Non Small Cell Lung Carcinoma
Conditions
Keywords
Non Small Cell Lung Cancer
Brief summary
The primary objective of the trial is to determine the Maximum tolerated dose, if any, of the combination of daily ZD1839 250 mg with carboplatin AUC 2 and 60 Gray (Gy) irradiation and up to 45 mg/m2 paclitaxel.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with histologically or cytologically confirmed locally advanced stage IIIA or IIIB NSCLC (without pleural effusion) * Patients with apical tumours and supraclavicular nodes are acceptable if both can be easily encompassed in one radiation field * Minimum life expectancy with treatment of 6 months * WHO performance status 0-1
Exclusion criteria
* Patients with previous malignancies other than NSCLC * Previous radiotherapy for NSCLC * Previous immunotherapy or chemotherapy * Any unresolved chronic toxicity greater than CTC grade 2 from previous anticancer therapy * Forced expiratory volume in 1 second (FEV1) less than 1 litre (L) * Absolute neutrophil count (ANC) less than 1.5 x 109/L or platelets less than 100 x 109/L * Serum bilirubin greater than 1.25 times the upper limit of reference range * ALT or AST greater than 2.5 times the ULRR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the Maximum tolerated dose, if any, of the combination of daily ZD1839 250 mg with carboplatin AUC 2 and 60 Gray (Gy) irradiation and up to 45 mg/m2 paclitaxel. | — |
Secondary
| Measure | Time frame |
|---|---|
| Estimating the objective response rate (complete response [CR] & partial response [PR]) as assessed by positron emission tomography with (18F)-labelled fluorodeoxyglucose (PET-FDG) | — |
| To estimate the objective response rate (CR and PR) as assessed by computerised tomography (CT) scan | — |
| To estimate the complete response rate (CR) as assessed by PET-FDG | — |
| To evaluate the activity potential of the combination of ZD1839, carboplatin, paclitaxel & radiation therapy | — |
| To estimate overall survival | — |
| To characterise the safety and tolerability of ZD1839 combined with concurrent carboplatin, paclitaxel and radiation | — |
| To determine the site of first failure (characterised as local-regional, distant or both) | — |
| To estimate progression free survival (PFS) as assessed by clinical examination, chest x-ray, CT scan ± PET-FDG | — |
Countries
Australia