Status:

TERMINATED

Cisplatin/Irinotecan With Concurrent Radiation for Inoperable NSCLC

Lead Sponsor:

Leo W. Jenkins Cancer Center

Conditions:

Lung Neoplasms, Non-Small Cell Lung Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This is a prospective, single institution phase II study, whose primary objective is to estimate the median and three year survival rate of non-small lung cancer patients with Stage IIIA and IIIB intr...

Detailed Description

Patients with histological documented non-small cell lung cancer, that are considered to be inoperable, meet all the eligibility criteria, and sign informed consent will be treated with one cycle of i...

Eligibility Criteria

Inclusion

  • Histological or cytological documented NSCLC, including squamous cell carcinoma, adenocarcinoma, large cell carcinoma including large cell neuroendocrine carcinoma adenosquamous and sarcomatoid carcinomas.
  • Patients with Pancoast tumors adjacent to a vertebral body are eligible as long as all gross disease can be encompassed in the radiation boost field. Pancoast tumor patients will be so-noted in the registry.
  • Patients must be ≥ 18 years of age.
  • Patients with Zubrod (ECOG) performance status ≤ 2.
  • Adequate hematologic function defined as: ANC ≥ 1000/mm3, platelets ≥ 75,000/mm3, and hemoglobin ≥ 8 g/dL (prior to transfusions); adequate hepatic function defined as: total bilirubin ≤ 3.0 mg/dl, and adequate renal function defined as a serum creatinine level ≤ 2.0 mg/dl.
  • Patients with weight loss ≤ 20% over the past 3 months.
  • Patients with a pleural effusion that is proven cytologically negative or is too small to tap.
  • Women of childbearing potential must agree to practice effective contraception throughout the study and for four weeks after completion of treatment.
  • Pretreatment evaluations required for eligibility include:
  • A medical history, physical examination, and assessment of Zubrod performance status within 4 weeks prior to study entry.
  • CBC with differential and platelet count, and laboratory profile must be completed within 4 weeks prior to study entry.
  • CT scan of the chest or whole body PET (preferred), and a CT scan or MRI (preferred) of the brain within 4 weeks prior to study entry.
  • For women of childbearing potential, a serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) must be performed within a week prior to the start of protocol treatment.
  • Medical Oncology and Radiation Oncology consultation and approval.
  • Patients must sign a study-specific consent form prior to study entry.

Exclusion

  • Small cell carcinomas or carcinoid histology.
  • History of any malignancy in the past 2 years except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other in situ cancers.
  • Prior systemic chemotherapy or radiotherapy that would interfere with delivery of treatment as outlined above as judged by the clinician.
  • Cytologically malignant effusions.
  • Radiographic evidence of metastatic disease.
  • Active pulmonary infection not responsive to antimicrobial therapy.
  • History of significant or symptomatic interstitial pneumonitis.
  • Significant symptomatic cardiac disease, for example, unstable angina, uncompensated congestive heart failure, or uncontrolled cardiac ventricular arrhythmias.
  • Patients with \> grade 2 neuropathy.
  • Women who are pregnant or breast feeding, as treatment involves unforeseeable risks to the participant, embryo, fetus, or nursing infant; women with a positive pregnancy test on enrollment or prior to study drug administration.
  • Women of childbearing potential who are unwilling to practice effective contraception throughout the study and for four weeks after completion of treatment.
  • Patients who currently are participating in other clinical trials and/or who have participated in other clinical trials in the previous 30 days.

Key Trial Info

Start Date :

October 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 27 2017

Estimated Enrollment :

4 Patients enrolled

Trial Details

Trial ID

NCT02275806

Start Date

October 1 2014

End Date

September 27 2017

Last Update

August 21 2019

Active Locations (1)

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Leo W Jenkins Cancer Center

Greenville, North Carolina, United States, 27834