Carcinoma
Conditions
Keywords
Patients with Carcinoma of Unknown Primary and a Predicted Favorable Prognosis
Brief summary
This is a randomized phase III trial comparing cisplatin with or without gemcitabine in patients with carcinoma of unknown primary and a predicted favorable prognosis. The purpose of this trial is to compare the overall survival rates of patients with carcinoma of unknown primary (CUP) and a predicted favorable prognosis according to the French classification treated with cisplatin with or without gemcitabine.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients older than 18 years * Evidence of CUP based on histologic examination * Negative search for the primary tumor site using recommended guidelines * Disease classified as good prognosis according to the French classification criteria: \*performance status \>2 and \*normal serum LDH * No prior chemotherapy * No previous carcinoma, except basal-cell carcinoma of the skin * Adequate renal function: measured or calculated creatinine clearance \> 60 ml/min * Absolute granulocyte count ≥ 1,500/mm3; platelets ≥ 100,000 mm3; bilirubin ≤ 1.5 fold the upper normal value * Signed informed consent
Exclusion criteria
* Patients infected by the Human Immunodeficiency Virus (HIV) * CUP belonging to one of the following subgroups: 1) Axillary lymph node of an adenocarcinoma in a woman; 2) Serous adenocarcinoma of the peritoneum in a woman; 3) Undifferentiated carcinoma of the middle line in a young man; 4)Squamous-cell carcinoma; 5) Neuroendocrine carcinoma; 6) Bone metastases with elevated serum prostate specific antigen (PSA) in a man * Patients who do not fit inclusion criteria.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival | — |
Secondary
| Measure | Time frame |
|---|---|
| Response rate | — |
| Progression-free survival | — |
| Toxicity | — |
| Quality of life | — |
Countries
France