The DISTAL-2 Study: Docetaxel Alone or in Combination in Second-line Treatment of Advanced Non Small-Cell Lung Cancer

NCT ID: NCT00345059

Last Updated: 2016-01-14

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-05-31

Study Completion Date

2008-05-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to compare the overall survival of patients with advanced non small cell lung cancer treated with docetaxel as single therapy versus docetaxel in combination with either gemcitabine or vinorelbine or in combination with capecitabine.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This study is for patients with previously diagnosed advanced non small cell lung cancer (NSCLC, stage IIIb or IV) who had progression of their disease during or after first-line therapy containing platinum. Patients will be assigned to receive 6 cycles of therapy from one of four treatment regimens:

* docetaxel
* docetaxel + vinorelbine
* docetaxel + gemcitabine
* docetaxel + capecitabine

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Advanced Non-Small Cell Lung Cancer

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

docetaxel

single agent docetaxel

Group Type ACTIVE_COMPARATOR

docetaxel

Intervention Type DRUG

docetaxel + vinorelbine OR gemcitabine

docetaxel in combination with either vinorelbine or with gemcitabine

Group Type EXPERIMENTAL

docetaxel

Intervention Type DRUG

vinorelbine

Intervention Type DRUG

gemcitabine

Intervention Type DRUG

docetaxel + capecitabine

docetaxel in combination with capecitabine

Group Type EXPERIMENTAL

docetaxel

Intervention Type DRUG

capecitabine

Intervention Type DRUG

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

docetaxel

Intervention Type DRUG

vinorelbine

Intervention Type DRUG

gemcitabine

Intervention Type DRUG

capecitabine

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Written informed consent
* Age \> 18
* Histological diagnosis of non small-cell lung cancer (NSCLC)
* Stage IIIb or Stage IV disease (in IIIb, previous treatment with chemotherapy + radiotherapy, or metastatic supraclavicular lymph nodes or pleural effusion)
* Disease in progression
* Previous chemotherapy with platinum-derivative (and with \> 21 days from last administration)

Exclusion Criteria

* ECOG performance status \> 2
* Age \> 75 years
* History of malignant neoplasm within the previous 5 years (except for baso- or spino-cellular skin carcinoma and in-situ carcinoma of the uterine cervix, provided they are being adequately treated)
* Previous treatment with docetaxel
* Presence of symptomatic cerebral metastasis
* Neutrophils \< 2.0 x 109/l, platelets \< 100,000/l, hemoglobin \> 10g/dl
* Bilirubin \< 1.5 x the upper normal limit
* SGOT , SGPT, or bilirubin \> 1.25 x the upper normal limits except in the presence of hepatic metastasis
* Creatinine \>1.25 x the upper normal limit
* Any concomitant pathology that would, in the Investigator's opinion, contraindicate the use of the drugs in the protocol
* Inability to comply with follow up
* Pregnant or nursing females
Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

National Cancer Institute, Naples

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Cesare Gridelli, M.D.

Role: PRINCIPAL_INVESTIGATOR

S.G. Moscati Hospital, Avellino, Italy; Division of Medical Oncology

Francesco Perrone, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples Italy; Director Clinical Trials Unit

Ciro Gallo, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Second University of Naples, Italy; Chair Medical Statistics

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Azienda Ospedaliera Giovanni Paolo II

Sciacca, AG, Italy

Site Status

Azienda Ospedaliera S. Giuseppe Moscati, U.O. di Oncologia Medica

Monteforte Irpino, AV, Italy

Site Status

Ospedale Fatebenefratelli, U.O. di Oncologia

Benevento, BN, Italy

Site Status

Azienda Ospedaliera G. Rummo

Benevento, BN, Italy

Site Status

Università di Chieti

Chieti, CH, Italy

Site Status

Ospedali Riuniti

Foggia, FG, Italy

Site Status

Ospedale Umberto di Frosinone

Frosinone, FR, Italy

Site Status

Ospedale di Gaeta

Gaeta, LT, Italy

Site Status

Div. di Medicina Generale Osp. dei SS. Benedetto e Geltrude -Presidio Osp. Di Cuggiono - Az. Osp. Di Legnano

Cuggiono, MI, Italy

Site Status

Ospedale Civile di Legnano

Legnano, MI, Italy

Site Status

Ospedale S. Paolo

Milan, MI, Italy

Site Status

Ospedale S. Gerado

Monza, MI, Italy

Site Status

Azienda Ospedaliera Carlo Poma, Divisione di Oncologia ed Ematologia

Mantova, MN, Italy

Site Status

Casa di Cura La Maddalena S.p.A., Dipartimento Oncologico

Palermo, PA, Italy

Site Status

Azienda Ospedaliera V. Cervello

Palermo, PA, Italy

Site Status

Ospedale Buccheri La Ferla - Fatebenefratelli

Palermo, PA, Italy

Site Status

U.L.S.S. 15 Regione Veneto

Cittadella, PD, Italy

Site Status

Istituto Oncologico Veneto

Padua, PD, Italy

Site Status

Azienda Ospedaliera Universitaria Senese

Siena, SI, Italy

Site Status

Ospedale E. Morelli

Sondalo, SO, Italy

Site Status

Presidio Ospedaliaro Alto Gardo e Ledro

Arco, TN, Italy

Site Status

Azienda Ospedaliera Di Busto Arsizio

Saronno, VA, Italy

Site Status

Divisione di Oncologia Medica, U.S.L.L. 13

Noale, VE, Italy

Site Status

Istituto Nazionale dei Tumori , Divisione di Oncologia Medica B

Napoli, , Italy

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Italy

References

Explore related publications, articles, or registry entries linked to this study.

Gebbia V, Morena R, Frontini L, Aitini E, Daniele B, Gamucci T, Di Maio M, Morabito A, Gallo C, Gridelli C. The DISTAL-2 phase III randomized trial of single agent weekly docetaxel (wD) vs wD plus gemcitabine (G) or vinorelbine (V) vs wD plus capecitabine (X) as second-line treatment of advanced non-small-cell lung cancer (NSCLC) patients (pts). J Clin Oncol 26: 2008 (May 20 suppl; abstr 19057)

Reference Type RESULT

Gebbia V, Gridelli C, Verusio C, Frontini L, Aitini E, Daniele B, Gamucci T, Mancuso G, Di Maio M, Gallo C, Perrone F, Morabito A. Weekly docetaxel vs. docetaxel-based combination chemotherapy as second-line treatment of advanced non-small-cell lung cancer patients. The DISTAL-2 randomized trial. Lung Cancer. 2009 Feb;63(2):251-8. doi: 10.1016/j.lungcan.2008.05.027. Epub 2008 Jul 15.

Reference Type RESULT
PMID: 18632181 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

DISTAL-2

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.