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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

Phase 3
18 Years
Open (Enrolling)
Lung Cancer

Thank you

Trial Information

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


- 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

- 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.

Inclusion Criteria


- Histologically confirmed non-small cell lung cancer (NSCLC) of 1 of the following

- Squamous cell

- Adenocarcinoma

- Large cell anaplastic

- Bronchoalveolar

- Non-small cell carcinoma not otherwise specified NOTE: Mixed tumors are
categorized by the predominant cell type (tumors with small-cell anaplastic
elements are ineligible)

- Evidence of at least 1 of the following:

- Clinically documented recurrent disease after prior radiation or surgery

- Stage IV disease (distant metastases)

- Stage IIIB disease presenting with 1 of the following:

- Pleural or pericardial effusion by CT scan or chest x-ray

- Pleural implants documented pathologically or seen on CT scan or x-ray

- Measurable or evaluable disease

- No brain metastases unless clinically stable after surgery and/or radiotherapy



- 18 and over

Performance status

- ECOG 0-1

Life expectancy

- Not specified


- Absolute neutrophil count at least 1,500/mm^3

- Platelet count at least 100,000/mm^3


- Bilirubin no greater than 1.5 mg/dL

- AST less than 5 times upper limit of normal


- Creatinine no greater than 1.5 mg/dL OR

- Creatinine clearance at least 40 mL/min


- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- No hypersensitivity to agents that contain Cremophor EL (polyoxyethylated castor oil)


Biologic therapy

- Not specified


- No prior chemotherapy for advanced NSCLC

Endocrine therapy

- Not specified


- See Disease Characteristics

- Recovered from prior radiotherapy

- No prior radiotherapy to the only site of measurable disease, unless the site had
subsequent progression of disease documented by physical exam, radiography, or

- No concurrent radiotherapy (except for brain metastases)


- See Disease Characteristics


- No concurrent aminoglycoside antibiotics

Type of Study:


Study Design:

Allocation: Randomized, Primary Purpose: Treatment

Outcome Measure:


Safety Issue:


Principal Investigator

Joseph A. Treat, MD

Investigator Role:

Study Chair

Investigator Affiliation:

Fox Chase Cancer Center


United States: Federal Government

Study ID:




Start Date:

September 2001

Completion Date:

Related Keywords:

  • Lung Cancer
  • adenosquamous cell lung cancer
  • bronchoalveolar cell lung cancer
  • large cell lung cancer
  • recurrent non-small cell lung cancer
  • squamous cell lung cancer
  • stage IIIB non-small cell lung cancer
  • stage IV non-small cell lung cancer
  • adenocarcinoma of the lung
  • Carcinoma, Non-Small-Cell Lung
  • Lung Neoplasms



Roswell Park Cancer Institute Buffalo, New York  14263
Veterans Affairs Medical Center - Atlanta (Decatur) Decatur, Georgia  30033
Hahnemann University Hospital Philadelphia, Pennsylvania  19102-1192
Carle Cancer Center at Carle Foundation Hospital Urbana, Illinois  61801
Baystate Regional Cancer Program at D'Amour Center for Cancer Care Springfield, Massachusetts  01199
West Michigan Cancer Center Kalamazoo, Michigan  49007-3731
Drexel University College of Medicine - Center City Hahnemann Campus Philadelphia, Pennsylvania  19102
Gulf Coast Cancer Treatment Center Panama City, Florida  32405-4587
CCOP - Northern Indiana CR Consortium South Bend, Indiana  46601
Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill Chapel Hill, North Carolina  27599-7570
Kimmel Cancer Center at Thomas Jefferson University - Philadelphia Philadelphia, Pennsylvania  19107
Cleveland Clinic Taussig Cancer Center Cleveland, Ohio  44195
Hillman Cancer Center at University of Pittsburgh Cancer Institute Pittsburgh, Pennsylvania  15236
Loma Linda University Cancer Institute at Loma Linda University Medical Center Loma Linda, California  92354
University of Florida Shands Cancer Center Gainesville, Florida  32610-0232
Mary Babb Randolph Cancer Center at West Virginia University Hospitals Morgantown, West Virginia  26506
Aultman Hospital Cancer Center at Aultman Health Foundation Canton, Ohio  44710-1799
Hunterdon Regional Cancer Center at Hunterdon Medical Center Flemington, New Jersey  08822
Parma Community General Hospital Parma, Ohio  44129
Greenebaum Cancer Center at University of Maryland Medical Center Baltimore, Maryland  21201
Cape Fear Valley Medical Center Fayetteville, North Carolina  28302-2000
Cleveland Clinic Cancer Center at Fairview Hospital Cleveland, Ohio  44111
Rosenfeld Cancer Center at Abington Memorial Hospital Abington, Pennsylvania  19001
Lakeland Regional Cancer Center at Lakeland Regional Medical Center Lakeland, Florida  33805
Ingalls Cancer Care Center at Ingalls Memorial Hospital Harvey, Illinois  60426
Lankenau Cancer Center at Lankenau Hospital Wynnewood, Pennsylvania  19096
Baptist Regional Cancer Center at Baptist Hospital of East Tennessee Knoxville, Tennessee  37901
Lawrence and Memorial Hospital New London, Connecticut  06320
Pottstown Memorial Regional Cancer Center Pottstown, Pennsylvania  19464
Allegheny Cancer Center at Allegheny General Hospital Pittsburgh, Pennsylvania  15212
St. Joseph Medical Center Reading, Pennsylvania  19604
Greater Baltimore Medical Center Cancer Center Baltimore, Maryland  21204
Leo W. Jenkins Cancer Center at ECU Medical School Greenville, North Carolina  27834
Fox Chase Cancer Center CCOP Research Base Philadelphia, Pennsylvania  19140
Fallon Clinic at Worcester Medical Center Worcester, Massachusetts  01608
AtlantiCare Regional Medical Center Pomona, New Jersey  08240
Central Pennsylvania Hematology and Medical Oncology Associates, PC Lemoyne, Pennsylvania  17043
University of Virginia Cancer Center at UV Health System Charlottesville, Virginia  22908
Sletten Regional Cancer Institute at Benefis Healthcare Great Falls, Montana  59405
PinnacleHealth Regional Cancer Center at Polyclinic Hospital Harrisburg, Pennsylvania  17105
South Carolina Oncology Associates, PA Columbia, South Carolina  29210
Hackensack, New Jersey  07601
Lancaster Cancer Center Lancaster, Pennsylvania  17604
Jersey Shore Cancer Center at Jersey Shore University Medical Center Neptune, New Jersey  07754-0397
New Hope Cancer and Research Institute - Pomona Pomona, California  91767
Cancer Center of Indiana New Albany, Indiana  47150
Annapolis Oncology Center Annapolis, Maryland  21401
Mercer Bucks Oncology-Hematology Trenton, New Jersey  08618
Falling Spring Medical Associates Chambersburg, Pennsylvania  17201
Hematology-Oncology Associates of Northeastern Pennsylvania Dunmore, Pennsylvania  18512
Richard G. Laube Cancer Center at ACMH Kittanning, Pennsylvania  16201
Paoli Hematology-Oncology PC at Paoli Memorial Hospital Paoli, Pennsylvania  19301
Pennsylvania Oncology Hematology Associates, Incorporated - Philadelphia Philadelphia, Pennsylvania  19106
Coastal Cancer Center - Myrtle Beach Myrtle Beach, South Carolina  29572
Family Cancer Center, PLLC - Collierville Collierville, Tennessee  38077
David Lee Outpatient Cancer Center at Charleston Area Medical Center Charleston, West Virginia  25304-1297
Morgantown Internal Medicine Group, Incorporated Morgantown, West Virginia  26505