Vinorelbine, Gemcitabine, and Docetaxel Compared With Paclitaxel and Carboplatin in Treating Patients With Advanced Non-Small Cell Lung Cancer
RATIONALE: Drugs used in chemotherapy, such as vinorelbine, gemcitabine, docetaxel, paclitaxel, and carboplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known which combination chemotherapy regimen is more effective in treating non-small cell lung cancer.
PURPOSE: This randomized phase III trial is studying how well giving vinorelbine together with gemcitabine and docetaxel works compared to giving paclitaxel together with carboplatin in treating patients with stage IIIB, stage IV, or recurrent non-small cell lung cancer.
Drug: gemcitabine hydrochloride
Drug: vinorelbine tartrate
|Study Design:||Allocation: Randomized
Primary Purpose: Treatment
|Official Title:||Phase III Randomized Comparison Study of Vinorelbine, Gemcitabine, and Docetaxel Versus Paclitaxel and Carboplatin in Patients With Advanced Non-Small Cell Lung Cancer|
|Study Start Date:||March 2001|
|Study Completion Date:||November 2008|
- Compare the therapeutic effect of vinorelbine, gemcitabine, and docetaxel vs paclitaxel and carboplatin in patients with advanced non-small cell lung cancer.
- Compare the overall survival of patients treated with these regimens.
- Compare the response rate in patients treated with these regimens.
- Compare the toxicity of these regimens in these patients.
OUTLINE: This is a randomized, multicenter study. Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive vinorelbine IV and gemcitabine IV on days 1 and 8. Treatment repeats every 21 days for 3 courses. Patients then receive docetaxel IV on day 1. Treatment repeats every 21 days for 3 courses.
- Arm II: Patients receive carboplatin IV and paclitaxel IV on day 1. Treatment repeats every 21 days for 6 courses.
Patients are followed for 1 year.
PROJECTED ACCRUAL: A total of 400 patients (200 per treatment arm) will be accrued for this study within 2 years.
|Nagoya University Hospital|
|Aichi, Japan, 466-8560|
|Asahikawa Medical College|
|Asahikawa, Japan, 078 8510|
|National Cancer Center Hospital East|
|Chiba-ken, Japan, 277-8577|
|National Hospital Organization - Ehime National Hospital|
|Ehime, Japan, 791-0281|
|Aso Iizuka Hospital|
|Fukuoka, Japan, 820-0018|
|National Hospital Organization - Medical Center of Kure|
|Hiroshima, Japan, 737-0023|
|National Hospital Organization - Dohoku National Hospital|
|Hokkaido, Japan, 070-0901|
|Fujisawa City Hospital|
|Kanagawa, Japan, 251-8550|
|National Hospital Organization - Kochi Hospital|
|Kochi-shi, Japan, 780-8065|
|Kyoto, Japan, 615-8256|
|Ogaki Municipal Hospital|
|Ogaki-shi, Japan, 503-8502|
|National Hospital Organization - Okayama Medical Center|
|Okayama, Japan, 701-1192|
|National Hospital Organization - Okinawa Hospital|
|Okinawa, Japan, 901-2214|
|National Hospital Organization - Osaka National Hospital|
|Osaka, Japan, 591-8555|
|Takatsuki Red Cross Hospital|
|Osaka, Japan, 569-1096|
|Osaka Saiseikai Nakatsu Hospital|
|Osaka, Japan, 530-0012|
|Osaka General Medical Center|
|Osaka-shi, Japan, 558-0056|
|Saitama Cancer Center|
|Saitama, Japan, 362-0803|
|Takamatsu Red Cross Hospital|
|Takamatsu, Japan, 760-8571|
|Tokyo Medical and Dental University|
|Tokyo, Japan, 113-8519|
|Tokyo Medical University|
|Tokyo, Japan, 160|
|Tottori University Hospital|
|Tottori, Japan, 683-8504|
|Koseiren Takaoka Hospital|
|Toyama, Japan, 933-8555|
|Toyama Medical and Pharmaceutical University Hospital|
|Toyama, Japan, 930-0194|
|Study Chair:||Masaaki Kawahara, MD||National Hospital Organization - Osaka National Hospital|