Pulmonary Neoplasms
Conditions
Keywords
pulmonary neoplasm, preoperative chemotherapy, cisplatin, docetaxel, randomized trial, clinical stage IB or II nonsmall cell lung cancer
Brief summary
The purpose of this study is to evaluate the safety and efficacy of the preoperative docetaxel and docetaxel-cisplatin combination in c-stage IB/II NSCLC, and select the optimal preoperative therapy for phase III trials.
Detailed description
Preoperative chemotherapy has substantial theoretical advantage. Several controlled trials are under way in early stage (clinical stage IB-II) nonsmall cell lung cancer (NSCLC). In each trial, platinum-based doublet chemotherapy is employed. Although platinum-based doublet is the treatment of choice for advanced NSCLC, risk/benefit balance might well be different in earlier stages. There have been no prospective randomized trials to choose an optimal preoperative chemotherapy in early stage NSCLC. Comparison: Preoperative cisplatin-docetaxel combination versus docetaxel monotherapy in clinical stage IB/II NSCLC.
Interventions
Preoperative docetaxel-cisplatin combination chemotherapy
Preoperative docetaxel monotherapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Newly diagnosed, pathologically documented NSCLC * Clinical stages IB (T2N0M0), IIA (T1N1M0) or IIB (T2N1M0 or T3N0M0) * Ages: 15-74 years old * ECOG performance status 0 or 1 * Measurable disease * Ample organ function * Signed informed consent
Exclusion criteria
* Invasion to the first rib or more superior chest wall * Metastasis to, or involvement of, mediastinal node * Active concomitant malignancy * Unstable angina, recent myocardial infarction, or heart failure * Uncontrolled diabetes or hypertension * Pregnant or lactating women * Other severe complications * Systemic use of corticosteroids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| disease-free survival rate at 1 year | during the study conduct |
Secondary
| Measure | Time frame |
|---|---|
| disease-free survival | during the study conduct |
| treatment compliance | during the study conduct |
| response rate to chemotherapy | during the study conduct |
| overall survival | during the study conduct |
| complete resection rate | during the study conduct |
| post-surgical morbidity/mortality | during the study conduct |
| pathologic complete response (CR) rate | during the study conduct |
Countries
Japan