Combination Paclitaxel, Carboplatin and Temozolomide

NCT ID: NCT00249964

Last Updated: 2016-01-20

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

PHASE1

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-11-30

Study Completion Date

2011-03-31

Brief Summary

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The purpose of this study is to determine the maximum tolerable dose of temozolomide in combination with fixed dose of paclitaxel and carboplatin and to determine the overall tumor response rate with this combination and to determine the duration of response.

Detailed Description

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The objective of the research study is to test a combination of drugs to treat small cell lung cancer which has spread beyond the lungs (extensive cancer) or come back after earlier treatment (recurrent cancer).

Conditions

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Lung Diseases Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Combination Treatment

Paclitaxel at 175 mg/m2 + Carboplatin at area under the curve (AUC) 5 on day 1. Then, Temozolomide at the doses described under "Interventions" from day 2 to day 6 (a total of 5 days).

Cycle length is 21 days.

Group Type EXPERIMENTAL

Combination Treatment - Cohort 1

Intervention Type DRUG

Paclitaxel at 175 mg/m2 intravenously + Carboplatin at AUC 5 intravenously on day 1.

Temozolomide at 75 mg/m2 per day from day 2 to day 6.

Combination Treatment - Cohort 2

Intervention Type DRUG

Paclitaxel at 175 mg/m2 intravenously + Carboplatin at AUC 5 intravenously on day 1.

Temozolomide at 100 mg/m2 per day from day 2 to day 6.

Combination Treatment - Cohort 3

Intervention Type DRUG

Paclitaxel at 175 mg/m2 intravenously + Carboplatin at AUC 5 intravenously on day 1.

Temozolomide at 125 mg/m2 per day from day 2 to day 6.

Combination Treatment - Cohort 4

Intervention Type DRUG

Paclitaxel at 175 mg/m2 intravenously + Carboplatin at AUC 5 intravenously on day 1.

Temozolomide at 150 mg/m2 per day from day 2 to day 6.

Interventions

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Combination Treatment - Cohort 1

Paclitaxel at 175 mg/m2 intravenously + Carboplatin at AUC 5 intravenously on day 1.

Temozolomide at 75 mg/m2 per day from day 2 to day 6.

Intervention Type DRUG

Combination Treatment - Cohort 2

Paclitaxel at 175 mg/m2 intravenously + Carboplatin at AUC 5 intravenously on day 1.

Temozolomide at 100 mg/m2 per day from day 2 to day 6.

Intervention Type DRUG

Combination Treatment - Cohort 3

Paclitaxel at 175 mg/m2 intravenously + Carboplatin at AUC 5 intravenously on day 1.

Temozolomide at 125 mg/m2 per day from day 2 to day 6.

Intervention Type DRUG

Combination Treatment - Cohort 4

Paclitaxel at 175 mg/m2 intravenously + Carboplatin at AUC 5 intravenously on day 1.

Temozolomide at 150 mg/m2 per day from day 2 to day 6.

Intervention Type DRUG

Other Intervention Names

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Paraplatin (Carboplatin) Taxol (Paclitaxel) Temodar (Temozolomide) Paraplatin (Carboplatin) Taxol (Paclitaxel) Temodar (Temozolomide) Paraplatin (Carboplatin) Taxol (Paclitaxel) Temodar (Temozolomide) Paraplatin (Carboplatin) Taxol (Paclitaxel) Temodar (Temozolomide)

Eligibility Criteria

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Inclusion Criteria

1. Age greater than or equal to 18 years
2. Karnofsky performance status (KPS) of greater than or equal to 70 (Appendix B)
3. Laboratory values (performed within 14 days prior to study drug administration, inclusive).

1. Absolute neutrophil count (ANC) \>1500/mm3
2. Platelet count \>100,000/mm3
3. Hemoglobin \>10 g/dl or 100 g/l
4. BUN and serum creatinine \<1.5 times upper limit of laboratory normal
5. Total and direct bilirubin \<1.5 times upper limit of laboratory normal
6. SGOT and SGPT \<3 times upper limit of laboratory normal
7. Alkaline Phosphatase \<3 times upper limit of laboratory normal
4. A life expectancy of greater than 12 weeks
5. Subjects must give written informed consent.
6. Biopsy proven small cell lung cancer.
7. CT of chest, abdomen, pelvis and MRI of head
8. Patients with brain metastases should be asymptomatic to enter the study

Exclusion Criteria

1. No recovery from all active toxicities of prior therapies.
2. Subjects who are poor medical risks because of non-malignant systemic disease as well as those with acute infection treated with intravenous antibiotics.
3. Frequent vomiting or medical condition that could interfere with oral medication intake (eg, partial bowel obstruction).
4. Concurrent malignancies at other sites with the exception of surgically cured carcinoma in-site of the cervix and basal or squamous cell carcinoma of the skin. Prior malignancies which have not required anti-tumor treatment within the preceding 24 months are eligible.
5. Known HIV positivity or AIDS-related illness.
6. Pregnant or nursing women.
7. Women of childbearing potential who are not using an effective method of contraception. Women of childbearing potential must have a negative serum pregnancy test 24 hours prior to administration of study drug and be practicing medically approved contraceptive precautions.
8. Men who are not advised to use an effective method of contraception.
9. Progression of disease on prior chemotherapy with paclitaxel and carboplatin, either as single agent or in combination.
10. Known hypersensitivity reaction to taxoid or platinum compound.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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New Mexico Cancer Research Alliance

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fa-Chyi Lee, MD

Role: PRINCIPAL_INVESTIGATOR

University of New Mexico

Locations

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University of New Mexico Cancer Center

Albuquerque, New Mexico, United States

Site Status

Countries

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United States

Other Identifiers

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0100C

Identifier Type: -

Identifier Source: org_study_id

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