Status:

COMPLETED

Specialized Radiation Therapy and Chemotherapy in Treating Patients With Stage III Non-Small Cell Lung Cancer That Cannot Be Removed by Surgery

Lead Sponsor:

Alliance for Clinical Trials in Oncology

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Lung Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

This phase I trial studies the side effects and the best dose of hypofractionated radiation therapy when given together with chemotherapy in treating patients with stage III non-small cell lung cancer...

Detailed Description

PRIMARY OBJECTIVES: I. To determine the maximum-tolerable radiotherapy (RT) dose fraction for accelerated hypofractionated radiotherapy with concurrent chemotherapy. SECONDARY OBJECTIVES: I. To eva...

Eligibility Criteria

Inclusion

  • Histologically or cytologically documented non-small cell lung cancer
  • Stage IIIA or IIIB non-small cell lung cancer (NSCLC) per American Joint Committee on Cancer (AJCC) version 7; patients who present with N2 or N3 disease and an undetectable primary tumor are also eligible
  • Thoracic disease without supraclavicular or contralateral hilar involvement
  • When pleural fluid is visible on both computed tomography (CT) scan and on a chest x-ray, a pleuracentesis is required to confirm that the pleural fluid is cytologically negative; exudative pleural effusions are excluded regardless of cytology; patients with effusions that are minimal (i.e., not visible on chest x-ray) and too small to safely tap are eligible
  • No prior radiotherapy or chemotherapy for NSCLC
  • No prior mediastinal or thoracic radiotherapy
  • Patients with complete surgical resection of disease are not eligible, however; patients with surgical resection and measurable gross residual disease present on imaging are considered eligible
  • Patients must have measurable disease
  • Lesions that can be accurately measured in at least one dimension (longest diameter to be recorded) as \>= 2 cm with conventional techniques or as \>= 1 cm with spiral CT scan
  • Patients with non-measurable disease are not eligible; all other lesions, including small lesions (longest diameter \< 20 mm with conventional techniques or \< 10 mm with spiral CT scan) and truly nonmeasurable lesions; lesions that are considered non-measurable include the following:
  • Bone lesions
  • Leptomeningeal disease
  • Ascites
  • Pleural/pericardial effusion
  • Inflammatory breast disease
  • Lymphangitis cutis/pulmonis
  • Abdominal masses that are not confirmed and followed by imaging techniques
  • Cystic lesions
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • No patients that are known to be pregnant or nursing
  • Granulocytes ≥ 1,500/μl Platelet count ≥ 100,000/μl Bilirubin ≤ 1.5 times upper limit of normal (ULN) Aspartate aminotransferase (AST) (serum glutamic oxalo-acetic transaminase \[SGOT\]) ≤ 2.0 times ULN Serum creatinine ≤ 1.5 times ULN OR calculated creatinine clearance \>= 70 mL/min FEV-1 ≥ 1.2 L/sec or 50% predicted

Exclusion

    Key Trial Info

    Start Date :

    March 1 2012

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    January 16 2018

    Estimated Enrollment :

    22 Patients enrolled

    Trial Details

    Trial ID

    NCT01486602

    Start Date

    March 1 2012

    End Date

    January 16 2018

    Last Update

    January 19 2018

    Active Locations (11)

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    Page 1 of 3 (11 locations)

    1

    Mayo Clinic Hospital

    Phoenix, Arizona, United States, 85054

    2

    Mayo Clinic Scottsdale

    Scottsdale, Arizona, United States, 85259

    3

    Moores University of California San Diego Cancer Center

    La Jolla, California, United States, 92093-0987

    4

    University of Chicago

    Chicago, Illinois, United States, 60637