Non Small-cell Lung Cancer
Conditions
Keywords
LUNG, DOCETAXEL, GEMCITABINE, CARBOPLATIN, RADIOTHERAPY
Brief summary
Randomized study in 2 arms, without any masking in patients with non small cell lung cancer, histologically or cytologically confirmed, not liable to surgery, stage IIIB or IIIA, according to the TNM classification of the American Joint Committee for cancer. In one arm will be administered concomitant radiotherapy and carboplatin-docetaxel-gemcitabine followed by docetaxel and, in the other arm will be administered docetaxel-gemcitabine followed by concurrent radiotherapy with carboplatin-docetaxel
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Unresectable stage IIIA or B NSCLC patients * WHO PS 0 or 1 * Weight loss \< 5 % within the last 3 months * At least one measurable lesion * Planning CT scan previous to randomization * Written informed consent
Exclusion criteria
* Malignant effusion, supraclavicular node or SVCS * PTV \> 2000 cm3 * V20 \> 35% * FEV1 and DLCO both \< 30% or 1 liter at study entry
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall response rate | From enrollment to first response assesment | The final response rates were 57% (arm B) and 56.9% (arm C). Arm A not available due to early closing |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Local control rate at 1 year | 1 year | — |
| Time to progression | From enrollment to first progression date | Arm B: 7.6 months (m) and arm C: 9.2 m; p= 0.12) |
| Overall Survival | From enrollment to last follow up or death | Arm B: 14.3 m and arm C: 14.7 m; p= 0.3 |