Randomized Trial With Vinorelbine and Gemcitabine Versus Docetaxel and Gemcitabine in Patients With Non-Small Cell Lung Cancer

NCT ID: NCT00441740

Last Updated: 2008-10-31

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

PHASE3

Total Enrollment

419 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-04-30

Study Completion Date

2008-02-29

Brief Summary

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The purpose of this study is to evaluate whether the gemcitabine/vinorelbine combination versus the gemcitabine/docetaxel combination as first line treatment, offers a survival advantage in patients with locally advanced/metastatic NSCLC.

Detailed Description

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Cisplatin-based chemotherapy represented the backbone of treatment of advanced NSCLC. However, several trials comparing platinum versus non-platinum based chemotherapy regimens failed to demonstrate a statistically significant difference in terms of time to tumor progression or survival. Newer agents such as gemcitabine, docetaxel and vinorelbine have shown significant activity in the treatment of NSCLC. Gemcitabine/vinorelbine combination as first line treatment has demonstrated a response rate (RR) of 18-43% and a median overall survival (OS) of 9.8-13 months. Similarly, the gemcitabine/docetaxel combination has shown a RR 32-35% and a median OS of 9-12 months. Given their proven efficacy, the combination of these two doublets, would be interesting.

Conditions

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Non Small Cell Lung Cancer

Keywords

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NSCLC 1st line treatment Gemcitabine Vinorelbine Docetaxel

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

VG

Group Type EXPERIMENTAL

Vinorelbine

Intervention Type DRUG

Vinorelbine (oral) 70 mg/m2, on days 1 and 15 every 4 weeks for 6 cycles

Gemcitabine

Intervention Type DRUG

Gemcitabine 900 mg/m2 on days 1 and 15 every 4 weeks for 6 cycles

2

DG

Group Type EXPERIMENTAL

Docetaxel

Intervention Type DRUG

Docetaxel 75 mg/m2 intravenous on day 8 every 3 weeks for 6 cycles

Gemcitabine

Intervention Type DRUG

Gemcitabine 1000 mg/m2 intravenous, on days 1 and 8 every 3 weeks for 6 cycles

Interventions

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Vinorelbine

Vinorelbine (oral) 70 mg/m2, on days 1 and 15 every 4 weeks for 6 cycles

Intervention Type DRUG

Gemcitabine

Gemcitabine 900 mg/m2 on days 1 and 15 every 4 weeks for 6 cycles

Intervention Type DRUG

Docetaxel

Docetaxel 75 mg/m2 intravenous on day 8 every 3 weeks for 6 cycles

Intervention Type DRUG

Gemcitabine

Gemcitabine 1000 mg/m2 intravenous, on days 1 and 8 every 3 weeks for 6 cycles

Intervention Type DRUG

Other Intervention Names

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Navelbine Gemzar Taxotere Gemzar

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed, unresectable locally advanced (stage IIIB with pleural effusion) and/or metastatic (stage IV) NSCLC
* No previous therapy for advanced/metastatic NSCLC is allowed
* Age \> 18 years
* Bidimensionally measurable disease
* Performance status (WHO) 0-2
* Adequate liver (serum bilirubin \< 1.5 times the upper normal limit (UNL); AST and ALT \< 2.5 times the UNL in the absence of demonstrable liver metastases, or \< 5 times the UNL in the presence of liver metastases); adequate renal function (serum creatinine \< 1.5 times the UNL); and bone marrow (neutrophils ≥ 1.5x 109 /L, and platelets ≥ 100x 109 /L) function
* Previous radiotherapy, either in the adjuvant setting or for the treatment of metastatic disease is allowed provided that the measurable lesions are outside the radiation fields
* Life expectancy of more than 3 months
* Patient able to take oral medication
* At least 4 weeks since prior radiotherapy
* Written informed consent

Exclusion Criteria

* Active infection
* History of significant cardiac disease (unstable angina, congestive heart failure, myocardial infarction within the previous 6 months, ventricular arrhythmias)
* Malnutrition (loss of ≥ 20% of the original body weight)
* Performance status: 3-4
* Sensor or motor neuropathy \> grade I
* Second primary malignancy, except for non-melanoma skin cancer
* Psychiatric illness or social situation that would preclude study compliance
* Pregnant or lactating women
* Known, symptomatic central nervous system metastases
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital of Crete

OTHER

Sponsor Role collaborator

Hellenic Oncology Research Group

OTHER

Sponsor Role lead

Responsible Party

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Hellenic Oncology Research Group

Principal Investigators

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Vassilis Georgoulias, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Crete, Dep of Medical Oncology

Locations

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University General Hospital of Alexandroupolis, Dep of Medical Oncology

Alexandroupoli, , Greece

Site Status

" General Hospital, 1st, 3rd, 8th Dep of Pulmonary Diseases

Athens, , Greece

Site Status

"Laikon" General Hospital, Medical Oncology Unit, Propedeutic Dep of Internal Medicine

Athens, , Greece

Site Status

"Metaxa's" Anticancer Hospital of Piraeus,1st Dep of Medical Oncology

Athens, , Greece

Site Status

401 Military Hospital, Medical Oncology Unit

Athens, , Greece

Site Status

Air Forces Military Hospital, Dep of Medical Oncology

Athens, , Greece

Site Status

IASO" General Hospital of Athens, 1st Dep of Medical Oncology

Athens, , Greece

Site Status

Sismanogleio General Hospital, 1st, 2nd Dep of Pulmonary Diseases

Athens, , Greece

Site Status

"Theagenion" Anticancer Hospital of Thessaloniki

Thessaloniki, , Greece

Site Status

Countries

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Greece

Other Identifiers

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CT/04.04

Identifier Type: -

Identifier Source: org_study_id