Skip to content

Pemetrexed Disodium and Carboplatin in Treating Patients With Extensive-Stage Small Cell Lung Cancer

Phase II Trial of Pemetrexed Disodium and Carboplatin in Previously Untreated Extensive Stage Small Cell Lung Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00227565
Enrollment
50
Registered
2005-09-28
Start date
2006-02-28
Completion date
2009-10-31
Last updated
2016-07-06

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

Conditions

Lung Cancer

Keywords

extensive stage small cell lung cancer

Brief summary

RATIONALE: Drugs used in chemotherapy, such as pemetrexed disodium and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells. PURPOSE: This phase II trial is studying how well giving pemetrexed disodium together with carboplatin works in treating patients with extensive-stage small cell lung cancer.

Detailed description

OBJECTIVES: Primary * Determine the complete and partial response rates in patients with previously untreated, extensive-stage small cell lung cancer treated with pemetrexed disodium and carboplatin. Secondary * Determine the toxicity of this regimen in these patients. * Determine, preliminarily, the survival of patients treated with this regimen. * Determine, preliminarily, the response rate in patients 70 years and older treated with this regimen. * Determine, preliminarily, the toxicity of this regimen in patients 70 years and older. OUTLINE: This is a multicenter study. Patients are stratified according to age (\< 70 years vs ≥ 70 years). Patients receive pemetrexed disodium IV over 10 minutes and carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients who develop progressive disease in the CNS only may receive whole-brain radiotherapy and then continue chemotherapy after completion of whole-brain radiotherapy for up to 6 courses. After completion of study treatment, patients are followed every 3 months for 1 year and then every 6 months for 4 years. PROJECTED ACCRUAL: Approximately 77 patients at least 46 who are \< 70 years of age and at least 24 who are ≥ 70 years of age) will be accrued for this study within 20-26 months.

Interventions

DRUGcarboplatin
DRUGpemetrexed disodium
RADIATIONradiation

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
Alliance for Clinical Trials in Oncology
Lead SponsorOTHER

Study design

Allocation
NA
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 small cell lung cancer * Previously untreated disease * No mixed histology * Extensive-stage disease * Clinically significant effusions (e.g., symptomatic pleural effusion) must be drained prior to treatment * Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques OR ≥ 10 mm by spiral CT scan * No symptomatic, untreated, or uncontrolled CNS metastases * CNS metastases previously treated with whole-brain radiotherapy allowed PATIENT CHARACTERISTICS: Age * 18 and over Performance status * ECOG 0-2 Life expectancy * At least 12 weeks Hematopoietic * Absolute neutrophil count ≥ 1,500/mm\^3 * Platelet count ≥ 100,000/mm\^3 * Hemoglobin ≥ 9.0 g/dL Hepatic * Total bilirubin ≤ 1.5 times upper limit of normal (ULN) OR * Direct bilirubin normal * ALT and AST ≤ 3 times ULN (5 times ULN if there is liver involvement) Renal * Creatinine clearance ≥ 45 mL/min Cardiovascular * No angina pectoris * No congestive heart failure within the past 3 months, unless ejection fraction \> 40% * No cardiac arrhythmia * No myocardial infarction within the past 3 months * No hypertension, including labile hypertension Pulmonary * No interstitial pneumonia * No extensive and symptomatic interstitial fibrosis of the lung Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * No history of poor compliance with antihypertensive medication * Able to take folic acid, cyanocobalamin (vitamin B\_12) supplementation, or dexamethasone * No uncontrolled diabetes * No serious condition that would preclude study participation * No clinically significant infection * No significant traumatic injury * No other malignancy within the past 5 years except carcinoma in situ of the cervix or nonmelanoma skin cancer * Low-grade (Gleason score ≤ 6), localized prostate cancer allowed even if diagnosed \< 5 years prior to study entry * No seizure disorder * No other severe and/or uncontrolled medical condition PRIOR CONCURRENT THERAPY: Biologic therapy * No concurrent immunotherapy * No concurrent immunomodulating agents Chemotherapy * No other concurrent chemotherapy Endocrine therapy * No concurrent hormonal therapy Radiotherapy * See Disease Characteristics * Prior palliative radiotherapy allowed * No prior palliative radiotherapy to the chest except for ≤ 3 fractions for superior vena cava syndrome * No concurrent radiotherapy Surgery * More than 4 weeks since prior major surgery\* (i.e., laparotomy) or open biopsy * More than 2 weeks since prior minor surgery\* NOTE: \*Insertion of a vascular access device is not considered major or minor surgery Other * More than 4 weeks since prior investigational therapy * No concurrent Hypericum perforatum (St. John's wort) * No concurrent inducers or inhibitors of CYP3A4 * No concurrent medications that are metabolized by CYP3A4 * No aspirin dose ≥ 1.3 grams per day for ≥ 10 days prior to and after study treatment * No other concurrent cytostatic or cytotoxic agents

Design outcomes

Primary

MeasureTime frame
Proportion of confirmed-tumor responseUp to 5 years

Countries

United States

Outcome results

None listed

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