Status:

COMPLETED

A Phase II Study of Doxorubicin, Cyclophosphamide and Vindesine With Valproic Acid in Patients With Refractory or Relapsing Small Cell Lung Cancer After Platinum Derivatives and Etoposide

Lead Sponsor:

European Lung Cancer Working Party

Conditions:

Small Cell Lung Carcinoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The primary aim of this study is to determine if the addition of valproic acid to a combination of adriamycin, cyclophosphamide and vindesine could increase progression-free survival in patients relap...

Eligibility Criteria

Inclusion

  • Histological or cytological diagnosis of small-cell lung cancer (SCLC)
  • SCLC refractory to prior chemotherapy regimen including platinum derivatives (cisplatin or carboplatin) and etoposide, either primary refractory (immediate progression or recurrence less than 3 months after the end of previous chemotherapy) or secondary refractory (sensitive patients to platinum plus etoposide in first-line, progressing or recurring less than 3 months after reintroduction of the same chemotherapy).
  • At least one evaluable or measurable lesion
  • Availability for participating in the detailed follow-up of the protocol
  • Signed informed consent.

Exclusion

  • Patient who were previously treated with anthracyclin or vinca-alcaloid derivatives or cyclophosphamide
  • Performance status \< 60 on the Karnofsky scale
  • A history of prior malignant tumour, except non-melanoma skin cancer or in situ carcinoma of the cervix or of the bladder or cured malignant tumour (more than 5-year disease free interval)
  • A history of prior HIV infection
  • Polynuclear cells \< 2,000/mm³
  • Platelet cells \< 100,000/mm³
  • Abnormal coagulation tests (aPTT, PTT, prothrombin time) and/or decreased fibrinogen
  • Serum bilirubin \>1.5 mg/100 ml
  • Transaminases more than twice the normal range
  • Serum creatinine \> 1.5 mg/100 ml
  • Recent myocardial infarction (less than 3 months prior to date of diagnosis)
  • Congestive cardiac failure (ejection fraction of the left ventricle \< 50%) or uncontrolled cardiac arrhythmia
  • Uncontrolled infectious disease
  • Active epilepsy needing a specific treatment
  • Concomitant treatment with IMAO, carbamazepine, mefloquine, phenobarbital, primidone, phenytoïn, lamotrigine, zidovudine
  • Pregnancy or refusal to use active contraception
  • A known allergy to valproic acid and/or doxorubicin, cyclophosphamide, vindesine
  • Serious medical or psychological factors which may prevent adherence to the treatment schedule.

Key Trial Info

Start Date :

September 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2014

Estimated Enrollment :

64 Patients enrolled

Trial Details

Trial ID

NCT00759824

Start Date

September 1 2008

End Date

June 1 2014

Last Update

February 12 2015

Active Locations (5)

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Page 1 of 2 (5 locations)

1

Department of Intensive Care Unit and Thoracic Oncology Institut Jules Bordet

Brussels, Belgium, 1000

2

Department of Pneumology CHU Charleroi

Charleroi, Belgium, 6000

3

Department of Pneumology Hôpital Saint-Joseph

Gilly, Belgium, 6060

4

Hôpital Ambroise Paré

Mons, Belgium, 7000