Pemetrexed in Patients With Chemosensitive and Chemoresistant Relapsed Small Cell Lung Cancer

NCT ID: NCT00216216

Last Updated: 2011-05-02

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

43 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-01-31

Study Completion Date

2005-10-31

Brief Summary

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Patients with relapsed or chemotherapy-refractory SCLC have a dismal prognosis. Unfortunately, available treatments result in few durable responses. Pemetrexed is a well-tolerated agent, which is active in NSCLC. Since chemotherapy agents, which are active in NSCLC, are usually also active in SCLC, this trial will examine the efficacy and activity of pemetrexed in this palliative setting

Detailed Description

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OUTLINE: This is a multi-center study.

* Pemetrexed 500 mg/m2 i.v. q 3 wks

All patients will also receive folic acid 350-1000 mcg. po once daily beginning approximately 1 week prior to the first dose of pemetrexed and continuing until completion of pemetrexed, Vitamin B12 1000 mcg. IM every 9 weeks beginning approximately 1 week prior to the first dose of pemetrexed and continuing until completion of pemetrexed, and dexamethasone 4 mg po bid the day before, the day of, and the day following each treatment with pemetrexed

Chest x-ray will be performed prior to each cycle (if other disease assessment by imaging is not performed) in order to ensure patients are not rapidly progressing.

Cycles are repeated every 3 weeks for up to 6 cycles or PD or intolerable side effects.

Performance Status: ECOG 0, 1, or 2

Life Expectancy: Not specified

Hematopoietic:

* WBC \> 3000/mm3
* ANC \> 1500/mm3
* Platelet count \> 100,000/mm3
* Hemoglobin \> 8 g/dL

Hepatic:

* Bilirubin \< 1.0 X upper limit of normal
* Aspartate aminotransferase (AST, SGOT) \< 2.5 x upper limit of normal. AST may be \< 5 x upper limit of normal for patients with liver metastasis

Renal:

* Creatinine clearance of \> 45 ml/ min (by Cockcroft-Gault)

Cardiovascular:

* No unstable or uncompensated cardiovascular conditions

Pulmonary:

* No unstable or uncompensated respiratory conditions

Conditions

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Small Cell Lung Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Pemetrexed for patients with chemosensitive and chemoresistant relapsed small cell lung cancer.

Group Type ACTIVE_COMPARATOR

Pemetrexed

Intervention Type DRUG

Pemetrexed 500 mg/m2 IV q 3 weeks

Interventions

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Pemetrexed

Pemetrexed 500 mg/m2 IV q 3 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histological or cytological proof of neuroendocrine cancers (including small cell cancers of any site \[including lung\] or poorly differentiated neuroendocrine cancers of the lung with (unidimensionally) measurable disease as per the RECIST criteria
* Chemoresistant or chemosensitive disease
* Patients must have received treatment with at least one but not more than 2 prior chemotherapy regimens, including one regimen containing a platinum agent
* Radiation therapy must have completed their radiation at least 14 days prior to being registered for protocol therapy, and toxicities due to radiation must have recovered to \< grade 1 or baseline prior to registration
* Negative pregnancy test

Exclusion Criteria

* No clinically significant infections as judged by the treating investigator
* No symptomatic CNS metastasis
* No radiation to \> 25% of the marrow containing spaces
* No previous treatment with pemetrexed
* No uncontrolled pleural effusions
* No current breastfeeding
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

Walther Cancer Institute

OTHER

Sponsor Role collaborator

Hoosier Cancer Research Network

OTHER

Sponsor Role lead

Responsible Party

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Hoosier Oncology Group

Principal Investigators

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Nasser Hanna, M.D.

Role: STUDY_CHAIR

Hoosier Oncology Group, LLC

Locations

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Helen F. Graham Cancer Center

Newark, Delaware, United States

Site Status

Medical & Surgical Specialists, LLC

Galesburg, Illinois, United States

Site Status

Elkhart Clinic

Elkhart, Indiana, United States

Site Status

Oncology Hematology Associates of SW Indiana

Evansville, Indiana, United States

Site Status

Fort Wayne Oncology & Hematology, Inc

Fort Wayne, Indiana, United States

Site Status

Center for Cancer Care at Goshen Health System

Goshen, Indiana, United States

Site Status

Indiana University Cancer Center

Indianapolis, Indiana, United States

Site Status

Community Regional Cancer Center

Indianapolis, Indiana, United States

Site Status

Arnett Cancer Care

Lafayette, Indiana, United States

Site Status

Medical Consultants, P.C.

Muncie, Indiana, United States

Site Status

Center for Cancer Care, Inc., P.C.

New Albany, Indiana, United States

Site Status

Northern Indiana Cancer Research Consortium

South Bend, Indiana, United States

Site Status

Northern Indiana Oncology Associates

South Bend, Indiana, United States

Site Status

AP&S Clinic

Terre Haute, Indiana, United States

Site Status

Siteman Cancer Center

St Louis, Missouri, United States

Site Status

Methodist Cancer Center

Omaha, Nebraska, United States

Site Status

Countries

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United States

References

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Jalal S, Ansari R, Govindan R, Bhatia S, Bruetman D, Fisher W, Masters G, White A, Stover D, Yu M, Hanna N; Hoosier Oncology Group. Pemetrexed in second line and beyond small cell lung cancer: a Hoosier Oncology Group phase II study. J Thorac Oncol. 2009 Jan;4(1):93-6. doi: 10.1097/JTO.0b013e31818de1e6.

Reference Type RESULT
PMID: 19096313 (View on PubMed)

Related Links

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http://hoosieroncologygroup.org

Hoosier Oncology Group Home Page

Other Identifiers

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HOG LUN04-78

Identifier Type: -

Identifier Source: org_study_id

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