Unique ID issued by UMIN | C000000145 |
---|---|
Receipt number | R000000208 |
Scientific Title | Dose-intensive weekly combination chemotherapy (cisplatin, vincristine, doxorubicin and etoposide) followed by cisplatin-etoposide therapy with concurrent thoracic irradiation: evaluation of a new treatment for limited-disease small-cell lung cancer. |
Date of disclosure of the study information | 2005/09/09 |
Last modified on | 2008/05/28 10:35:09 |
Dose-intensive weekly combination chemotherapy (cisplatin, vincristine, doxorubicin and etoposide) followed by cisplatin-etoposide therapy with concurrent thoracic irradiation: evaluation of a new treatment for limited-disease small-cell lung cancer.
Dose-intensive weekly combination chemotherapy (cisplatin, vincristine, doxorubicin and etoposide) followed by cisplatin-etoposide therapy with concurrent thoracic irradiation: evaluation of a new treatment for limited-disease small-cell lung cancer.
Dose-intensive weekly combination chemotherapy (cisplatin, vincristine, doxorubicin and etoposide) followed by cisplatin-etoposide therapy with concurrent thoracic irradiation: evaluation of a new treatment for limited-disease small-cell lung cancer.
Dose-intensive weekly combination chemotherapy (cisplatin, vincristine, doxorubicin and etoposide) followed by cisplatin-etoposide therapy with concurrent thoracic irradiation: evaluation of a new treatment for limited-disease small-cell lung cancer.
Japan |
limited-disease small-cell lung cancer
Hematology and clinical oncology |
Malignancy
NO
We planned a new regimen for the treatment of patients with LD-SCLC. First, we increased the initial dose intensity of CODE chemotherapy for 4weeks. Second, we used PE therapy with concurrent thoracic radiotherapy as a relatively early concurrent chemoradiotherapy. We conducted a multicenter pilot study to evaluate the efficacy and feasibility of this treatment regimen.
Safety,Efficacy
The primary endpoint was survival time and the secondary endpoints were the actual dose intensity, response rate, toxicity.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
The CODE treatment phase consisted of 25 mg/m2 cisplatin (i.v.) once a week for 4 weeks, 45 mg/m2 doxorubicin (i.v.) on day 1, 80 mg/m2 etoposide (i.v.) on days 1 through 3 during weeks 1 and 3, and 1 mg/m2 vincristine (i.v.) on day 1 during weeks 2 and 4.
The PE treatment phase consisted of 80 mg/m2 cisplatin (i.v.) on day 1 and 100 mg/m2 etoposide on days 1 through 3. These treatments were repeated every 4 weeks for 3 cycles.
Thoracic radiotherapy began on day 2 of the first PE cycle. Radiation was administered in twice-daily fractions separated by at least 4 hours. The total dose was 45 Gy, which administered in 30 fractions over 3 weeks.
18 | years-old | <= |
70 | years-old | >= |
Male and Female
We included patients with cytologically or histologically proven small-cell lung cancer that had not undergone treatment. We defined LD as that confined to one hemithorax and any lymph nodes that could be covered by a single radiation therapy port. We included only patients with a good performance status, that is, an Eastern Cooperative Oncology Group scale value of 0 to 2. The test results as follows: white blood cell count ≥ 4,000/mm3, hemoglobin ≥ 11 g/dl, platelet count ≥ 100,000/mm3, total serum bilirubin ≤ 1.5 mg/dl, aspartate transaminase and alanine aminotransferase ≤ 100 IU/L, serum creatinine ≤ 1.2 mg/ml, 24 hour creatinine clearance ≥ 60 ml/min, and an arterial blood gas of oxygen of ≥ 70 mmHg. Disease stage was assessed by physical examination; chest radiography; computed tomography of the chest, brain, and abdomen; bone scintigraphy; bone marrow aspiration; and other tests as indicated. All patients gave informed consent for participation in this study.
The criteria were age ≥ to 18 years and ≤ 70years, no concurrent active malignancies.
20
1st name | |
Middle name | |
Last name | Takeshi Isobe |
Shimane University School of Medicine
Department of Internal Medicine
89-1 Enya-cho, Izumo, Shimane 693-8501, JAPAN
0853-20-2206
1st name | |
Middle name | |
Last name | Takeshi Isobe |
Shimane University School of Medicine
Department of Internal Medicine
89-1 Enya-cho, Izumo, Shimane 693-8501, JAPAN
0853-20-2206
West Japan Oncology Group
None
Self funding
NO
2005 | Year | 09 | Month | 09 | Day |
Unpublished
Completed
1996 | Year | 04 | Month | 01 | Day |
1996 | Year | 06 | Month | 01 | Day |
2000 | Year | 11 | Month | 01 | Day |
2000 | Year | 11 | Month | 01 | Day |
2000 | Year | 11 | Month | 01 | Day |
2000 | Year | 12 | Month | 01 | Day |
2005 | Year | 09 | Month | 09 | Day |
2008 | Year | 05 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000208