Small Cell Lung Carcinoma, Extensive Disease
Conditions
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
Cisplatin 90 mg/m² day 1, every 3 weeks Etoposide 100 mg/m² days 1-3, every 3 weeks
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
Study design
Eligibility
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
| Measure | Time frame |
|---|---|
| Survival | Survival will be dated from the day of randomisation until death or last follow up |
Secondary
| Measure | Time frame |
|---|---|
| Response rate | Every 3 cycles of chemotherapy |
| Toxicity | After every cycle of chemotherapy |
Countries
Belgium, France, Greece, Spain