Carboplatin, Paclitaxel, Selenomethionine, and Radiation Therapy in Treating Patients With Stage III Non-Small Cell Lung Cancer That Cannot Be Removed by Surgery

NCT ID: NCT00526890

Last Updated: 2017-11-28

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-10-31

Study Completion Date

2010-09-30

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Selenomethionine may slow the growth of tumor cells. Radiation therapy uses high-energy x-rays to kill tumor cells. Giving combination chemotherapy together with selenomethionine and radiation therapy may kill more tumor cells.

PURPOSE: This phase II trial is studying the side effects and how well selenomethionine works when given together with carboplatin, paclitaxel, and radiation therapy in treating patients with stage III non-small cell lung cancer that cannot be removed by surgery.

Detailed Description

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OBJECTIVES:

Primary

* Determine the safety and tolerability of selenomethionine in combination with chemotherapy and radiotherapy in patients with unresectable stage IIIA or IIIB non-small cell lung cancer.
* Determine if the incidence of excessive adverse events, in the form of esophagitis, pneumonitis, and myelosuppression, can be reduced with this regimen.

Secondary

* Estimate response rate, failure-free survival, and overall survival of these patients.
* Correlate selenium levels with degree of observed adverse events.

OUTLINE: This is a multicenter study.

Patients receive oral selenomethionine twice daily for 1 week and then once daily for 6 weeks. Patients also receive paclitaxel IV over 1 hour once weekly and carboplatin IV over 30 minutes once weekly for 6 weeks and undergo radiotherapy 5 days a week for 6 weeks. Treatment continues in the absence of disease progression or unacceptable toxicity.

Blood samples are collected at baseline and weekly during treatment and analyzed by absorption spectrophotometry for selenium measurement of drug concentration

After the completion of study treatment, patients are followed periodically.

Conditions

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Lung Cancer

Keywords

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squamous cell lung cancer adenocarcinoma of the lung bronchoalveolar cell lung cancer large cell lung cancer stage IIIA non-small cell lung cancer stage IIIB non-small cell lung cancer adenosquamous cell lung 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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CPSR

Concurrent Carboplatin, Paclitaxel and Selenomethionine in Combination with Radiation

Group Type EXPERIMENTAL

selenomethionine

Intervention Type DIETARY_SUPPLEMENT

Oral Twice daily

carboplatin

Intervention Type DRUG

Weekly IV

paclitaxel

Intervention Type DRUG

Weekly IV

laboratory biomarker analysis

Intervention Type OTHER

Correlative Study

radiation therapy

Intervention Type RADIATION

Undergoing radiation Therapy

Interventions

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selenomethionine

Oral Twice daily

Intervention Type DIETARY_SUPPLEMENT

carboplatin

Weekly IV

Intervention Type DRUG

paclitaxel

Weekly IV

Intervention Type DRUG

laboratory biomarker analysis

Correlative Study

Intervention Type OTHER

radiation therapy

Undergoing radiation Therapy

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* No prior chemotherapy or radiotherapy for NSCLC
* No prior taxanes or platinum drugs
* No other concurrent investigational agents or anticancer therapy
* No concurrent combination antiretroviral therapy for HIV-positive patients
* No other concurrent chemotherapy or hormonal therapy, except for the following:

* Steroids administered for adrenal failure or septic shock
* Hormones administered for non-disease-related conditions (e.g., insulin for diabetes)
* Glucocorticosteroids administered as antiemetics
Minimum Eligible Age

18 Years

Maximum Eligible Age

120 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Roswell Park Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jorge Gomez, MD

Role: PRINCIPAL_INVESTIGATOR

Roswell Park Cancer Institute

Locations

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Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Countries

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United States

Other Identifiers

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RPCI-I-65605

Identifier Type: -

Identifier Source: secondary_id

CDR0000562780

Identifier Type: -

Identifier Source: org_study_id