Cisplatin and Pemetrexed With Radiation Followed by Lobectomy (CisPemXetSrg)
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ClinicalTrials.gov Identifier: NCT01373463 |
Recruitment Status :
Terminated
(Investigator left site)
First Posted : June 15, 2011
Last Update Posted : July 26, 2012
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This study is open to patients that have been diagnosed with non-squamous Stage III Non Small Cell Lung Cancer (NSCLC) and will have surgery to remove the tumor.
The purpose of this study is to:
- Test a combination of two chemotherapeutic drugs along with radiation therapy, when given prior to surgery and see what effects (good or bad) it has on someone with this type of cancer. Chemotherapeutic drugs selectively destroy diseased cancer cells and tissues.
- Test the safety of different dose levels of radiation when given with each combination of chemotherapy;
- Determine what side effects are associated with combining radiation with these two chemotherapy combinations.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Nonsquamous Nonsmall Cell Neoplasm of Lung Nonsmall Cell Lung Cancer Stage III | Drug: Pemetrexed Drug: Carboplatin Radiation: Radiation Therapy Drug: Cisplatin Procedure: Lobectomy | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 48 participants |
Allocation: | Non-Randomized |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase I Trial of Preoperative Carboplatin or Cisplatin and Pemetrexed With Thoracic Radiation Therapy Followed by Lobectomy in Resectable Stage III Patients With Non-Squamous Non Small Cell Lung Cancer (NSCLC) |
Study Start Date : | May 2011 |
Actual Primary Completion Date : | June 2012 |
Actual Study Completion Date : | June 2012 |

Arm | Intervention/treatment |
---|---|
Experimental: Arm A
|
Drug: Pemetrexed
Pemetrexed by vein every 21 days for 3 cycles Drug: Carboplatin Carboplatin by vein Every 21 days for 3 cycles Radiation: Radiation Therapy Radiation treatment 5 days a week for 5-6 weeks. Procedure: Lobectomy Surgery |
Experimental: Arm B
|
Drug: Pemetrexed
Pemetrexed by vein every 21 days for 3 cycles Drug: Cisplatin Cisplatin by vein every 21 days for 3 cycles Radiation: Radiation Therapy Radiation treatment 5 days a week for 5-6 weeks. Procedure: Lobectomy Surgery to remove a portion of the lung where the tumor is located. |
- Safety and tolerabilityDetermine the safety and tolerability of concurrent chemotherapy with Cisplatin/ Pemetrexed or Carboplatin/Pemetrexed and dose escalated radiation therapy followed by lobectomy.
- Response rate, overall survival and progression free survival
Evaluate the following:
- Response Rate after concurrent chemoradiation therapy.
- Overall Survival (OS).
- Progression Free Survival (PFS)

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years to 90 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically and cytologically confirmed non-squamous NSCLC.
- Resectable T3, and or N2 disease (T3N1, and resectable T1-3N2 multi-station non-bulky with no nodal station being more than 2 cm on preoperative workup, T4N0-1
- Resectable T3 includes patients with a satellite lesion in the same lobe as the primary.
- Male or Female, aged > or = 18 years and be able to give informed consent.
- Tumor should be technically operable with a lobectomy, bilobectomy or a sleeve resection.
- Patient should be medically operable
- ECOG Performance Status 0 or 1.
- Adequate bone marrow, hepatic and renal function assessed within 28 days
- Signed informed consent.
- Women of childbearing potential should have negative pregnancy test prior to enrollment to study.
- Men with partners in the childbearing age group and women of childbearing potential must use effective contraception while on treatment and for 6 months thereafter.
- The ability to interrupt NSAIDS 2 days before (5 days for long-acting NSAIDs), the day of, and 2 days following administration of Pemetrexed.
- The ability to take folic acid, Vitamin B12, and dexamethasone according to protocol.
- Patients must have a negative MRI or CT Scan of the brain.
Exclusion Criteria:
- Patients who have had chemotherapy or radiation therapy within 4 weeks prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier.
- Patients may not be receiving any other investigational agents.
- History of allergic reactions attributed to compounds or other agents used in study.
- Pregnant or lactating women.
- Male patients with female sexual partners in the reproductive age group who refuse to use effective methods of contraception will be excluded from the trial.
- Patients with concurrent serious infections.
- Patients with an unstable or serious concurrent medical condition are excluded.
- Presence of third space fluid which cannot be controlled by drainage.
- Weight loss > 10 percent from baseline weight.
- HIV-positive patients on combination antiretroviral therapy are ineligible
- Patients with hypercalcemia will be excluded.
- Patients who require a pneumonectomy will be excluded.

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 ClinicalTrials.gov identifier (NCT number): NCT01373463
United States, South Carolina | |
Medical University of South Carolina | |
Charleston, South Carolina, United States, 29425 |
Responsible Party: | George Simon, MD, Hollings Cancer Cetner Medical University of South Carolina |
ClinicalTrials.gov Identifier: | NCT01373463 |
Other Study ID Numbers: |
101466 |
First Posted: | June 15, 2011 Key Record Dates |
Last Update Posted: | July 26, 2012 |
Last Verified: | July 2012 |
resectable |
Lung Neoplasms Carcinoma, Non-Small-Cell Lung Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases Respiratory Tract Diseases Carcinoma, Bronchogenic |
Bronchial Neoplasms Carboplatin Pemetrexed Antineoplastic Agents Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Folic Acid Antagonists Nucleic Acid Synthesis Inhibitors |