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Carboxyamidotriazole in Treating Patients With Stage III or Stage IV Non-Small Cell Lung Cancer
This study has been completed.
Study NCT00003869   Information provided by National Cancer Institute (NCI)
First Received: November 1, 1999   Last Updated: April 11, 2009   History of Changes

November 1, 1999
April 11, 2009
April 1999
May 2008   (final data collection date for primary outcome measure)
 
 
Complete list of historical versions of study NCT00003869 on ClinicalTrials.gov Archive Site
 
 
 
Carboxyamidotriazole in Treating Patients With Stage III or Stage IV Non-Small Cell Lung Cancer
Phase III Randomized, Double-Blind Study of CAI and Placebo in Patients With Advanced Non-Small Cell Lung Cancer (NSCLC)

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known whether carboxyamidotriazole is more effective than no further treatment for non-small cell lung cancer.

PURPOSE: Randomized phase III trial to determine the effectiveness of carboxyamidotriazole in treating patients who have stage III or stage IV non-small cell lung cancer.

OBJECTIVES:

  • Compare the overall survival of patients with stage III or IV non-small cell lung cancer treated with oral carboxyamidotriazole (CAI) vs placebo.
  • Evaluate the safety and tolerability of oral CAI in these patients.
  • Compare the time to disease progression in patients treated with these regimens.
  • Compare the quality of life of patients treated with these regimens.
  • Determine the response rate of patients with measurable or evaluable disease treated with CAI.

OUTLINE: This is a randomized, double-blind, multicenter study. Patients are stratified according to timing of first-line therapy (prior to registration vs after registration), disease stage (IIIA vs IIIB vs IV), therapy components (chemotherapy and thoracic radiotherapy vs chemotherapy only), ECOG performance status (0 vs 1 vs 2) and participating center. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive oral carboxyamidotriazole daily.
  • Arm II: Patients receive oral placebo daily. Treatment continues in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed at baseline and then monthly during study.

Patients are followed every 3 months for 5 years.

PROJECTED ACCRUAL: A total of 750 patients (375 per treatment arm) will be accrued for this study within 5 years.

Phase III
Interventional
Treatment, Randomized, Double-Blind, Active Control
Lung Cancer
Drug: carboxyamidotriazole
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
750
 
May 2008   (final data collection date for primary outcome measure)

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed stage III or IV non-small cell lung cancer (NSCLC)
  • Received or plan to receive 1 and only 1 chemotherapy regimen with or without thoracic radiotherapy as first-line therapy for NSCLC
  • Disease must be stable or responding after prior or planned chemotherapy for 3-6 months
  • No untreated brain metastases

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • ECOG 0-2

Life expectancy:

  • At least 3 months (patients who have received first-line therapy) OR
  • At least 6 months (patients who plan to receive first-line therapy)

Hematopoietic:

  • Absolute neutrophil count at least 1,500/mm^3
  • Platelet count at least 100,000/mm^3
  • Hemoglobin at least 10.0 g/dL

Hepatic:

  • Bilirubin no greater than 1.5 times upper limit of normal (ULN)
  • AST no greater than 3 times ULN
  • Alkaline phosphatase no greater than 3 times ULN

Renal:

  • Creatinine no greater than 1.5 times ULN

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 2 months after study

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No other concurrent immunotherapy

Chemotherapy:

  • See Disease Characteristics
  • Prior radiosensitizers allowed
  • No more than 6 weeks since prior chemotherapy
  • No concurrent chemotherapy

Endocrine therapy:

  • Not specified

Radiotherapy:

  • See Disease Characteristics
  • No more than 6 weeks since prior thoracic radiotherapy
  • No concurrent radiotherapy

Surgery:

  • Not specified

Other:

  • No concurrent participation in another phase III lung cancer treatment trial
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States,   Canada
 
NCT00003869
 
CDR0000067033, NCCTG-972451
North Central Cancer Treatment Group
National Cancer Institute (NCI)
Study Chair: Edith A. Perez, MD Mayo Clinic
Investigator: Mark Donald Hauge, MD Coborn Cancer Center
National Cancer Institute (NCI)
May 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP