Unique ID issued by UMIN | UMIN000001810 |
---|---|
Receipt number | R000002185 |
Scientific Title | Induction Chemoradiotherapy Followed by Surgical Resection for Non-Small Cell Lung Cancer Involving the Chest Wall: A Phase II Trial |
Date of disclosure of the study information | 2009/04/01 |
Last modified on | 2018/10/07 13:22:23 |
Induction Chemoradiotherapy Followed by Surgical Resection for Non-Small Cell Lung Cancer Involving the Chest Wall: A Phase II Trial
Chemoradiotherapy Followed by Surgery in Treating Patients With Non-Small Cell Lung Cancer Involving the Chest Wall
Induction Chemoradiotherapy Followed by Surgical Resection for Non-Small Cell Lung Cancer Involving the Chest Wall: A Phase II Trial
Chemoradiotherapy Followed by Surgery in Treating Patients With Non-Small Cell Lung Cancer Involving the Chest Wall
Japan |
Lung Cancer
Pneumology | Chest surgery | Radiology |
Malignancy
NO
Phase II trail to study the feasibility and effectiveness of concurrent chemotherapy using cisplatin and vinorelbine and radiotherapy followed by surgery in treating patients who have resectable non-small cell lung cancer involving the chest wall.
Safety,Efficacy
Exploratory
Pragmatic
Phase II
Three-year survival
Completion rate and objective response rate of induction chemoradiotherapy, Adverse effects of induction chemoradiotherapy, Operability after induction chemoradiotherapy, Complete resection rate, Perioperative morbidity and mortality, Pathologic response, Recurrence patterns, Disease free survival, and Overall survival
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine | Maneuver |
Patients receive chemotherapy consisted of Cisplatin 80 mg/m2 day 1 + Vinorelbine 20 mg/m2 days 1 and 8 / 4 weeks x 2 courses
Patients receive also concurrent radiotherapy (Radiation field: Primary tumor, Total dose 40 Gy (2 Gy/day for 4 weeks)).
At 3 to 6 weeks after completion of induction therapy, patients undergo surgical resection (lobectomy or pneumonectomy with mediastinal lymph node dissection combined with chest wall resection).
20 | years-old | <= |
70 | years-old | >= |
Male and Female
1.Histologically and/or cytologically confirmed non-small cell lung cancer
2.Resectable T3N0-1M0 lung cancer with chest wall invasion including superior sulcus tumor
Criteria for chest wall invasion:
# The tumor obviously invades the soft tissue of the chest wall or ribs at CT.
# The tumor is contiguous to the chest wall at CT, and chest pain and/or positive findings of bone scintigraphy is present at the primary site.
3.No prior therapy
4.Measurable lesions
5.Performance status (ECOG): 0-1
6.Hematopoietic: WBC >3500/ mm3, ANC >1500/ mm3, Hb >=10.0g/dl, Plt >=100000/ mm3
7.Hepatic: T-Bil <=1.5 mg/dl, AST/ALT <80 IU/L
8.Renal: Serum Cr <1.5 mg/dl, CCr >=60 ml/min
9.Pulmonary function: PaO2 >=70 Torr (room air), Predictive postoperative FEV1.0 >=800 ml
10.Written informed consent
1.N2 disease: Obvious N2 disease at CT/PET, or histologically and/or cytologically confirmed N2 disease by mediastinoscopy and/or EBUS.
2.Active double cancer
3.Prior chemotherapy or radiotherapy
4.Patients with serious comobidities; serious cardiac complications such as uncontrollable angina, myocardial infarction within 3 months, heart failure, arrhythmia required treatment, uncontrollable diabetes mellitus and hypertion, definite interstitial pneumonina, lung fibrosis, and severe emphysema at CT, and infectious diseases.
5.Pregnant or nursing woman
6.V20 more than 30% of normal lung
53
1st name | |
Middle name | |
Last name | Kohei Yokoi |
Nagoya University Graduate School of Medicine
Department of Thoracic Surgery
65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan
052-744-2376
k-yokoi@med.nagoya-u.ac.jp
1st name | |
Middle name | |
Last name | Kohei Yokoi |
Nagoya University Graduate School of Medicine
Department of Thoracic Surgery
65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan
052-744-2376
k-yokoi@med.nagoya-u.ac.jp
Central Japan Lung Study Group
None
Self funding
NO
名古屋大学病院(愛知県)、愛知医科大学病院(愛知県)、豊橋市民病院(愛知県)、栃木県立がんセンター(栃木県)、名古屋医療センター(愛知県)、癌研有明病院(東京都)、公立陶生病院(愛知県)、神奈川県立がんセンター(神奈川県)、小牧市民病院(愛知県)、三重大学病院(三重県)、名古屋第1赤十字病院(愛知県)、名古屋市立大学病院(愛知県)、名古屋第2赤十字病院(愛知県)、長野市民病院(長野県)、豊田厚生病院(愛知県)、三重中央医療センター(三重県)、大垣市民病院(岐阜県)、岐阜大学病院(岐阜県)、愛知県がんセンター中央病院(愛知県)、刈谷豊田総合病院(愛知県)、市立四日市病院(三重県)、藤田保健衛生大学(愛知県)、県立多治見病院(岐阜県)、静岡がんセンター(静岡県)、山形県立中央病院(山形県)、聖隷三方原病院(静岡県)、千葉県がんセンター(千葉県)、大阪府立成人病センター(大阪府)、四国がんセンター(愛媛県)、中京病院(愛知県)
2009 | Year | 04 | Month | 01 | Day |
Partially published
Kawaguchi K, et al. A prospective, multi-institutional phase II study of induction chemoradiotherapy followed by surgery in patients with non-small cell lung cancer involving the chest wall (CJLSG0801). Lung Cancer 2017;104:79-84.
No longer recruiting
2008 | Year | 11 | Month | 15 | Day |
2009 | Year | 03 | Month | 01 | Day |
2017 | Year | 12 | Month | 01 | Day |
2009 | Year | 03 | Month | 29 | Day |
2018 | Year | 10 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002185