Unique ID issued by UMIN | UMIN000005801 |
---|---|
Receipt number | R000006865 |
Scientific Title | A phase II study of induction chemoradiotherapy plus surgery in patients with stage III non-small cell lung cancer |
Date of disclosure of the study information | 2011/06/20 |
Last modified on | 2014/12/19 23:18:21 |
A phase II study of induction chemoradiotherapy plus surgery in patients with stage III non-small cell lung cancer
A phase II study of induction chemoradiotherapy plus surgery in patients with stage III non-small cell lung cancer
A phase II study of induction chemoradiotherapy plus surgery in patients with stage III non-small cell lung cancer
A phase II study of induction chemoradiotherapy plus surgery in patients with stage III non-small cell lung cancer
Japan |
Non small cell lung cancer
Pneumology | Chest surgery | Radiology |
Malignancy
NO
Objective of this study to investigate efficacy and safety for stageIII Non small cell lung cancer with neoadjuvant chemoradiotherapy plus surgery
Safety,Efficacy
Confirmatory
Pragmatic
Phase II
Response rate (ORR)
Overall survival (OS)
Histological effects
Complete resection
Progression free survival (PFS)
Safety
2-year survival rate
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Preoperative Chemotherapy
(1) Docetaxel (DOC)
250ml infusion of glucose injection, saline solution, mixed with an electrolyte maintenance solution, intravenous infusion over 60 min.
(2) Carboplatin (CBDCA)
250ml infusion of glucose injection, saline solution, mixed with an electrolyte maintenance solution, intravenous infusion over 60 min. The order of administration is 1st DOC 2nd CBDCA.
(3) Timing of administration
CBDCA AUC3 d1,d15
Postoperative radiation therapy
(1) exposure
2Gy/20 fractions (total 40Gy)
(2) The time of irradiation
Chemotherapy (first course) day2 from the start. For information about setting the radiation field depends on the hospital radiologists.
DOC 30mg/m2 d1,d15
Two courses carried out every four weeks.
Operative therapy
(1) eligible patients
Antitumor effect was observed in SD preoperative radiation or chemotherapy to surgery for patients in PR judges decision.
(2) Operative procedure
Curative lung resection and mediastinal lymph node dissection
(3) Timing of surgery
Chemotherapy after resection was performed 2-4 weeks later.
neligible patients
PD patients had preoperative chemotherapy and surgery are not determined, post treatment is assumed to be free
20 | years-old | <= |
75 | years-old | > |
Male and Female
lung cancer
2) Patients showed pathological mediastinal lymph node metastases
, FDG-PET and chest CT scans showed significant enlargement of mediastinal lymph nodes on patients with N2. Or, in the thoracic organ tumors (heart, major blood vessel, trachea, and vertebrate ) patients with T4 invasion admit.
3) No history of radiotherapy and chemotherapy in initial treatment for lung cancer
4) Over 20 years of age, less than 75 years old
5) ECOG Performance status :0-1
6) Patients with adequate organ function
WBC 4000/mm3 or more, 12000/mm3 less
Hb 10.0g/dl
Plt 100000/mm3 more
GOT, GPT 2 times the upper limit of normal for the facility
T. Bil 1.5mg/dl or less
sCr 1.5mg/dl or less
PaO2 70Torr more
Than expected after FEV1.0 0.8L
7) Measurable disease (at least 1 target lesion 2cm or more) Patients
8) Written Informed concent was obtained in those patients
) Blood transfusion within 14 days of therapy before enrollment, and preparations are treated with hematopoietic factor, those patients treated with antithrombotic agents for thrombosis.
2) Severe renal dysfunction, or urine protein 2+ or more cases.
3) Patient with severe drug allergy (anaphylaxis)
4) Patients with active double cancer
5) Patients with infectious diseases as a clinical problem, and suspected.
6) Poorly controlled hypertension, or patients with diabetes.
7) Significant ECG abnormalities, patients with heart disease as a clinical problem.
8) Patients with a history mager of Thrombosis or thrombosis severe lung disease within one year of the merger or previous thrombosis, severe lung disease (interstitial pneumonitis, pulmonary fibrosis, severe emphysema, etc.) within one year.
9) Patients with non-healing traumatic fracture
10) Patients with a history of mental disability, central nervus system disorder, cerebrovascular disease
11) In addition, patients who are considered not to participate in the study by doctor.
35
1st name | |
Middle name | |
Last name | Sakae Homma |
Toho University Omori Medical Center
Division of Respiratory Medicine
6-11-1 Omori-Nishi, Ota-ku Tokyo 143-8541 Japan
03-3762-4151
kazutoshiisobe@aol.com
1st name | |
Middle name | |
Last name | Kazutoshi Isobe |
Toho University Omori Medical Center
Division of Respiratory Medicine
6-11-1 Omori-Nishi, Ota-ku, Tokyo, Japan
03-3762-4151
kazutoshiisobe@aol.com
Toho University Omori Medical Center
Non
Self funding
NO
東邦大学医療センター大森病院(東京都)/ Toho Univ. Omori Medical Center (Tokyo)
2011 | Year | 06 | Month | 20 | Day |
Unpublished
Open public recruiting
2011 | Year | 05 | Month | 20 | Day |
2011 | Year | 06 | Month | 01 | Day |
2011 | Year | 06 | Month | 19 | Day |
2014 | Year | 12 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006865