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Randomized Study of Cisplatin-Etoposide Versus an Etoposide Regimen Without Cisplatin in Extensive Small-Cell Lung Cancer

A Phase III Randomized Study Comparing A Chemotherapy With Cisplatin And Etoposide To A Etoposide Regimen Without Cisplatin For Patients With Extensive Small-Cell Lung Cancer

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00658580
Enrollment
361
Registered
2008-04-15
Start date
2000-04-30
Completion date
2015-02-28
Last updated
2015-02-12

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

Conditions

Small Cell Lung Carcinoma, Extensive Disease

Keywords

Small cell lung carcinoma, Chemotherapy, Phase III randomised study

Brief summary

The purpose of this study is to determine if a cisplatin-etoposide regimen improves survival in comparison to a regimen containing etoposide and without platinum derivative.

Interventions

DRUGCisplatin + etoposide

Cisplatin 90 mg/m² day 1, every 3 weeks Etoposide 100 mg/m² days 1-3, every 3 weeks

DRUGEpirubicin + ifosfamide + etoposide

Epirubicin 60 mg/m² day 1, every 3 weeks Ifosfamide (+ uromitexan) 1.5 g/m² days 1-3, every 3 weeks Etoposide 100 mg/m² days 1-3, every 3 weeks

Sponsors

European Lung Cancer Working Party
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Histological or cytological diagnosis of small-cell lung cancer * Extensive disease (i.e. a disease with distant metastases or that cannot be included in a single irradiation field incorporating primary tumour, mediastinum and supraclavicular lymph node(s)) * 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, radiotherapy or surgery * Performance status \< 60 on the Karnofsky scale * A history of prior malignant tumor, except non-melanoma skin cancer or in situ carcinoma of the cervix or a cured cancer (defined as a disease-free interval \> 5 years) * White blood cells \< 4000/mm3 * Platelets \< 100000/mm3 * Serum bilirubin \> 1.5 mg/100 ml * Serum creatinine \> 1.3 mg/100 ml and creatinine clearance \<60 ml/min * Recent myocardial infarction (less than 3 months prior to date of diagnosis) * Congestive cardiac failure or cardiac arrhythmia uncontrolled by medical treatment * Uncontrolled infectious disease * Serious medical or psychological factors which may prevent adherence to the treatment schedule

Design outcomes

Primary

MeasureTime frame
SurvivalSurvival will be dated from the day of randomisation until death or last follow up

Secondary

MeasureTime frame
Response rateEvery 3 cycles of chemotherapy
ToxicityAfter every cycle of chemotherapy

Countries

Belgium, France, Greece, Spain

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026