediately followed by cisplatin IV over 60 minutes on days 8-10; and filgrastim (G-CSF) subcutaneously daily beginning on day 11 and continuing until blood counts recover.
  • Experimental: PIE (Irinotecan/Cisplatin/Etoposide)
    Patients receive irinotecan IV over 90 minutes and cisplatin IV over 60 minutes on days 1 and 8 and oral etoposide twice daily on days 3 and 10 of each cycle.

Primary Outcome Measure

Proportion of Patients With Objective Response by Solid Tumor Response Criteria (RECIST) [ Time Frame: Assessed every 6 weeks while on treatment, and then every 3 months for patients < 2 years from study entry, every 6 months if patient is 2-3 years from study entry. ]

Locations (79)

FacilityCityStateZIPSite coordinators
Tunnell Cancer Center at Beebe Medical CenterLewesDelaware19958-
CCOP - Christiana Care Health ServicesNewarkDelaware19713-
Baptist Cancer Institute - JacksonvilleJacksonvilleFlorida32207-
University of Miami Sylvester Comprehensive Cancer Center - MiamiMiamiFlorida33136-
Medical Center of Central GeorgiaMaconGeorgia31208-
Rush-Copley Cancer Care CenterAuroraIllinois60504-
Joliet Oncology-Hematology Associates, Limited - WestJolietIllinois60435-
Hematology & Oncology CareMolineIllinois61265-
Trinity Cancer Center at Trinity Medical Center - 7th Street CampusMolineIllinois61265-
Saint James Hospital and Health Centers Comprehensive Cancer Institute - Olympia FieldsOlympia FieldsIllinois60461-
Swedish-American Regional Cancer CenterRockfordIllinois61104-2315-
Carle Cancer Center at Carle Foundation HospitalUrbanaIllinois61801-
CCOP - Carle Cancer CenterUrbanaIllinois61801-
Elkhart General HospitalElkhartIndiana46515-
Howard Community HospitalKokomoIndiana46904-
Center for Cancer Therapy at LaPorte Hospital and Health ServicesLa PorteIndiana46350-
Clarian Arnett Cancer CareLafayetteIndiana47904-
Saint Anthony Memorial Health CentersMichigan CityIndiana46360-
CCOP - Northern Indiana CR ConsortiumSouth BendIndiana46601-
Memorial Hospital of South BendSouth BendIndiana46601-
Saint Joseph Regional Medical CenterSouth BendIndiana46617-
-BettendorfIowa52722-
Mercy Medical Center - Sioux CitySioux CityIowa51104-
Siouxland Hematology-Oncology Associates, LLPSioux CityIowa51101-
St. Luke's Regional Medical CenterSioux CityIowa51104-
Cancer Center of Kansas, PA - ChanuteChanuteKansas66720-
Cancer Center of Kansas, PA - Dodge CityDodge CityKansas67801-
Cancer Center of Kansas, PA - El DoradoEl DoradoKansas67042-
Cancer Center of Kansas, PA - KingmanKingmanKansas67068-
Southwest Medical CenterLiberalKansas67901-
Cancer Center of Kansas, PA - NewtonNewtonKansas67114-
Cancer Center of Kansas, PA - ParsonsParsonsKansas67357-
Cancer Center of Kansas, PA - PrattPrattKansas67124-
Cancer Center of Kansas, PA - SalinaSalinaKansas67042-
Cancer Center of Kansas, PA - WellingtonWellingtonKansas67152-
Associates in Womens Health, PA - North ReviewWichitaKansas67203-
Cancer Center of Kansas, PA - Medical Arts TowerWichitaKansas67208-
Cancer Center of Kansas, PA - WichitaWichitaKansas67214-
CCOP - WichitaWichitaKansas67214-
Via Christi Cancer Center at Via Christi Regional Medical CenterWichitaKansas67214-
Cancer Center of Kansas, PA - WinfieldWinfieldKansas67156-
Sidney Kimmel Comprehensive Cancer Center at Johns HopkinsBaltimoreMaryland21231-2410-
Union Hospital Cancer Program at Union HospitalElktonMaryland21921-
Frederick Memorial Hospital Regional Cancer Therapy CenterFrederickMaryland21701-
Borgess Medical CenterKalamazooMichigan49001-
Bronson Methodist HospitalKalamazooMichigan49007-
West Michigan Cancer CenterKalamazooMichigan49007-3731-
Lakeland Regional Cancer Care Center - St. JosephSaint JosephMichigan49085-
Hunterdon Regional Cancer Center at Hunterdon Medical CenterFlemingtonNew Jersey08822-
CCOP - Northern New JerseyHackensackNew Jersey07601-
Cancer Institute of New Jersey at HamiltonHamiltonNew Jersey08690-
Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital MarltonMarltonNew Jersey08053-
Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical SchoolNew BrunswickNew Jersey08903-
Cancer Institute of New Jersey at Cooper - VoorheesVoorhees TownshipNew Jersey08043-
Fox Chase Virtua Health Cancer Program at Virtua West JerseyVoorhees TownshipNew Jersey08043-
Our Lady of Mercy Medical Center Comprehensive Cancer CenterThe BronxNew York10466-
Summa Center for Cancer Care at Akron City HospitalAkronOhio44309-2090-
Case Comprehensive Cancer CenterClevelandOhio44106-5065-
St. Rita's Medical CenterLimaOhio45801-
Bryn Mawr HospitalBryn MawrPennsylvania19010-
Dale and Frances Hughes Cancer Center at Pocono Medical CenterEast StroudsburgPennsylvania18301-
Central Pennsylvania Hematology and Medical Oncology Associates, PCLemoynePennsylvania17043-
Cancer Center of Paoli Memorial HospitalPaoliPennsylvania19301-1792-
Kimmel Cancer Center at Thomas Jefferson University - PhiladelphiaPhiladelphiaPennsylvania19107-5541-
McGlinn Family Regional Cancer Center at Reading Hospital and Medical CenterReadingPennsylvania19612-6052-
Hematology and Oncology Associates of Northeastern PennsylvaniaScrantonPennsylvania18510-
Mercy Hospital Cancer Center - ScrantonScrantonPennsylvania18501-
Associates in Hematology-Oncology, PC at Crozer Regional Cancer CenterUplandPennsylvania19013-
Chester County HospitalWest ChesterPennsylvania19380-
CCOP - MainLine HealthWynnewoodPennsylvania19096-
Lankenau Cancer Center at Lankenau HospitalWynnewoodPennsylvania19096-
Avera Cancer InstituteSioux FallsSouth Dakota57105-
Medical X-Ray Center, PCSioux FallsSouth Dakota57105-
Sanford Cancer Center at Sanford USD Medical CenterSioux FallsSouth Dakota57117-5039-
Regional Cancer Center at Sacred Heart HospitalEau ClaireWisconsin54701-
Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical CenterLa CrosseWisconsin54601-
Marshfield Clinic - Marshfield CenterMarshfieldWisconsin54449-
Marshfield Clinic - Indianhead CenterRice LakeWisconsin54868-
Marshfield Clinic - Weston CenterWestonWisconsin54476-

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