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Spots Global Cancer Trial Database for Combination Chemotherapy in Treating Patients With Stage IIIB, Stage IV, or Recurrent Non-Small Cell Lung Cancer

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Trial Identification

Brief Title: Combination Chemotherapy in Treating Patients With Stage IIIB, Stage IV, or Recurrent Non-Small Cell Lung Cancer

Official Title: A Randomized, Phase III Multicenter Trial Of Gemcitabine In Combination With Carboplatin Or Paclitaxel Plus Carboplatin In Patients With Metastatic (Stage IIIB, IV) Non-Small Cell Lung Cancer

Study ID: NCT00054392

Conditions

Lung Cancer

Study Description

Brief Summary: RATIONALE: Drugs used in chemotherapy such as gemcitabine, carboplatin, and paclitaxel use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known which chemotherapy regimen is more effective in treating non-small cell lung cancer. PURPOSE: Randomized phase III trial to compare the effectiveness of different combination chemotherapy regimens in treating patients who have stage IIIB, stage IV, or recurrent non-small cell lung cancer.

Detailed Description: OBJECTIVES: * Compare the overall survival of patients with stage IIIB or IV or recurrent non-small cell lung cancer treated with gemcitabine and carboplatin vs gemcitabine and paclitaxel vs paclitaxel and carboplatin. * Compare the overall response rate and time to progression in patients treated with these regimens. * Compare the toxic effects of these regimens in these patients. * Compare the quality of life of patients treated with these regimens. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to weight loss within the past 6 months (less than 5% vs at least 5%), disease stage (IIIB vs IV), and brain metastases (present vs absent). Patients are randomized to 1 of 3 treatment arms. * Arm I: Patients receive gemcitabine IV over 30 minutes on days 1 and 8 and carboplatin IV over 15-30 minutes on day 1. * Arm II: Patients receive gemcitabine IV over 30 minutes on days 1 and 8 and paclitaxel IV over 3 hours on day 1. * Arm III: Patients receive paclitaxel IV over 3 hours and carboplatin IV over 15-30 minutes on day 1. In all arms, treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity. Quality of life is assessed at baseline, every 6 weeks during study treatment, and then every 3 months until progressive disease is documented. Patients are followed every 3 months. PROJECTED ACCRUAL: A total of 1,134 patients (378 per treatment arm) will be accrued for this study within 2 years.

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Loma Linda University Cancer Institute at Loma Linda University Medical Center, Loma Linda, California, United States

New Hope Cancer and Research Institute - Pomona, Pomona, California, United States

Lawrence and Memorial Hospital, New London, Connecticut, United States

University of Florida Shands Cancer Center, Gainesville, Florida, United States

Lakeland Regional Cancer Center at Lakeland Regional Medical Center, Lakeland, Florida, United States

Gulf Coast Cancer Treatment Center, Panama City, Florida, United States

Veterans Affairs Medical Center - Atlanta (Decatur), Decatur, Georgia, United States

Ingalls Cancer Care Center at Ingalls Memorial Hospital, Harvey, Illinois, United States

Carle Cancer Center at Carle Foundation Hospital, Urbana, Illinois, United States

Cancer Center of Indiana, New Albany, Indiana, United States

CCOP - Northern Indiana CR Consortium, South Bend, Indiana, United States

Annapolis Oncology Center, Annapolis, Maryland, United States

Greenebaum Cancer Center at University of Maryland Medical Center, Baltimore, Maryland, United States

Greater Baltimore Medical Center Cancer Center, Baltimore, Maryland, United States

Baystate Regional Cancer Program at D'Amour Center for Cancer Care, Springfield, Massachusetts, United States

Fallon Clinic at Worcester Medical Center, Worcester, Massachusetts, United States

West Michigan Cancer Center, Kalamazoo, Michigan, United States

Sletten Regional Cancer Institute at Benefis Healthcare, Great Falls, Montana, United States

Hunterdon Regional Cancer Center at Hunterdon Medical Center, Flemington, New Jersey, United States

, Howell, New Jersey, United States

Jersey Shore Cancer Center at Jersey Shore University Medical Center, Neptune, New Jersey, United States

AtlantiCare Regional Medical Center, Pomona, New Jersey, United States

Mercer Bucks Oncology-Hematology, Trenton, New Jersey, United States

Roswell Park Cancer Institute, Buffalo, New York, United States

Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill, Chapel Hill, North Carolina, United States

Cape Fear Valley Medical Center, Fayetteville, North Carolina, United States

Leo W. Jenkins Cancer Center at ECU Medical School, Greenville, North Carolina, United States

Aultman Hospital Cancer Center at Aultman Health Foundation, Canton, Ohio, United States

Cleveland Clinic Cancer Center at Fairview Hospital, Cleveland, Ohio, United States

Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio, United States

Parma Community General Hospital, Parma, Ohio, United States

Rosenfeld Cancer Center at Abington Memorial Hospital, Abington, Pennsylvania, United States

Falling Spring Medical Associates, Chambersburg, Pennsylvania, United States

Hematology-Oncology Associates of Northeastern Pennsylvania, Dunmore, Pennsylvania, United States

PinnacleHealth Regional Cancer Center at Polyclinic Hospital, Harrisburg, Pennsylvania, United States

Richard G. Laube Cancer Center at ACMH, Kittanning, Pennsylvania, United States

Lancaster Cancer Center, Lancaster, Pennsylvania, United States

Central Pennsylvania Hematology and Medical Oncology Associates, PC, Lemoyne, Pennsylvania, United States

Paoli Hematology-Oncology PC at Paoli Memorial Hospital, Paoli, Pennsylvania, United States

Hahnemann University Hospital, Philadelphia, Pennsylvania, United States

Drexel University College of Medicine - Center City Hahnemann Campus, Philadelphia, Pennsylvania, United States

Fox Chase Cancer Center CCOP Research Base, Philadelphia, Pennsylvania, United States

Pennsylvania Oncology Hematology Associates, Incorporated - Philadelphia, Philadelphia, Pennsylvania, United States

Kimmel Cancer Center at Thomas Jefferson University - Philadelphia, Philadelphia, Pennsylvania, United States

Allegheny Cancer Center at Allegheny General Hospital, Pittsburgh, Pennsylvania, United States

Hillman Cancer Center at University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, United States

Pottstown Memorial Regional Cancer Center, Pottstown, Pennsylvania, United States

St. Joseph Medical Center, Reading, Pennsylvania, United States

Lankenau Cancer Center at Lankenau Hospital, Wynnewood, Pennsylvania, United States

South Carolina Oncology Associates, PA, Columbia, South Carolina, United States

Coastal Cancer Center - Myrtle Beach, Myrtle Beach, South Carolina, United States

Family Cancer Center, PLLC - Collierville, Collierville, Tennessee, United States

Baptist Regional Cancer Center at Baptist Hospital of East Tennessee, Knoxville, Tennessee, United States

University of Virginia Cancer Center at UV Health System, Charlottesville, Virginia, United States

David Lee Outpatient Cancer Center at Charleston Area Medical Center, Charleston, West Virginia, United States

Morgantown Internal Medicine Group, Incorporated, Morgantown, West Virginia, United States

Mary Babb Randolph Cancer Center at West Virginia University Hospitals, Morgantown, West Virginia, United States

Contact Details

Name: Joseph A. Treat, MD

Affiliation: Fox Chase Cancer Center

Role: STUDY_CHAIR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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