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Phase II Trial of Neo-Adjuvant Pemetrexed Plus Cisplatin Followed by Surgery and Radiation for Pleural Mesothelioma
This study has been completed.
Study NCT00087698   Information provided by Eli Lilly and Company
First Received: July 12, 2004   Last Updated: May 1, 2009   History of Changes
Study Type: Interventional
Study Design: Non-Randomized, Open Label, Uncontrolled, Single Group Assignment
Condition: Pleural Neoplasms
Interventions: Drug: pemetrexed
Drug: cisplatin

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
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Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
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Reporting Groups
  Description
Pemetrexed pemetrexed: 500 mg/m2, intravenous, every 21 days x 4 cycles cisplatin: 75 mg/m2, intravenous, every 21 days x 4 cycles chemotherapy, surgery then chest radiation x 54 gray (Gy)

Participant Flow:   Overall Study
  Pemetrexed
STARTED   77  
COMPLETED   41  
NOT COMPLETED   36  
      Lack of Efficacy, Progressive Disease               14  
      Death from Other Causes               3  
      Adverse Event               4  
      Withdrawal by Subject               4  
      Lack of Efficacy, Physician Perception               3  
      Protocol Entry Criteria Not Met               2  
      Clinical Relapse               1  
      Death from Study Disease               2  
      Death from Study Drug Toxicity               2  
      Protocol Violation               1  



  Baseline Characteristics
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Reporting Groups
  Description
Pemetrexed pemetrexed: 500 mg/m2, intravenous, every 21 days x 4 cycles cisplatin: 75 mg/m2, intravenous, every 21 days x 4 cycles chemotherapy, surgery then chest radiation x 54 gray (Gy)

Baseline Measures
  Pemetrexed
Number of Participants  
[units: participants]
77
Age  
[units: years]
Mean ± Standard Deviation
61.1 ± 9.38
Gender  
[units: participants]
 
Female 21
Male 56
Region of Enrollment  
[units: participants]
 
United States 77
Disease Stage at Time of Study Entry  
[units: participants]
 
Stage IA 3
Stage IB 3
Stage II 33
Stage III 35
Stage IV 1
Unknown/Not Available 2
Eastern Cooperative Oncology Group Performance Status  
[units: participants]
 
0 - Fully active and asymptomatic 28
1 - Ambulatory with symptoms 47
2 - In bed < 50% of time 2
Initial Pathological Diagnosis  
[units: participants]
 
Epithelial Mesothelioma 62
Mixed Cell Mesothelioma 2
Sarcomatoid Mesothelioma 1
Other 12
Race/Ethnicity  
[units: participants]
 
Caucasian 71
African 1
East/Southeast Asian 1
Western Asian 2
Hispanic 2
Time from Initial Pathological Diagnosis to Enrollment  
[units: months]
Mean ± Standard Deviation
2.19 ± 2.909



  Outcome Measures
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1.  Primary:   Pathological Complete Response   [ Surgery (at least 3 weeks post last dose of chemotherapy, up to a maximum interval of 8 weeks) ]

2.  Secondary:   The 1 and 2 Year Disease-Free Survival Rate (Percentage)   [ 1 year and 2 years ]

3.  Secondary:   Overall Tumor Response   [ baseline to measured progressive disease ]

4.  Secondary:   Time to Treatment Failure   [ baseline to stopping treatment ]

5.  Secondary:   Time to Progressive Disease   [ baseline to measured progressive disease ]

6.  Secondary:   Overall Survival Time   [ baseline to date of death from any cause ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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