Survival Study of Docetaxel and Carboplatin as Neo-Adjuvant Vs Adjuvant Chemotherapy in Early Stage NSLC
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Purpose
The objective of the trial is to determine whether 3 cycles of TP (docetaxel plus cisplatin) after complete operation will improve survival when compared with 3 cycles of TP prior to complete resection for NSCLC.
| Condition | Intervention | Phase |
|---|---|---|
|
Non-small Cell Lung Cancer |
Procedure: Chemotherapy+Surgery |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Survival Study of Neo-adjuvant Versus Adjuvant Chemotherapy With Docetaxel Combined Carboplatin in Resectable Stage IB to IIIA Non-small Lung Cancer |
- 3 years Disease Free Survival (at end of 3 years) [ Time Frame: Prospective ] [ Designated as safety issue: Yes ]
- 3 years Overall Survival rate (at end of 3 years) and Safety data (after third cycle finish) [ Time Frame: Prospective ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 410 |
| Study Start Date: | March 2006 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
-
Procedure: Chemotherapy+Surgery
Non-small-cell lung cancer (NSCLC) accounts for approximately 80% of lung cancers diagnosed worldwide. Surgical resection offers the best chance for cure for those patients diagnosed with early-stage disease, however, the vast majority of patients experience eventually relapse or metastasis. The rationale of neoadjuvant or adjuvant chemotherapy for early stage NSCLC lies in the possibility of eradicating micro-metastasis disease, so it appears to improve survival by reducing the occurrence of distant metastases. Meta analysis, CALGB 9633, JBR 10 and ANITA trials have shown postoperative (adjuvant) CT after complete resection will prolong survival. On the other hand, Depierre et al had conducted a trial to demonstrate preoperative (neoadjuvant ) chemotherapy in early stage NSCLC appears to improve survival. We need a head to head trial to comparing neoadjuvant with adjuvant chemotherapy to answer which treatment model is better to early stager NSCLC. Based on proven activity and survival benefit in advance NSCLC, docetaxel has been introduced into neoadjuvant therapy, even as a potential option in adjuvant setting.
Comparison: 3 cycles of TP after complete operation compared to 3 cycles of TP prior to complete resection for NSCLC.
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically or cytologically confirmed stage IB-IIIA non-small cell lung cancer patients,without previous chemotherapy, radiotherapy or target-therapy;
- age from 18 to 75;
- PS with ECOC 0-1;
- Adequate haematological and Hepatic- renal function;
- Expected to live longer than 12 months;
- The informed consent should be signed.
Exclusion Criteria:
- Patients with Small Cell Lung Cancer;
- Already receiving any prior anti-cancer treatment;
- Pregnant women;
- Uncontrolled diabetes, mental disease;
- Hepatic and renal function failure;
- The investigators believe the patient is not suitable to be enrolled in the study
Contacts and Locations| Contact: Yi-Long WU, MD,FACS | +8620,83877855 | syylwu@live.cn |
| China, Guangdong | |
| Chinese Society of Lung Cancer | Recruiting |
| Guangzhou, Guangdong, China, 510080 | |
| Contact: Xiao-song Ben, MD +862083877855 benxs@163.com | |
| Principal Investigator: Yi-Long WU, MD, FACS | |
| Principal Investigator: | Yi-Long Wu, MD, FACS | Guangdong General Hospital |
More Information
No publications provided
| Responsible Party: | Yi-Long Wu, Professor, Chinese Society of Lung Cancer |
| ClinicalTrials.gov Identifier: | NCT00321334 History of Changes |
| Other Study ID Numbers: | CSLC0501 |
| Study First Received: | May 1, 2006 |
| Last Updated: | January 15, 2012 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Chinese Society of Lung Cancer:
|
non-small cell lung cancer Chemotherapy surgery |
neo-adjuvant adjuvant RCT |
Additional relevant MeSH terms:
|
Carcinoma, Non-Small-Cell Lung Lung Neoplasms Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases |
Respiratory Tract Diseases Adjuvants, Immunologic Docetaxel Carboplatin Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Antineoplastic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 23, 2013