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Paclitaxel, Carboplatin, and Radiation Therapy With or Without Adjuvant Paclitaxel and Carboplatin in Treating Patients With Stage II or Stage III Unresectable Non-Small Cell Lung Cancer
This study is ongoing, but not recruiting participants.
First Received: February 10, 2004   Last Updated: February 6, 2009   History of Changes
Sponsor: Groupe Cooperateur Multidisciplinaire en Oncologie (GERCOR)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00077220
  Purpose

RATIONALE: Drugs used in chemotherapy, such as paclitaxel and carboplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known whether giving chemotherapy together with radiation therapy is more effective with or without adjuvant chemotherapy in treating unresectable stage II or stage III non-small cell lung cancer.

PURPOSE: This randomized phase III trial is studying giving paclitaxel, carboplatin, and radiation therapy together with adjuvant paclitaxel and carboplatin to see how well it works compared to giving paclitaxel, carboplatin, and radiation therapy alone in treating patients with unresectable stage II or stage III non-small cell lung cancer.


Condition Intervention Phase
Lung Cancer
Drug: carboplatin
Drug: paclitaxel
Procedure: adjuvant therapy
Radiation: radiation therapy
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Active Control
Official Title: Phase III Randomised Study Of Adjuvant Paclitaxel And Carboplatin (TAXOL-PARAPLATINE) With Concomittant Radiotherapy In Patients With Stage II or III Non-Metastatic Non-Small Cell Lung Cancer

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Progression-free survival [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Objective response rate [ Designated as safety issue: No ]
  • Overall survival [ Designated as safety issue: No ]
  • Toxicity [ Designated as safety issue: Yes ]

Study Start Date: June 2002
Detailed Description:

OBJECTIVES:

Primary

  • Compare the progression-free survival of patients with stage II or III unresectable non-small cell lung cancer treated with paclitaxel, carboplatin, and radiotherapy with or without adjuvant paclitaxel and carboplatin.

Secondary

  • Compare the objective response rate in patients treated with these regimens.
  • Compare the overall survival of patients treated with these regimens.
  • Compare the toxicity of these regimens in these patients.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to radiotherapy regimen (conformational vs nonconformational).

Patients receive paclitaxel IV over 1 hour and carboplatin IV over 30 minutes once weekly for up to 6 weeks. Patients concurrently undergo radiotherapy 5 days a week for 7-7.5 weeks. Three weeks after completion of chemoradiotherapy, patients with stable or responding disease are randomized to 1 of 2 treatment arms.

  • Arm I: Patients undergo routine follow-up.
  • Arm II: Patients receive paclitaxel IV over 3 hours and carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for a maximum of 3 courses.

Patients are followed every 3 months for 2 years and then every 6 months thereafter.

PROJECTED ACCRUAL: A total of 390 patients will be accrued for this study within 3 years.

  Eligibility

Ages Eligible for Study:   18 Years to 79 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed non-small cell lung cancer

    • Stage II or III disease
    • Not amenable to surgery
  • Measurable or evaluable disease
  • No T4 apical localization
  • Lesions able to be covered in a 60 Gy minimum volume of radiation
  • No pleural effusion

PATIENT CHARACTERISTICS:

Age

  • 18 to 79

Performance status

  • ECOG 0-2

Life expectancy

  • More than 3 months

Hematopoietic

  • Absolute neutrophil count > 1,500/mm^3
  • Platelet count > 100,000/mm^3

Hepatic

  • Bilirubin < 1.5 times upper limit of normal (ULN)

Renal

  • Creatinine < 1.25 times ULN

Cardiovascular

  • No unstable heart disease

Pulmonary

  • No ventilation dysfunction that would preclude radiotherapy

Other

  • No weight loss of 15% or more within the past 2 months
  • No uncontrolled infection
  • No other prior malignancy except curatively treated basal cell skin cancer or carcinoma in situ of the cervix

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • More than 6 months since prior neoadjuvant chemotherapy
  • No prior adjuvant chemotherapy

Endocrine therapy

  • Not specified

Radiotherapy

  • See Disease Characteristics
  • No prior radiotherapy

Surgery

  • Not specified

Other

  • No other concurrent clinical trial participation
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00077220

  Hide Study Locations
Locations
France
C. H. De Saumur
Saumur, France, 49403
C. H. Du Mans
Le Mans, France, 72037
C.H. Du Havre
Montivilliers, France, F-76290
C.H.G Laval
Laval, France, 53024
C.H.G. Beauvais
Beauvais, France, 60021
C.H.G. De Pau
Pau, France, 64000
Centre D'Oncologie De Gentilly
Nancy, France, 54100
Centre d'Oncologie et de Radiotherapie de Chaumont le Bois
Chaumont, France, 52000
Centre d'Oncologie et de Radiotherapie du Parc
Dijon, France, 21000
Centre du Rouget
Sarcelles, France, 95250
Centre Eugene Marquis
Rennes, France, 35042
Centre Frederic Joliot
Rouen, France, 76000
Centre Guillaume Le Conquerant
Le Havre, France, 76600
Centre Hospitalier Bayeux
Bayeux, France, 14400
Centre Hospitalier Chateaudun
Chateaudun, France, 28200
Centre Hospitalier Chaumont
Chaumont, France, 52000
Centre Hospitalier d'Annecy
Annecy, France, 74011 Cedex
Centre Hospitalier de la Cote Basque
Bayonne, France, 64100
Centre Hospitalier de Mulhouse
Mulhouse, France, 68051
Centre Hospitalier de Saint - Brieuc
Saint-Brieuc, France, 22023
Centre Hospitalier De Saint Dizier
Saint Dizier, France, 52100
Centre Hospitalier de Valenciennes
Valenciennes, France, 59300
Centre Hospitalier De Vernon
Vernon, France, 27200
Centre Hospitalier D'Evreux
Evreux, France, 27000
Centre Hospitalier General
Le Mans, France, 72037
Centre Hospitalier Regional Metz Thionville
Thionville, France, 57126
Centre Hospitalier Robert Bisson
Lisieux, France, 14100
Centre Jean Bernard
Le Mans, France, 72000
Centre Mallet - Proux
Laval, France, 53000
Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle
Montpellier, France, 34298
Centre Rene Huguenin
Saint Cloud, France, 92211
CHR D'Orleans - Hopital de la Source
Orleans, France, 45100
Clinique Armoricaine De Radiologie
Saint Brieuc, France, F-22015
Clinique Chenieux
Limoges, France, 87000
Polyclinique Saint - Roch
Montpellier, France, 34000
Clinique de le Louviere
Lille, France, F-59800
Clinique de l'Orangerie
Strasbourg, France, 67010
Clinique de l'Union
Saint Jean, France, 31240
Clinique De Valdegour
Nimes, France, 30900
Clinique des Cedres
Cornebarrieu, France, 31700
Clinique du Cedre
Bois-Guillaume, France, 76230
Clinique du Petit Colmouilins
Harfleur, France, 76700
Clinique du Pont de Chaume
Montauban, France, 82017
Clinique les Bleuets
Reims, France, 51100
Clinique Medico Chirurgicale Teissier Groupe
Valenciennes, France
Clinique Pasteur
Evreux, France, 27000
Clinique Saint - Pierre
Perpignan, France
Clinique Saint Vincent
Saint Gregoire, France, 35700
Clinique Tivoli
Bordeaux, France, F-33000
Groupe Medical St. Remy
Reims, France, 51100
Hopital Avicenne
Bobigny, France, 93009
Hopital Duffaut
Avignon, France, 84902
Hopital Jean Monnet
Epinal, France, BP590
Hopital Louis Pasteur
Chartres, France, 28018
Hopital Louis Pasteur
Comar, France, 68021
Hopital Notre-Dame de Bon Secours
Metz, France, 55038
Hopital Robert Boulin
Libourne, France, 33500
Hopital Saint Andre
Bordeaux, France, 33075
Hopital Saint-Louis
Paris, France, 75475
Hopital Tenon
Paris, France, 75970
Institut Sainte Catherine
Avignon, France, 84082
Maison Medicale Marzet
Pau, France, 64000
Medipole Gentilly Saint-Jacques
Maxeville, France, 54320
Polyclinique Bordeaux Nord Aquitaine
Boucher, France, 33300
Polyclinique De Courlancy
Reims, France, F-51100
Polyclinique de L'Ormeau
Tarbes, France, 65000
Polyclinique Du Parc Centre Maurice Tubiana
Caen, France, 14052
Clinique Clementville
Montpellier, France
Sponsors and Collaborators
Groupe Cooperateur Multidisciplinaire en Oncologie (GERCOR)
Investigators
Investigator: Jean F. Morere, MD Hopital Avicenne
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000350015, FRE-GERCOR-B00-1, EU-20330
Study First Received: February 10, 2004
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00077220     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage II non-small cell lung cancer
stage IIIA non-small cell lung cancer
stage IIIB non-small cell lung cancer

Additional relevant MeSH terms:
Thoracic Neoplasms
Respiratory Tract Neoplasms
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Mitosis Modulators
Physiological Effects of Drugs
Adjuvants, Immunologic
Antimitotic Agents
Carboplatin
Pharmacologic Actions
Carcinoma
Neoplasms
Neoplasms by Site
Respiratory Tract Diseases
Paclitaxel
Lung Neoplasms
Therapeutic Uses
Lung Diseases
Tubulin Modulators
Antineoplastic Agents, Phytogenic
Carcinoma, Non-Small-Cell Lung
Neoplasms, Glandular and Epithelial

ClinicalTrials.gov processed this record on November 27, 2009