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Weekly Paclitaxel Plus Gemcitabine as Second-line in Small Cell Lung Cancer

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: NCT00453167
Recruitment Status : Completed
First Posted : March 28, 2007
Last Update Posted : July 12, 2010
Information provided by:
National Cancer Center, Korea

Brief Summary:
As a single agent, paclitaxel has a response rate of 33% and 25-29% in SCLC patients with sensitive relapse and with resistant relapse, respectively. As a single agent, gemcitabine also has a response rate 16% and 6-13% in SCLC patients with sensitive relapse and with resistant relapse, respectively. Because of single-agent activity, different mechanism of action, non-overlapping toxicities, and beneficial pharmacologic interaction, paclitaxel and gemcitabine combinations are attractive for testing in clinical trials.

Condition or disease Intervention/treatment Phase
Lung Cancer Drug: Paclitaxel Drug: Gemcitabine Phase 2

Detailed Description:

The treatment consists of paclitaxel 80 mg/m2 and gemcitabine 1,000 mg/m2 given intravenously on days 1 and 8 of a 21-day cycle.

Patients receive treatment every 3 weeks till disease progression

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 35 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase II Study of Weekly Paclitaxel and Gemcitabine as Second-line Therapy in Patients With Metastatic or Recurrence Small Cell Lung Cancer
Study Start Date : December 2005
Actual Primary Completion Date : December 2009
Actual Study Completion Date : March 2010

Arm Intervention/treatment
Experimental: study arm Drug: Paclitaxel
Paclitaxel 80mg/m2 iv on day 1 and 8, every 3 weeks until disease progression

Drug: Gemcitabine
Gemcitabine 1000mg/m2 iv on day 1 and 8, every 3 weeks until disease progression

Primary Outcome Measures :
  1. To evaluate the response rate of paclitaxel plus gemcitabine [ Time Frame: the ratio between the number of responders and number of patients assessable for tumor response ]

Secondary Outcome Measures :
  1. To access the toxicity [ Time Frame: the first day of the treatment to 30 days after the last dose of study drug ]
  2. To estimate the time to progression [ Time Frame: the first day of treatment to the date that disease progression is reported ]
  3. To examine the association between genotypes of paclitaxel biotransformation and the pharmacokinetics / [ Time Frame: before the first treatment date, each response evaluation until disease progression ]
  4. To estimate the overall survival [ Time Frame: the first day of treatment to death date ]

Information from the National Library of Medicine

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

Inclusion Criteria:

  1. Histologically or cytologically confirmed SCLC
  2. Clinically diagnosed metastatic or recurrent SCLC according to Sixth Edition of the AJCC Cancer Staging Manual
  3. At least 18 years old
  4. ECOG performance status 0-2
  5. Disease status must be that of measurable disease defined as RECIST:Lesions that can be accurately measured in at least one dimension > 10 mm with chest x-ray, spiral CT scan or physical examination
  6. Progression during or after prior first line chemotherapy or chemoradiotherapy.
  7. Before study entry, a minimum of 21 days must have elapsed since any prior chemotherapy or radiation
  8. No prior radiotherapy to measurable lesion(s) but previous surgery and/or chest radiotherapy for the primary lesion is allowed
  9. Adequate major organ function including the following:Hematologic function: WBC ≥ 3,500/mm3 or absolute neutrophil count (ANC) ≥ 1,500/mm3, platelet count ≥ 100,000/mm3Hepatic function: bilirubin ≤ 1.5 x UNL , AST/ALT levels ≤ 2.5 x UNLRenal function: serum creatinine ≤ 1.5mg/dL
  10. Patients should sign an informed consent
  11. If female: childbearing potential either terminated by surgery, radiation, or menopause, or attenuated by use of an approved contraceptive method (intrauterine device [IUD], birth control pills, or barrier device) during and for 3 months after trial. If male, use of an approved contraceptive method during the study and 3 months afterwards. Females with childbearing potential must have a urine negative hCG test within 7 days prior to the study registration.

Exclusion Criteria:

  1. MI within preceding 6 months or symptomatic heart disease including unstable angina, congestive heart failure, or uncontrolled arrhythmia
  2. Serious concurrent infection or nonmalignant illness that is uncontrolled or whose control may be jeopardized by complication of study therapy
  3. Other malignancy with the past 5 years except adequately treated cutaneous basal cell carcinoma or uterine cervix in situ cancer
  4. Pregnant or nursing women
  5. Psychiatric disorder that would preclude compliance.
  6. Major surgery other than biopsy within the past two weeks.

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): NCT00453167

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Korea, Republic of
National Cancer Center, Korea
Goyang-si, Gyeonggi-do, Korea, Republic of, 411-769
Sponsors and Collaborators
National Cancer Center, Korea
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Principal Investigator: Heung Tae Kim, M.D. National Cancer Center, Korea

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Responsible Party: Heung Tae Kim, National Cancer Center, Korea Identifier: NCT00453167     History of Changes
Other Study ID Numbers: NCCCTS-05-155
First Posted: March 28, 2007    Key Record Dates
Last Update Posted: July 12, 2010
Last Verified: July 2010

Keywords provided by National Cancer Center, Korea:
Small cell lung cancer
second-line therapy

Additional relevant MeSH terms:
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Lung Neoplasms
Small Cell Lung Carcinoma
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases
Carcinoma, Bronchogenic
Bronchial Neoplasms
Albumin-Bound Paclitaxel
Antineoplastic Agents, Phytogenic
Antineoplastic Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Antimetabolites, Antineoplastic
Antiviral Agents
Anti-Infective Agents
Enzyme Inhibitors
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs