Overview

Comparison of Two Combination Chemotherapy Regimens in Treating Patients With Extensive-Stage Small Cell Lung Cancer

Status:
Completed
Trial end date:
2012-08-01
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. Combining more than one drug may kill more tumor cells. It is not yet known which combination chemotherapy regimen is more effective in treating extensive-stage small cell lung cancer. PURPOSE: Randomized phase II trial to compare the effectiveness of two combination chemotherapy regimens in treating patients who have extensive-stage small cell lung cancer.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Eastern Cooperative Oncology Group
Collaborator:
National Cancer Institute (NCI)
Treatments:
Camptothecin
Cisplatin
Etoposide
Etoposide phosphate
Irinotecan
Lenograstim
Podophyllotoxin
Sargramostim
Topoisomerase Inhibitors
Topotecan
Criteria
INCLUSION CRITERIA:

- Extensive stage small cell lung cancer (SCLC) with measurable disease, evaluated
within 2 weeks prior to randomization

- Eastern Cooperative Oncology Group (ECOG) performance status of 0-3

- Disease-free for >=5 years if had a prior second malignancy other than treated basal
cell or squamous cell skin cancer, or carcinoma in situ of the cervix

- Adequate hematologic, hepatic and renal function determined by the following tests,
within 4 weeks prior to randomization: white blood cell (WBC) >=4000/mm3 and platelets
>=100,000/mm3; bilirubin <= upper limit of normal; serum glutamic pyruvate
transaminase (SGPT) or alanine transaminase (ALT) and serum glutamic oxaloacetic
transaminase (SGOT) or aspartate transaminase( AST) <=2.5 x upper limit of normal if
no demonstrable liver metastases or <=5 times upper limit of normal in the presence of
liver metastases; Calculated creatinine clearance >=30 using the formulas in the
protocol

- Age 18 and older

- Strongly advised to use an accepted and effective method of contraception

- Those with central nervous system (CNS) metastases were eligible if the metastases
were treated without advancing symptoms prior to the initiation of chemotherapy

- Those receiving erythropoietin could continue to receive it

EXCLUSION CRITERIA:

- Prior radiotherapy for lung cancer; Prior radiotherapy allowed only for central
nervous system (CNS) metastases

- Prior chemotherapy for this disease

- Pregnant or lactating