ADVANCED Phase II Trial of Weekly vs 3 Weekly Docetaxel and Cisplatin Followed by Gemcitabine in Non-small-cell Lung Cancer (NSCLC)

Study Description

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Brief Summary:

This is a multicenter, open-label, randomized phase II trial whose aim is to assess the antitumor activity of two sequential schedules of docetaxel and cisplatin followed by gemcitabine.

Condition or disease	Intervention/treatment	Phase
Carcinoma, Non-Small-Cell Lung	Drug: Docetaxel and cisplatin followed by gemcitabine; Drug: docetaxel and cisplatin followed by gemcitabine	Phase 2

Study Design

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Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	88 participants
Allocation:	Randomized
Intervention Model:	Parallel Assignment
Masking:	None (Open Label)
Primary Purpose:	Treatment
Official Title:	Randomized Phase II Trial of Two Sequential Schedules of Docetaxel and Cisplatin Followed by Gemcitabine in Patients With Advanced Non-small-cell Lung Cancer.
Study Start Date :	May 2005
Actual Primary Completion Date :	August 2008
Actual Study Completion Date :	August 2008

Arms and Interventions

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Arm	Intervention/treatment
Experimental: A	Drug: Docetaxel and cisplatin followed by gemcitabine; docetaxel 75 mg/m2 day 1 + cisplatin 75 mg/m2 day1 repeated every 21 days for 3 cycles followed by gemcitabine 1200 mg/m2 day 1,8 repeated every 21 days for 3 cycles
Experimental: B	Drug: docetaxel and cisplatin followed by gemcitabine; docetaxel 25 mg/m2 day 1,8,15 + cisplatin 25 mg/m2 days1,8,15 repeated every 28 days for 3 cycles followed by gemcitabine 1200 mg/m2 day 1,8 repeated every 21 days for 3 cycles.

Outcome Measures

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Primary Outcome Measures :

1. overall response rate assessed by RECIST criteria. [ Time Frame: before, during and at the end of treatment ]

Secondary Outcome Measures :

1. Time to progression [ Time Frame: from the date of randomization to the date of first documented tumor progression or relapse ]
2. time to treatment failure [ Time Frame: from the date of treatment start to the date of diagnosis of progression, withdrawal from study treatment for any reason, administraztion of other antitumor treatment, or death for any cause ]
3. overall survival [ Time Frame: time interval from the date of randomisation to the date of death ]

Eligibility Criteria

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Ages Eligible for Study:	18 Years to 70 Years (Adult, Senior)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

• Histologically or cytologically confirmed diagnosis of NSCLC; Histologic subtypes may include large cell, squamous cell, or adenocarcinoma or a generic cytological diagnosis of NSCLC;
• Patients must have a locoregionally advanced unresectable non metastatic NSCLC Stage IIIB (only N3 supraclavicular or T4 for pleural effusion) or Stage IV according to the revised International Staging System;
• Patients must have at least one measurable lesion according to RECIST criteria.
• Previous radical surgery (more 30 days before study entry) is allowed but a pathologic proof of progression of neoplastic disease must be documented;
• WHO Performance Status 0 or 1 ;
• Weight loss < 5% within the last 3 months;

• Laboratory requirements at entry

  • Blood cell counts: Absolute neutrophils > 2.0 . 10^9/L; Platelets > 100 . 10^9/L; Hemoglobin > 10 g/dl
  • Renal function: Serum creatinine < 1 upper normal limits (UNL). In case of limit value of serum creatinine, the creatinine clearance should be > 60 mL/min
  • Hepatic functions: Serum bilirubin < 1 x UNL; ASAT and ALAT < 2.5 x UNL; Alkaline phosphatase < 5 x UNL (unless accompanied by extensive bone metastases)

Exclusion Criteria:

• Prior systemic chemotherapy or immunotherapy ; prior neoadjuvant or adjuvant chemotherapy is allowed if ended at least 12 months before enrollment;
• Prior radiotherapy for NSCLC to measurable lesions. Prior radiotherapy (to < 25% of the bone marrow) is allowed in non target lesions. At least 4 weeks must be elapsed since the completion of the radiotherapy and the patient must have all side effects recovered.
• Cyto-histological diagnosis of small cell lung cancer, carcinoid, or mixed small-cell / non-small cell lung cancer;
• Patients with evaluable, not measurable disease only (non target lesions);
• Patients with symptomatic brain metastases or with leptomeningeal disease;
• History of prior malignancies, 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;
• History of hypersensitivity reaction to polysorbate 80;
• Pregnant or lactating women (women of childbearing potential must use adequate contraception);
• Current peripheral neuropathy NCI grade > 2;
• Significant neurological or psychiatric disorders ;
• Participation in clinical trials with other experimental agents within 30 days of study entry;

• Other serious concomitant illness of medical conditions:

  1. Uncontrolled cardiovascular disease;
  2. History of significant neurologic or psychiatric disorders including demential or seizures;
  3. Active infection requiring iv antibiotics;
  4. Active ulcer, unstable diabetes mellitus or other contra-indication to corticotherapy;
  5. Any other condition which in the judgement of the investigator would place the subject at undue risk or interfere with the study.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Contacts and Locations

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Locations

Italy
Sanofi-Aventis Administrative Office
Milan, Italy

Sponsors and Collaborators

Sanofi

Investigators

Study Director:	Georges Paizis, MD	Sanofi

More Information

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Responsible Party:	Medical Affairs Medical Director, Sanofi-aventis administrative office
ClinicalTrials.gov Identifier:	NCT00424853 History of Changes
Other Study ID Numbers:	XRP6976B_2506; EudraCT # : 2004-001044-72
First Posted:	January 22, 2007
Last Update Posted:	December 7, 2009
Last Verified:	December 2009

Additional relevant MeSH terms:

Carcinoma, Non-Small-Cell Lung; Carcinoma, Bronchogenic; Bronchial Neoplasms; Lung Neoplasms; Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases; Gemcitabine; Docetaxel; Cisplatin	Antineoplastic Agents; Antimetabolites, Antineoplastic; Antimetabolites; Molecular Mechanisms of Pharmacological Action; Antiviral Agents; Anti-Infective Agents; Enzyme Inhibitors; Immunosuppressive Agents; Immunologic Factors; Physiological Effects of Drugs; Tubulin Modulators; Antimitotic Agents; Mitosis Modulators