A Study of Standard Treatment +/- Enoxaparin in Small Cell Lung Cancer

NCT ID: NCT00717938

Last Updated: 2017-08-25

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

390 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2017-05-31

Brief Summary

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The endpoint is to investigate if the addition of low molecular heparin - enoxaparin, will result in a significant increase of overall survival in patients with small cell lung cancer, receiving standard chemotherapy.

Detailed Description

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Chemotherapy will be given in accordance with local or regional guidelines but shall include a platinum drug + any topoisomerase inhibitor. Within these limits the study will accept different local variants as long as each centre remains consistent to its declared standard chemotherapy regimen. The recommended regimen is carboplatin or cisplatin plus etoposide q3 weeks for 4 cycles but up to 6 cycles is allowed. Local dosages and dose reduction schedules will be used.

Conditions

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Small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Standard chemotherapy treatment for patients with small cell lung cancer. Chemotherapy regimen contains a platinum drug and a topoisomerase inhibitor. Numbers of cycles 4-6 according to local variants.Used drugs=cisplatinum or carboplatin and e.g.etoposide.

Group Type OTHER

cisplatinum or carboplatin and e.g.etoposide.

Intervention Type DRUG

Standard chemotherapy treatment for patients with small cell lung cancer. Chemotherapy regimen contains a platinum drug and a topoisomerase inhibitor. Numbers of cycles 4-6 according to local variants. Used drugs=cisplatinum or carboplatin and e.g.etoposide. Treatment will be given every three weeks for 4-6 cycles according to local variants.

B

Standard chemotherapy treatment for patients with small cell lung cancer. Chemotherapy regimen contains a platinum drug and a topoisomerase inhibitor. Numbers of cycles 4-6 according to local variants. Used drugs=cisplatinum or carboplatin and e.g.etoposide. In addition to this, subjects will receive daily subcutaneous injections of enoxaparin during chemotherapy treatment.

Group Type EXPERIMENTAL

cisplatinum or carboplatin and e.g.etoposide+enoxaparin

Intervention Type DRUG

Standard chemotherapy treatment for patients with small cell lung cancer. Chemotherapy regimen contains a platinum drug and a topoisomerase inhibitor. Numbers of cycles 4-6 according to local variants. In addition to this, subjects will receive daily subcutaneous injections of enoxaparin during chemotherapy treatment.

Interventions

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cisplatinum or carboplatin and e.g.etoposide.

Standard chemotherapy treatment for patients with small cell lung cancer. Chemotherapy regimen contains a platinum drug and a topoisomerase inhibitor. Numbers of cycles 4-6 according to local variants. Used drugs=cisplatinum or carboplatin and e.g.etoposide. Treatment will be given every three weeks for 4-6 cycles according to local variants.

Intervention Type DRUG

cisplatinum or carboplatin and e.g.etoposide+enoxaparin

Standard chemotherapy treatment for patients with small cell lung cancer. Chemotherapy regimen contains a platinum drug and a topoisomerase inhibitor. Numbers of cycles 4-6 according to local variants. In addition to this, subjects will receive daily subcutaneous injections of enoxaparin during chemotherapy treatment.

Intervention Type DRUG

Other Intervention Names

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cisplatinum carboplatin etoposide cisplatinum carboplatin etoposide enoxaparin

Eligibility Criteria

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Inclusion Criteria

1. Histologically or cytologically verified SCLC, all stages
2. WHO performance status 0, 1, 2 or 3
3. Age 18 years or older
4. Intention and feasibility to treat with chemotherapy consisting of platinum + topoisomerase inhibitor.
5. Platelets \>100 x109 /L
6. Signed informed consent
7. PK (prothrombin complex) INR and APTT within normal ranges.

Exclusion Criteria

1. Prior systemic chemotherapy for lung cancer.
2. Concomitant anticoagulation treatment, except for ASA or clopidogrel
3. Active overt bleeding of clinical importance or at high risk (e.g. earlier observed haemorrhage in a brain metastasis, severe coagulopathy as haemophilia, severe liver dysfunction with impaired coagulation, acute peptic ulcer, and within the last 3 months suffered from intracranial haemorrhage, or surgery in the central nervous system).
4. Any other known contraindication for enoxaparine ( e.g. Hypersensitivity against enoxaparine and its derivatives).
5. Pregnancy or breast-feeding
6. Fertile women not using effective contraceptives or men who do not agree to use effective contraception during the treatment period.
7. Treatment with any other investigational agent, or participation in any other clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

Lund University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lars Ek, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Lund

Jan Sundberg, RN

Role: STUDY_DIRECTOR

University Hospital, Lund

Locations

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Gävle hospital

Gävle, , Sweden

Site Status

Sahlgrenska University Hospital

Gothenburg, , Sweden

Site Status

Helsingborg Hospital

Helsingborg, , Sweden

Site Status

Ryhov Hospital, Jönköping

Jönköping, , Sweden

Site Status

Blekinge Hospital

Karlskrona, , Sweden

Site Status

Central Hospital

Karlstad, , Sweden

Site Status

Central Hospital

Kristianstad, , Sweden

Site Status

University Hospital Linköping

Linköping, , Sweden

Site Status

University Hospital Department of Respiratory Medicine

Lund, , Sweden

Site Status

University Hospital MAS

Malmo, , Sweden

Site Status

University Hospital, Örebro

Örebro, , Sweden

Site Status

Karolinska University Hospital

Stockholm, , Sweden

Site Status

Norrlands University Hospital

Umeå, , Sweden

Site Status

Akademiska hospital Uppsala

Uppsala, , Sweden

Site Status

Central Hospital

Vaxjo, , Sweden

Site Status

Ystad hospital

Ystad, , Sweden

Site Status

Countries

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Sweden

References

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Ek L, Gezelius E, Bergman B, Bendahl PO, Anderson H, Sundberg J, Wallberg M, Falkmer U, Verma S, Belting M; Swedish Lung Cancer Study Group (SLUSG). Randomized phase III trial of low-molecular-weight heparin enoxaparin in addition to standard treatment in small-cell lung cancer: the RASTEN trial. Ann Oncol. 2018 Feb 1;29(2):398-404. doi: 10.1093/annonc/mdx716.

Reference Type DERIVED
PMID: 29106448 (View on PubMed)

Other Identifiers

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EudraCT number 2007-006033-14

Identifier Type: -

Identifier Source: org_study_id

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