Carcinoma, Non-Small-Cell Lung
Conditions
Keywords
Randomised phase III, Chemotherapy, Advanced non-small cell lung carcinoma
Brief summary
The purpose of this study is to determine if cisplatin-based chemotherapy, cisplatin-gemcitabine-ifosfamide or cisplatin-docetaxel, will improve survival in comparison to the combination gemcitabine-ifosfamide in patients with advanced NSCLC
Interventions
Cisplatin 50 mg/m² day 1 Ifosfamide 3g/m² day 1 (+ uromitexan rescue) Gemcitabine 1 g/m² days 1 and 8 Cycles every 3 weeks
Ifosfamide 3g/m² day 1 (+ uromitexan rescue) Gemcitabine 1 g/m² days 1 and 8 Cycles every 3 weeks
Cisplatin 50 mg/m² day 1 Docetaxel 75 mg/m² day 1 Cycles every 3 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Histological or cytological diagnosis of non-small cell lung cancer * Advanced (unresectable or functionally inoperable) stage III or stage IV disease * Availability for participating in the detailed follow-up of the protocol * Presence of an evaluable or measurable lesion * Informed consent
Exclusion criteria
* Prior treatment with chemotherapy * Operable patient with resectable tumour * Performance status \< 60 on the Karnofsky scale * A history of prior malignant tumour, except non-melanoma skin cancer or in situ carcinoma of the cervix and cured malignant tumour (more than 5-year disease free interval) * Polynuclear cells \< 2,000/mm³ * Platelet cells \< 100,000/mm³ * Serum bilirubin \>1.5 mg/100 ml * Serum creatinine \> 1.5 mg/100 ml and/or creatinine clearance \< 60 ml/min * Perception hypoacousia * Peripheral neuropathy * Recent myocardial infarction (less than 3 months prior to date of diagnosis) * Congestive cardiac failure requiring medical therapy or uncontrolled cardiac arrhythmia * Uncontrolled infectious disease * Serious medical or psychological factors which may prevent adherence to the treatment schedule
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival | Survival will be dated from the first day of registration until death or last follow up |
Secondary
| Measure | Time frame |
|---|---|
| Response rate | Every 3 courses of chemotherapy |
| Toxicity | After each course of chemotherapy |
| Activity of second-line chemotherapy | Every 3 courses of chemotherapy |
Countries
Belgium, France, Greece, Spain