Unique ID issued by UMIN | UMIN000000896 |
---|---|
Receipt number | R000001053 |
Scientific Title | A combination phase II study of gemcitabine and S-1 for platinum-refractory patients with non-small cell lung cancer (TORG 0705) |
Date of disclosure of the study information | 2007/12/01 |
Last modified on | 2010/11/15 09:22:13 |
A combination phase II study of gemcitabine and S-1 for platinum-refractory patients with non-small cell lung cancer (TORG 0705)
A combination phase II study of gemcitabine and S-1 for platinum-refractory patients with non-small cell lung cancer (TORG 0705)
A combination phase II study of gemcitabine and S-1 for platinum-refractory patients with non-small cell lung cancer (TORG 0705)
A combination phase II study of gemcitabine and S-1 for platinum-refractory patients with non-small cell lung cancer (TORG 0705)
Japan |
Non-small cell lung cancer
Pneumology | Hematology and clinical oncology |
Malignancy
NO
To evaluate clinical relevance of combination chemotherapy consisting of S-1 and gemcitabine for patients with relapsed and/or first-line chemotherapy resistant non-small cell lung carcinoma.
Efficacy
Confirmatory
Pragmatic
Phase II
Overall response rate
Toxicity, Overall survival, Progression free survival, Subset analyses
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Chemotherapy
S-1 (60 mg/m2, days 1-14, every 3 weeks)
Gemcitabine (1,000 mg/m2, days 8 and 15, every 3 weeks)
at least 3 courses, until reaching PD
Not applicable |
Not applicable |
Male and Female
1) Histologically/cytologically proven non-small cell lung cancer.
2) Prior chemotherapy of 2 or less than 2 regimens. Post-operative adjuvant chemotherapy, induction chemotherapy and intra-thoracic installation of cytotoxic agents are not considered as a regimen.
3) Prior chemotherapy consisting of platinum agents in at least one regimen.
4) Relapse after and/or resistant (SD or PR) to prior chemotherapy.
5) Interval of more than 28 days from the last chemotherapy/radiotherapy.
6) Lesions evaluated with RECIST.
7) PS (ECOG) of 0-1.
8) Preserved organ functions as
a) Hb >= 9.0 g/dL
b) Neutrophils >= 2,000/mm3
c) Platelets >= 100,000/mm3
d) AST/ALT <= 2.5 x upper limit of the normal value
e) T. Bil <= 2.0 mg/dL
f) Serum creatinine <= 1.5 mg/dL
g) Creatinine crearance >=50 ml/min
h) PaO2 >= 70 torr
9) Written informed consent.
1) Any contraindication for S-1 or gemcitabine.
2) Active concomitant malignancy.
3) Active infectious diseases.
4) Prior resection of primary tumor.
5) Interstitial pneumonia obviously presented by x-ray and/or clinical manifestations.
6) Experience of any pulmonary event during the previous chemotherapy.
7) Prior chemotherapy including any primidine analogue such as 5-FU, tegafur, UFT, S-1, capecitabine, gemcitabine and Ara-C.
8) Brain metastasis with symptoms or requirement of treatment.
9) Requirement of thoracic irradiation.
10) Pleural effusion, ascites or pericardial effusion requiring treatment.
11) Serious abnormalty in ECG.
12) Uncontrolled diabetes mellitus.
13) Women in regnancy, potential pregnancy, or breast feeding. Men willing to cause pregnancy.
14) Other inadequate conditions .
32
1st name | |
Middle name | |
Last name | Takiguchi, Yuichi |
Chiba University
Department of Respirology (B2)
1-8-1, Inohana, Chuo-Ku, Chiba, Japan
043-226-2577
1st name | |
Middle name | |
Last name | Kojima, Hiroyuki |
Thoracic Oncology Research Group
Secretariat office
1-45-5, Denn-Enn-Chofu, Ohta-Ku, Tokyo
03-3722-5330
NPOTORGHKojima@aol.com
Thoracic Oncology Research Group
None
Self funding
YES
TORG0705
Thoracic Oncology Research Group
2007 | Year | 12 | Month | 01 | Day |
Published
Treatment was administered for median 4 courses (range 1 - 13) over a median 125-day period in 34 patients The overall response rate was 23.5% (no complete response and 8 partial response; 95% confidence interval: 9.1 - 38.0%). The median progression-free and overall survival times were 6.6 and 19.9 months, respectively. The 1- and 2-year survival rates were 58.8 and 30.9%, respectively. Toxicity was mild during the entire treatment period, except for 3 grade 3 interstitial pneumonia.
Completed
2007 | Year | 07 | Month | 10 | Day |
2007 | Year | 11 | Month | 01 | Day |
2010 | Year | 04 | Month | 01 | Day |
2010 | Year | 04 | Month | 01 | Day |
2010 | Year | 05 | Month | 01 | Day |
2010 | Year | 05 | Month | 01 | Day |
ISSN: 1556-0864/10/0512-0001
Journal of Thoracic Oncology6; Volume 5, Number 12, December 2010 (in press)
2007 | Year | 11 | Month | 15 | Day |
2010 | Year | 11 | Month | 15 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001053