Cisplatin Plus Vinorelbine With or Without Tirapazamine in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer

NCT ID: NCT00017459

Last Updated: 2013-08-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2000-07-31

Study Completion Date

2004-02-29

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known if cisplatin and vinorelbine are more effective with or without tirapazamine in treating non-small cell lung cancer

PURPOSE: Randomized phase III trial to compare the effectiveness of cisplatin plus vinorelbine with or without tirapazamine in treating patients who have stage IIIB or stage IV non-small cell lung cancer.

Detailed Description

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OBJECTIVES: I. Compare the overall survival duration of patients with stage IIIB or IV non-small cell lung cancer treated with vinorelbine and cisplatin with or without tirapazamine. II. Compare the complete and partial response rates, time to disease progression, and time to treatment failure in these patients treated with these regimens. III. Compare the clinical benefit of these regimens, in terms of performance status and body weight, in these patients. IV. Compare the toxicity and safety of these regimens in these patients. V. Compare the quality of life of patients treated with these regimens.

OUTLINE: This is a randomized, multicenter study. Patients are randomized to 1 of 2 treatment arms. Arm I: Patients receive tirapazamine IV over 2 hours followed by cisplatin IV over 1 hour on day 1. Patients also receive vinorelbine IV over 6-10 minutes on days 1, 8, 15, and 22. Arm II: Patients receive cisplatin and vinorelbine as in arm I. Treatment repeats every 28 days for a total of 6 courses in the absence of disease progression or unacceptable toxicity. Quality of life is assessed at baseline, during each course of treatment, at 30 days after the last course of treatment, and then every 8 weeks for 2-3 years. Patients are followed every 8 weeks for 2-3 years.

PROJECTED ACCRUAL: Approximately 800 patients will be accrued for this study.

Conditions

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Lung Cancer

Keywords

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recurrent non-small cell lung cancer stage IIIB non-small cell lung cancer stage IV non-small cell lung cancer

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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cisplatin

Intervention Type DRUG

tirapazamine

Intervention Type DRUG

vinorelbine tartrate

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS: Histologically or cytologically confirmed non-small cell lung cancer (NSCLC) Stage IIIB or IV Newly diagnosed or recurrent disease Measurable lesions At least 10 mm by spiral CT scan OR At least 20 mm by conventional techniques Previously irradiated lesions are considered measurable provided they progressed or appeared after completion of radiotherapy The following are considered nonmeasurable: Pleural or pericardial effusions Cystic lesions Lymphangitis pulmonis Bony x-ray abnormalities Abnormal scans with nonmeasurable filling defects No symptomatic brain metastasis or CNS involvement by CT scan or MRI

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 70-100% Life expectancy: Not specified Hematopoietic: Absolute neutrophil count at least 1,500/mm3 Platelet count at least 100,000/mm3 Hepatic: Bilirubin no greater than 2 times upper limit of normal (ULN) SGOT no greater than 2 times ULN Renal: Creatinine normal Other: No other malignancy within the past 5 years except adequately treated carcinoma in situ of the cervix or basal cell carcinoma that is not likely to recur No history of allergic reactions to diuretics or antiemetics (e.g., 5-HT3 antagonists) used on this study Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study

PRIOR CONCURRENT THERAPY: Biologic therapy: No prior immunotherapy or biologic therapy for NSCLC Chemotherapy: No prior chemotherapy for NSCLC No prior platinum-based chemotherapy Endocrine therapy: Not specified Radiotherapy: See Disease Characteristics No prior radiotherapy to potential indicator lesion(s) At least 4 weeks since prior radiotherapy and recovered Surgery: Recovered from prior surgical procedure(s) Other: At least 30 days since prior investigational drug
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Principal Investigators

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Elwyn Y. Loh, MD

Role: STUDY_CHAIR

Sanofi

Locations

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Tower Hematology Oncology Medical Group

Los Angeles, California, United States

Site Status

Medical Oncology Internal Medicine

Los Angeles, California, United States

Site Status

Bay Area Tumor Institute

Oakland, California, United States

Site Status

Medical Oncology Care Associates

Orange, California, United States

Site Status

UCSF Cancer Center and Cancer Research Institute

San Francisco, California, United States

Site Status

John Wayne Cancer Institute

Santa Monica, California, United States

Site Status

Los Angeles County Harbor-UCLA Medical Center

Torrance, California, United States

Site Status

Medical Oncology-Hematology Consultants, P.A.

Wilmington, Delaware, United States

Site Status

Washington Cancer Institute

Washington D.C., District of Columbia, United States

Site Status

Veterans Affairs Medical Center - Washington, DC

Washington D.C., District of Columbia, United States

Site Status

University of Florida Health Science Center - Jacksonville

Jacksonville, Florida, United States

Site Status

Watson Clinic

Lakeland, Florida, United States

Site Status

Ocala Research Institute, Inc

Ocala, Florida, United States

Site Status

Ocala Oncology Center

Ocala, Florida, United States

Site Status

Saint Alphonsus Regional Medical Center

Boise, Idaho, United States

Site Status

Dreyer Medical Clinic

Aurora, Illinois, United States

Site Status

University of Chicago Cancer Research Center

Chicago, Illinois, United States

Site Status

Northwest Oncology and Hematology, S.C.

Elk Grove Village, Illinois, United States

Site Status

Rockford Clinic

Rockford, Illinois, United States

Site Status

Cancer Care Center

New Albany, Indiana, United States

Site Status

CCOP - Northern Indiana CR Consortium

South Bend, Indiana, United States

Site Status

Hematology-Oncology Clinic

Baton Rouge, Louisiana, United States

Site Status

University of Minnesota Cancer Center

Minneapolis, Minnesota, United States

Site Status

Capitol Comprehensive Cancer Care Clinic

Jefferson City, Missouri, United States

Site Status

Veterans Affairs Medical Center - Kansas City

Kansas City, Missouri, United States

Site Status

St. John's Mercy Medical Center

St Louis, Missouri, United States

Site Status

Western Montana Clinic

Missoula, Montana, United States

Site Status

Veterans Affairs Medical Center - East Orange

East Orange, New Jersey, United States

Site Status

Brookdale University Hospital and Medical Center

Brooklyn, New York, United States

Site Status

Interlakes Oncology/Hematology PC

Rochester, New York, United States

Site Status

New York Medical College

Valhalla, New York, United States

Site Status

Akron General Medical Center

Akron, Ohio, United States

Site Status

Cleveland Clinic Taussig Cancer Center

Cleveland, Ohio, United States

Site Status

North Penn Hospital

Lansdale, Pennsylvania, United States

Site Status

Fox Chase - Temple Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Lone Star Oncology

Austin, Texas, United States

Site Status

Center for Oncology Research and Treatment, Medical City Hospital

Dallas, Texas, United States

Site Status

Southwest Cancer Center at University Medical Center

Lubbock, Texas, United States

Site Status

Baptist Health System Cancer Program

San Antonio, Texas, United States

Site Status

Cancer Therapy Research Center

San Antonio, Texas, United States

Site Status

Veterans Affairs Medical Center - Temple

Temple, Texas, United States

Site Status

Arlington-Fairfax Hematology/Oncology, PC

Arlington, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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CDR0000068690

Identifier Type: REGISTRY

Identifier Source: secondary_id

SANOFI-EFC3675

Identifier Type: -

Identifier Source: org_study_id