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Irinotecan and Gemcitabine in Treating Patients With Recurrent or Progressive Stage III or Stage IV Non-Small Cell Lung Cancer

Phase II Study of Irinotecan Followed by Gemcitabine in NSCLC Following Failure of Platinum Based Therapy

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00182806
Enrollment
38
Registered
2005-09-16
Start date
2004-09-30
Completion date
2008-07-31
Last updated
2012-03-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lung Cancer

Keywords

recurrent non-small cell lung cancer, stage IIIA non-small cell lung cancer, stage IIIB non-small cell lung cancer, stage IV non-small cell lung cancer

Brief summary

RATIONALE: Drugs used in chemotherapy, such as irinotecan and gemcitabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Irinotecan may also increase the effectiveness of gemcitabine. Giving irinotecan together with gemcitabine may kill more tumor cells. PURPOSE: This phase II trial is studying how well giving irinotecan together with gemcitabine works in treating patients with recurrent or progressive stage III or stage IV non-small cell lung cancer.

Detailed description

OBJECTIVES: Primary * Determine the objective response rate (complete and partial response) in patients with recurrent or progressive stage IIIA-IV non-small cell lung cancer treated with irinotecan and gemcitabine. Secondary * Determine the median time to progression in patients treated with this regimen. OUTLINE: This a non-randomized, open-label, multicenter study. Patients receive irinotecan IV over 90 minutes on days 1 and 8 and gemcitabine IV over 30 minutes on days 2 and 9. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed for 1 month and then every 8 weeks thereafter. PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study within 16 months.

Interventions

DRUGgemcitabine hydrochloride

IV over 30 minutes on days 2 and 9. Courses repeat every 21 days.

DRUGirinotecan hydrochloride

IV over 90 minutes on days 1 and 8. Courses repeat every 21 days.

Sponsors

Roswell Park Cancer Institute
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed non-small cell lung cancer (NSCLC), meeting 1 of the following stage criteria: * Stage IIIA or IIIB disease * Progressive disease * Stage IV disease * Failed 1 prior platinum-based chemotherapy regimen, including adjuvant therapy * Measurable or evaluable disease, as defined by 1 of the following criteria: * At least 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques OR \> 10 mm by spiral CT scan * Lesions apparent on CT scan that do not meet the criterion for measurability * Brain metastases allowed provided patient has received definitive therapy for metastases, is asymptomatic, and has extra-CNS metastases PATIENT CHARACTERISTICS: Age * 18 and over Performance status * ECOG 0-1 Life expectancy * More than 12 weeks Hematopoietic * WBC ≥ 3,000/mm\^3 * Absolute neutrophil count ≥ 1,500/mm\^3 * Platelet count ≥ 100,000/mm\^3 Hepatic * AST and ALT ≤ 1.5 times normal * Alkaline phosphatase \< 1.5 times normal * Bilirubin ≤ 1.3 mg/dL Renal * Creatinine ≤ 1.6 mg/dL OR * Creatinine clearance ≥ 50 mL/min Cardiovascular * No unstable angina * No congestive heart failure * No myocardial infarction within the past 3 months * No life-threatening ventricular arrhythmia requiring maintenance therapy Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective barrier contraception during and for 3 months after completion of study treatment * No uncontrolled seizure disorder * No uncontrolled diabetes mellitus * No active infection requiring systemic therapy * No other malignancy within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix * No other unstable or serious condition PRIOR CONCURRENT THERAPY: Biologic therapy * Not specified Chemotherapy * See Disease Characteristics * At least 3 weeks since prior chemotherapy * Prior irinotecan allowed * No prior gemcitabine * No more than 1 prior chemotherapy regimen for NSCLC, excluding gefitinib * No other concurrent chemotherapy Endocrine therapy * Not specified Radiotherapy * At least 4 weeks since prior radiotherapy * No concurrent radiotherapy Surgery * Not specified Other * More than 1 month since prior participation in another clinical trial using an investigational agent * No other concurrent investigational agents

Design outcomes

Primary

MeasureTime frame
Objective response (complete, partial, and stable disease)

Secondary

MeasureTime frame
Median time to progression

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026