Status:

COMPLETED

Irinotecan and Gemcitabine in Treating Patients With Recurrent or Progressive Stage III or Stage IV Non-Small Cell Lung Cancer

Lead Sponsor:

Roswell Park Cancer Institute

Conditions:

Lung Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as irinotecan and gemcitabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Irin...

Detailed Description

OBJECTIVES: Primary * Determine the objective response rate (complete and partial response) in patients with recurrent or progressive stage IIIA-IV non-small cell lung cancer treated with irinotecan...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically or cytologically confirmed non-small cell lung cancer (NSCLC), meeting 1 of the following stage criteria:
  • Stage IIIA or IIIB disease
  • Progressive disease
  • Stage IV disease
  • Failed 1 prior platinum-based chemotherapy regimen, including adjuvant therapy
  • Measurable or evaluable disease, as defined by 1 of the following criteria:
  • At least 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques OR \> 10 mm by spiral CT scan
  • Lesions apparent on CT scan that do not meet the criterion for measurability
  • Brain metastases allowed provided patient has received definitive therapy for metastases, is asymptomatic, and has extra-CNS metastases
  • PATIENT CHARACTERISTICS:
  • Age
  • 18 and over
  • Performance status
  • ECOG 0-1
  • Life expectancy
  • More than 12 weeks
  • Hematopoietic
  • WBC ≥ 3,000/mm\^3
  • Absolute neutrophil count ≥ 1,500/mm\^3
  • Platelet count ≥ 100,000/mm\^3
  • Hepatic
  • AST and ALT ≤ 1.5 times normal
  • Alkaline phosphatase \< 1.5 times normal
  • Bilirubin ≤ 1.3 mg/dL
  • Renal
  • Creatinine ≤ 1.6 mg/dL OR
  • Creatinine clearance ≥ 50 mL/min
  • Cardiovascular
  • No unstable angina
  • No congestive heart failure
  • No myocardial infarction within the past 3 months
  • No life-threatening ventricular arrhythmia requiring maintenance therapy
  • Other
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective barrier contraception during and for 3 months after completion of study treatment
  • No uncontrolled seizure disorder
  • No uncontrolled diabetes mellitus
  • No active infection requiring systemic therapy
  • No other malignancy within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix
  • No other unstable or serious condition
  • PRIOR CONCURRENT THERAPY:
  • Biologic therapy
  • Not specified
  • Chemotherapy
  • See Disease Characteristics
  • At least 3 weeks since prior chemotherapy
  • Prior irinotecan allowed
  • No prior gemcitabine
  • No more than 1 prior chemotherapy regimen for NSCLC, excluding gefitinib
  • No other concurrent chemotherapy
  • Endocrine therapy
  • Not specified
  • Radiotherapy
  • At least 4 weeks since prior radiotherapy
  • No concurrent radiotherapy
  • Surgery
  • Not specified
  • Other
  • More than 1 month since prior participation in another clinical trial using an investigational agent
  • No other concurrent investigational agents

Exclusion

    Key Trial Info

    Start Date :

    September 1 2004

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    July 1 2008

    Estimated Enrollment :

    38 Patients enrolled

    Trial Details

    Trial ID

    NCT00182806

    Start Date

    September 1 2004

    End Date

    July 1 2008

    Last Update

    March 6 2012

    Active Locations (1)

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    Roswell Park Cancer Institute

    Buffalo, New York, United States, 14263-0001