Concurrent Helical Tomotherapy With Chemotherapy in Unresectable Stage III Non-Small Cell Lung Cancer (NSCLC)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00379717
Recruitment Status : Unknown
Verified September 2006 by AZ-VUB.
Recruitment status was:  Recruiting
First Posted : September 22, 2006
Last Update Posted : March 13, 2008
Information provided by:

Brief Summary:

This non-randomized Phase I/II study is designed to determine the maximum tolerated dose (MTD) of thoracic radiotherapy and concurrent chemotherapy with cisplatin and docetaxel in patients with LA-NSCLC. All patients will receive weekly administrations of docetaxel 20 mg/m² and cisplatin 20 mg/m2 concurrently with radiotherapy. Radiotherapy will be delivered using helical tomotherapy in 30 daily fractions over six weeks. Patients should have recovered fully from induction concurrent chemoradiotherapy before they continue with the consolidation chemotherapy phase. Patients will be entered in cohorts of at least 5 subjects.

The first cohort of patients will receive 30 fractions of 2Gy in six weeks up to a total dose of 60Gy. The concurrent chemotherapy starts at day 1 of the radiotherapy and will be administered 2-4 hours before the radiotherapy.

The radiotherapy fraction size will be escalated to 2.36Gy in three steps.

Condition or disease Intervention/treatment Phase
Non-Small-Cell Lung Carcinoma Drug: Cisplatinum Drug: Docetaxel Device: Tomotherapy Phase 1 Phase 2

Detailed Description:

Dose escalation steps are:

30*2.00Gy = 60.0Gy (BED= 70.8Gy10 NID2= 60.0Gy) 30*2.12Gy = 63.6Gy (BED= 75.9Gy10 NID2= 64.2Gy) 30*2.24Gy = 67.2Gy (BED= 81.5Gy10 NID2= 68.5Gy) 30*2.36Gy = 70.8Gy (BED= 86.3Gy10 NID2= 72.9Gy) If MTD is not reached, protocol modification allowing further escalation can be considered.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 30 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Concurrent Helical Tomotherapy With Chemotherapy in Unresectable Stage III Non-Small Cell Lung Cancer (NSCLC): a Phase I/II Trial of Radiation Dose Escalation and Fixed Dose Chemotherapy.
Study Start Date : November 2006
Study Completion Date : April 2008

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Lung Cancer

Primary Outcome Measures :
  1. To evaluate the feasibility and toxicity of radiation dose escalation using helical tomotherapy concurrently with chemotherapy (docetaxel-cisplatin combination) in stage III locally advanced non small cell lung cancer (LA-NSCLC).

Secondary Outcome Measures :
  1. To estimate efficacy parameters in terms of overall response rate, progression free survival and overall survival. To monitor quality of life (QOL) before, during and after treatment.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Informed consent is required.
  2. Histologically or cytologically confirmed NSCLC (adenocarcinoma, squamous cell carcinoma, large cell carcinoma or a combination of these)
  3. Patients must have a stage III unresectable LA-NSCLC:
  4. Males or females aged between 18 and 75 years.
  5. Life expectancy of at least 12 weeks.
  6. ECOG performance status 0,1 or2.
  7. Weight loss ≤ 10% within the last 3 months.
  8. Laboratory requirements at entry:

    • Blood cell counts: i. Absolute neutrophils ≥ 2.0 x 109/L ii. Platelets ≥ 100 x 109/L iii. Haemoglobin ≥ 11 g/dl

    • Renal function: i. Serum creatinine < 1 x the upper limit of normal (UNL). ii. In case of borderline value of serum creatinine, the 24h creatinine clearance should be > 60 ml/min.

    • Hepatic function: i. Serum bilirubin < 1 x UNL ii. ASAT and ALAT < 2.5 x UNL iii. alkaline phosphatase < 5 x UNL iv. Patient with ASAT and/or ALAT > 1.5 x UNL associated with alkaline phosphatase> 2.5 x UNL is not eligible for the study.

  9. Lung function tests at entry:

    • FEV1: ≥ 50 % x Normal value
    • DLCO: ≥ 50 % x Normal value
  10. Adequate cardiac function.
  11. Patient with either measurable and/or non-measurable lesion (according to RECIST criteria, A1).

Exclusion Criteria:

  1. Diagnosis of small cell lung cancer.
  2. Stage IIIB NSCLC, based on the presence of malignant pleural or pericardial effusion.
  3. Pregnant or lactating women.
  4. Patients (male or female) with reproductive potential not implementing adequate contraceptive measures.
  5. Prior systemic chemotherapy, immunotherapy, or biological therapy including neoadjuvant or adjuvant treatment for NSCLC.
  6. Prior surgery for NSCLC, if less than 5 years from study.
  7. Prior radiotherapy for NSCLC.
  8. History of prior malignancy, except for cured non-melanoma skin cancer, curatively treated in-situ carcinoma of the cervix or other cancer curatively treated and with no evidence of disease for at least five years.
  9. Symptomatic peripheral neuropathy Grade ≥ 2 except if due to trauma.
  10. Other serious concomitant illness or medical conditions:
  11. Congestive heart failure or angina pectoris except if it is medically controlled. Previous history of myocardial infarction within 1 year from study entry, uncontrolled hypertension or arrhythmias.
  12. History of significant neurological or psychiatric disorders including dementia or seizures.
  13. Active infection requiring IV antibiotics.
  14. Active ulcer, unstable diabetes mellitus or other contra-indication to corticosteroid therapy.
  15. Superior vena cava syndrome contra-indicating hydration.
  16. Pre-existing pericardial effusion.
  17. Pre-existing symptomatic pleural effusion.
  18. Significant gastrointestinal abnormalities, including requirement for intravenous nutrition, active peptic ulcer disease, prior surgical procedures affecting absorption.
  19. Distant metastasis.
  20. Concurrent treatment with any other experimental anti-cancer drugs.
  21. Concomitant or within 4-week period administration of any other experimental drug under investigation.
  22. Significant ophthalmologic abnormalities.
  23. Moderate to severe dermatitis.
  24. Hypersensitivity to docetaxel, cisplatin, or any of its excipients.
  25. Concomitant use of phenytoin, carbamazepin, barbiturates, or rifampicin.
  26. Mental condition rendering the patient unable to understand the nature, scope, and possible consequences of the study.
  27. Patient unlikely to comply with protocol, i.e., uncooperative attitude, inability to return for follow-up visits, and not likely to complete the study.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00379717

Contact: Samuel Bral, MD 003224776415
Contact: Nicolas Fontaine, Mr 0032 2 477 54 61

UZ Brussel Recruiting
Jette, Belgium, 1090
Contact: Samuel Bral, MD    0032 2 477 64 15   
Contact: Nicolas Fontaine, Mr    0032 2 477 54 61   
Sponsors and Collaborators
Principal Investigator: Samuel Bral, MD AZ-VUB

Responsible Party: Bral Samuel, UZ Brussel Identifier: NCT00379717     History of Changes
Other Study ID Numbers: VUB06-001
First Posted: September 22, 2006    Key Record Dates
Last Update Posted: March 13, 2008
Last Verified: September 2006

Keywords provided by AZ-VUB:
helical tomotherapy
dose escalation

Additional relevant MeSH terms:
Carcinoma, Non-Small-Cell Lung
Lung Neoplasms
Carcinoma, Bronchogenic
Bronchial Neoplasms
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases
Antineoplastic Agents