Concurrent Radiotherapy With Weekly Topotecan for Primary Treatment of Inoperable Localized Non-small Cell Lung Cancer

NCT ID: NCT00322751

Last Updated: 2010-01-07

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 10 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2006-04-30
• Study Completion Date: 2009-11-30

Brief Summary

Given the activity of single-agent Topotecan in NSCLC, there is both scientific rationale and a medical interest in studying this agent in combination with radiation. In addition, Topotecan administered on a weekly basis offers advantages over the daily x 5 regimen, i.e., the convenience of administration and fewer visits to the clinic.

Detailed Description

This is a study of chemoradiation for patient with inoperable non small cell lung cancer with poor pulmonary function. These patients have usually very limited treatment options because of the compromised lung function. Chemoradiation is usually superior to radiation alone, but has not been extensively tested in this patient population. Topotecan is a drug approved for lung cancer that has synergistic activity with radiation. The study will determine what is the safest dose of topotecan to use with radiation in this patient population

Conditions

Lung Cancer

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Interventions

Topotecan

The starting dose for the first cohort will be 2 mg/m2/week. Increment between cohorts will be by 1 mg/m2/week if no toxicity related to topotecan occurs. All members of a dose cohort must have safely completed all radiotherapy and topotecan dosing prior to beginning enrollment in the next higher dose cohort. Increments will be reduced to 0.5 mg/m2 if mild to moderate toxicity occurs (grades 1 or 2). The escalation will continue until the maximum dose of 4 mg/m2/week is reached. Therefore the minimum number of dose levels (cohorts) is 3 to reach the goal of 4 mg/m2/week, and the maximum is 5.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Patients with histologically proven non-small cell lung cancer Stage I to IIIA.
• Inoperable lung cancer because of poor respiratory lung function, or other medical reasons, as determined by the thoracic surgeon.
• PS < 2
• Age > 18 years
• Life expectancy of > 12 weeks
• Normal hematologic, liver, and renal function
• No metastatic disease as determined by CT-PET scanning and bone scan.
• No brain metastasis by MRI
• No contraindication to radiotherapy

Exclusion Criteria

• Patients with uncontrolled CNS metastases.
• Active systemic infection.
• Serious, uncontrolled intercurrent medical or psychiatric illness.
• Secondary active primary malignancy.
• Inability to comply with requirements of the study.
• Any metastases outside of the mediastinum
• Histologically positive pleural or pericardial effusion
• Any chemotherapy within five years prior to enrollment on this protocol
• Prior radiotherapy administered to the chest
• Women who are pregnant or lactating
• FEV1 < 1 liter/minute

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of New Mexico

OTHER

Sponsor Role: lead

Responsible Party

University of New Mexico - CRTC

Principal Investigators

Dennie Jones, MD

Role: PRINCIPAL_INVESTIGATOR

University of New Mexico

Locations

University of New Mexico

Albuquerque, New Mexico, United States

Countries

United States

Other Identifiers

INST 0529C

Identifier Type: -

Identifier Source: org_study_id