Optimization for the Treatment of Advanced Pulmonary Large Cell Neuroendocrine Carcinoma

NCT ID: NCT02943798

Last Updated: 2016-10-25

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

118 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-31

Study Completion Date

2018-12-31

Brief Summary

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The primary endpoint is to compare the PFS (progress-free survival ) of etoposide plus carboplatin with paclitaxel combined with carboplatin as first-line treatment for advanced pulmonary large cell neuroendocrine carcinoma.

Detailed Description

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The primary endpoint is to compare the PFS (progress-free survival ) of etoposide plus carboplatin with paclitaxel combined with carboplatin as first-line treatment for advanced pulmonary large cell neuroendocrine carcinoma.

In addition, gene spectrum detection and Mini-PDX are applied for validation of pharmacodynamic.

Results of clinical trials and pharmacodynamic test will be analyzed to provide evidence for the precise treatment for LCNEC.

Conditions

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Pulmonary Large Cell Neuroendocrine Carcinoma

Keywords

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Pulmonary Large Cell Neuroendocrine Carcinoma,chemotherapy

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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Group A

Patients will be administered with etoposide plus carboplatin as first-line treatment.

Group Type EXPERIMENTAL

etoposide plus carboplatin

Intervention Type DRUG

etoposide is administered by venus with a dose of 100mg/m2 from day 1 to3, and carboplatin is administered by venus with a dose of AUC 5 on day 1 in a 21-day cycle.

Group B

Patients will be administered with paclitaxel plus carboplatin as first-line treatment.

Group Type EXPERIMENTAL

Paclitaxel plus carboplatin

Intervention Type DRUG

Paclitaxel is administered by venus with a dose of 175 mg/m2 from day 1 and carboplatin is administered by venus with a dose of AUC 5 on day 1 in a 21-day cycle.

Interventions

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etoposide plus carboplatin

etoposide is administered by venus with a dose of 100mg/m2 from day 1 to3, and carboplatin is administered by venus with a dose of AUC 5 on day 1 in a 21-day cycle.

Intervention Type DRUG

Paclitaxel plus carboplatin

Paclitaxel is administered by venus with a dose of 175 mg/m2 from day 1 and carboplatin is administered by venus with a dose of AUC 5 on day 1 in a 21-day cycle.

Intervention Type DRUG

Other Intervention Names

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VP-16 Taxol

Eligibility Criteria

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Inclusion Criteria

* Stage IIIB or IV pulmonary large-cell neuroendocrine carcinoma confirmed by histology or cytology
* Estimated life expectancy over 3 months
* Performance status 0,1,2
* Signed informed consent
* Adequate organ functions: absolute neutrophil count (ANC) over 1,500 cells/mm3 (1.5 x 109/L); platelet count over100,000/mm3 (100 x 109/L); serum creatinine \< 2.5 mg/dL (221 mmol/L); serum AST or ALT \<5.0 x upper limit of normal (ULN); serum total bilirubin \<2.0 mg/dL (34 mmol/L)

Exclusion Criteria

* History of chemotherapy or molecular targeted therapy
* Thoracic radical radiotherapy within 28 days of the initiation of study drug therapy except for palliative radiotherapy
* Use of any standard/experimental anti-cancer drug therapy within 28 days of the initiation of study drug therapy
* Prior history of malignancies other than non-small cell lung cancer (except for basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix or breast) unless the subject has been free of the disease for \> or = to 1 year
* Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent form
* Pregnant or lactating
* Patient with concurrent medical or psychiatric illness which would, in the opinion of the investigator, prevent compliance with the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Chest Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zhou Zhen

Chief Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhen Zhou, MD

Role: STUDY_CHAIR

Shanghai Chest Hospital

Central Contacts

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Zhen Zhou, MD

Role: CONTACT

Email: [email protected]

References

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Fasano M, Della Corte CM, Papaccio F, Ciardiello F, Morgillo F. Pulmonary Large-Cell Neuroendocrine Carcinoma: From Epidemiology to Therapy. J Thorac Oncol. 2015 Aug;10(8):1133-41. doi: 10.1097/JTO.0000000000000589.

Reference Type RESULT
PMID: 26039012 (View on PubMed)

Other Identifiers

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Chest003

Identifier Type: -

Identifier Source: org_study_id