Status:

COMPLETED

Phase I/II Trial of Infusional Gemcitabine in Combination With Carboplatin in Chemonaive Non-small Cell Carcinoma

Lead Sponsor:

National University Hospital, Singapore

Collaborating Sponsors:

Eli Lilly and Company

Conditions:

Non Small Cell Lung Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Hypothesis - Infusional gemcitabine may give better intracellular pharmacologic activation and be more effective clinically in non-small cell lung cancer

Detailed Description

Objectives of study: 1. to compare the response rate of carboplatin and constant rate infusion gemcitabine to the response rate of gemcitabine given in the standard 30-minute infusion 2. to compare t...

Eligibility Criteria

Inclusion

  • • Histologically or cytologically confirmed NSCLC.
  • Stage IIIB unsuitable for radical radiation (eg. with cytologically proven malignant effusion) or stage IV disease as defined by the AJCC criteria (see appendix 1).
  • Karnofsky performance status 70% or higher (see appendix 2).
  • Presence of at least one bidimensionally or unidimensionally measurable, non-CNS, indicator lesion defined by radiologic study or physical examination.
  • No previous chemotherapy for advanced disease. Prior neoadjuvant or adjuvant chemotherapy, or chemotherapy given concurrently with radiotherapy for non-metastatic disease, is allowed if the last dose was given 6 months or more before study entry.
  • Patients with recurrent disease after primary surgery and/or radiotherapy will be eligible.
  • For patients with previous radiotherapy, the indicator lesion(s) must not be within previous radiation field. The last dose of radiotherapy should be at least 3 weeks prior to study entry. The total radiotherapy received should not be more than 30% of the bone marrow.
  • Screening laboratory criteria:
  • WBC count \> 3500/microl Neutrophils \> 2000/microl Platelet count \> 100,000/microl Hemoglobin \> 9 g/dl (transfusion allowed)
  • Serum creatinine \< 133 micromol/l, or Creatinine clearance \> 30 ml/min, based on the Cockcroft formula (see section 5.1.1)
  • Bilirubin \< 1.5 x upper limit of normal ALT/AST \< 2 x upper limit of normal if liver metastases are absent \< 5 x upper limit of normal if liver metastases are present
  • Aged 18 years and above.
  • Life expectancy \> 3 months.
  • Written informed consent.

Exclusion

  • • Patients with only evaluable disease.
  • Active uncontrolled infection.
  • Pregnant or lactating women.
  • Females of childbearing potential who are unwilling to avoid pregnancy, for the duration of the study.
  • Presence of any underlying medical conditions which in the investigators opinion would make the patient unsuitable for treatment.
  • Concomitant malignancies or previous malignancies other than NSCLC within the last 5 years, with the exception of adequately treated basal or squamous cell carcinoma of the skin, carcinoma-in-situ of the cervix, or stage A low grade prostate cancer.
  • Patients with CNS and/or leptomeningeal metastases; unless asymptomatic and not receiving corticosteriod therapy.

Key Trial Info

Start Date :

July 1 2000

Trial Type :

INTERVENTIONAL

End Date :

February 1 2004

Estimated Enrollment :

74 Patients enrolled

Trial Details

Trial ID

NCT00212043

Start Date

July 1 2000

End Date

February 1 2004

Last Update

October 8 2009

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