Topotecan and Carboplatin in the First-Line Treatment of Patients With Extensive Stage Small Cell Lung Cancer

NCT ID: NCT00305942

Last Updated: 2013-01-31

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-03-31

Study Completion Date

2009-11-30

Brief Summary

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This proposed phase II trial will investigate the combination of topotecan/carboplatin in the first-line treatment of patients with extensive-stage SCLC. Topotecan/platinum regimens are emerging as common treatments for patients with extensive-stage disease. This trial will be one of the first clinical trials to evaluate a combination of weekly topotecan and carboplatin in the first-line treatment of extensive-stage SCLC.

Detailed Description

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Eligible patients will receive treatment with carboplatin and topotecan.

Topotecan 4mg/m2 IV on days 1, 8.

Carboplatin AUC=5 IV day 1 only .

\- Cycles are repeated every 21 days for \> 4 cycles of topotecan and carboplatin (maximum 6 courses). Restaging studies will be performed every 2 cycles (or 6 weeks.)

Conditions

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Carcinoma, Small Cell

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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1

Topotecan 4mg/m2 IV on days 1, 8.

Carboplatin AUC=5 IV day 1 only .

\- Cycles are repeated every 21 days for \> 4 cycles of topotecan and carboplatin (maximum 6 courses). Restaging studies will be performed every 2 cycles (or 6 weeks.)

Group Type EXPERIMENTAL

Topotecan

Intervention Type DRUG

Topotecan 4mg/m2 IV on days 1, 8.

carboplatin

Intervention Type DRUG

Carboplatin AUC=5 IV day 1 only .

Interventions

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Topotecan

Topotecan 4mg/m2 IV on days 1, 8.

Intervention Type DRUG

carboplatin

Carboplatin AUC=5 IV day 1 only .

Intervention Type DRUG

Other Intervention Names

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Hycamtin 41575-94-4

Eligibility Criteria

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Inclusion Criteria

* Patients must have confirmed small cell lung cancer with extensive stage disease. This includes patients with stage IIIB and IV disease.
* Patients with small cell histology are eligible. Large neuroendocrine or mixed small cell and non-small cell histology are not eligible.
* Patients must have measurable or evaluable disease.
* ECOG performance status 0 or 1.
* Patients must have adequate bone marrow, liver and kidney function
* The patients may have had no previous chemotherapy.
* Patients must be able to understand the nature of the study and give written informed consent.

Exclusion Criteria

* Patients with limited stage disease. This includes IA, IB, IIA, IIB, and IIIA.
* Age \< 18 years old.
* History of a prior malignancy within three years with the exception of skin cancer (excluding melanoma), cervical carcinoma in situ, in situ breast carcinoma or stage A/B prostate cancer.
* Female patients who are pregnant or are breast feeding
* History of acute myocardial infarction or stroke within 6 months.
* Uncontrolled hypertension, unstable angina, New York Heart Association grade II or greater CHF, serious cardiac arrhythmia requiring medication, or grade II or greater peripheral vascular disease.
* Patients who have received other investigational drugs within 28 days.
* Patients with CNS involvement (brain or meningeal). The single exception to this is the patient previously treated for brain metastases with radiation therapy, or surgical excision who has no evidence of active residual metastases on brain MRI at the time of study entry.
* Patients with large neuroendocrine tumor or mixed small cell and non-small cell histology
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role collaborator

SCRI Development Innovations, LLC

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David R. Spigel, MD

Role: PRINCIPAL_INVESTIGATOR

SCRI Development Innovations, LLC

Locations

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Northeast Alabama Regional Medical Center

Anniston, Alabama, United States

Site Status

Northeast Arkansas Clinic

Jonesboro, Arkansas, United States

Site Status

Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

Watson Clinic Center for Cancer Care and Research

Lakeland, Florida, United States

Site Status

Northeast Georgia Medical Center

Gainesville, Georgia, United States

Site Status

Graves-Gilbert Clinic

Bowling Green, Kentucky, United States

Site Status

Consultants in Blood Disorders and Cancer

Louisville, Kentucky, United States

Site Status

Hematology Oncology Life Center

Alexandria, Louisiana, United States

Site Status

Mercy Hospital

Portland, Maine, United States

Site Status

Grand Rapids Clinical Oncology Program

Grand Rapids, Michigan, United States

Site Status

Montana Cancer Institute Foundation

Missoula, Montana, United States

Site Status

Oncology Hematology Care

Cincinnati, Ohio, United States

Site Status

Spartanburg Regional Medical Center

Spartanburg, South Carolina, United States

Site Status

Associates in Hematology Oncology

Chattanooga, Tennessee, United States

Site Status

Family Cancer Center

Collierville, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status

Countries

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United States

References

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Spigel DR, Hainsworth JD, Gandhi JG, Gian VG, Peyton JD, West-Osterfield K, Clark BL, Vazquez ER, Jones SF, Burris HA, Greco FA. A phase II trial of carboplatin and weekly topotecan in the first-line treatment of patients with extensive stage small cell lung cancer. J Thorac Oncol. 2010 Jun;5(6):862-6. doi: 10.1097/jto.0b013e3181d86a4f.

Reference Type RESULT
PMID: 20521352 (View on PubMed)

Related Links

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Other Identifiers

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SCRI LUN 117

Identifier Type: -

Identifier Source: org_study_id

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