Overview

Carboplatin and Paclitaxel With or Without ISIS 3521 in Treating Patients With Non-Small Cell Lung Cancer

Status:
Completed
Trial end date:
1969-12-31
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. ISIS 3521 may help kill more cancer cells by making tumor cells more sensitive to chemotherapy. It is not yet known if carboplatin and paclitaxel are more effective with or without ISIS 3521. PURPOSE: Randomized phase III trial to compare the effectiveness of carboplatin and paclitaxel with or without ISIS 3521 in treating patients who have stage IIIB or stage IV non-small cell lung cancer.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Ionis Pharmaceuticals, Inc.
Treatments:
Albumin-Bound Paclitaxel
Carboplatin
Paclitaxel
Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed non-small cell lung
cancer (NSCLC) Stage IV OR Stage IIIB with malignant pleural or pericardial effusion At
least 1 unidimensionally measurable lesion At least 10 mm by spiral CT scan OR At least 20
mm by standard techniques OR Evaluable, non-measurable disease (e.g., ascites, bone
metastases, or malignant pleural or pericardial effusion) No CNS metastases other than
lesions locally treated with surgery or radiosurgery, provided there was no evidence of CNS
progression for at least 4 weeks after completion of treatment No prior or concurrent brain
or other CNS metastases not amenable to local therapy (e.g., multiple brain lesions or
meningeal involvement) Not a candidate for surgical treatment of NSCLC

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-1 Life expectancy: Not
specified Hematopoietic: Absolute neutrophil count at least 1,500/mm3 Platelet count at
least 100,000/mm3 Hemoglobin at least 10.0 g/dL No underlying disease associated with
active bleeding Hepatic: Bilirubin no greater than 1.5 mg/dL AST less than 3 times upper
limit of normal (ULN) (5 times ULN in the presence of liver metastases) Renal: Creatinine
no greater than 1.5 mg/dL Other: No active infection requiring therapy No other malignancy
within the past 5 years except carcinoma in situ of the cervix or nonmelanoma skin cancer
Not pregnant or nursing Negative pregnancy test Fertile patients must use effective
contraception

PRIOR CONCURRENT THERAPY: Biologic therapy: No prior approved or experimental biologic
therapy for NSCLC Chemotherapy: No prior approved or experimental chemotherapy for NSCLC
Endocrine therapy: Not specified Radiotherapy: See Disease Characteristics At least 2 weeks
since prior radiotherapy and recovered No prior radiotherapy to indicator lesion(s) unless
an increase in lesion size occurred after completion of radiotherapy Concurrent localized
palliative therapy allowed if pre-approved by sponsor Surgery: See Disease Characteristics
Other: At least 30 days since prior participation in other investigational study No other
concurrent therapy for NSCLC No other concurrent experimental drugs or anticancer therapy
during active treatment of study