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Phase II Randomized Study on Locally Advanced Non Small Cell Lung Cancer Escalated Dose on Individual Basis Treatment With Radiochemotherapy


Phase 2
18 Years
80 Years
Open (Enrolling)
Both
Non Small Cell Lung Cancer

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Trial Information

Phase II Randomized Study on Locally Advanced Non Small Cell Lung Cancer Escalated Dose on Individual Basis Treatment With Radiochemotherapy


This is an open label, multicentre phase II trial of individually escalated radiotherapy up
to 84 Gy due to normal tissue dose constraints combined with standard concurrent
chemotherapy (cisplatin-vinorelbine) compared to standard dose radiotherapy (68 Gy) combined
with the same chemotherapy. There are restrictions due to lung function, performance status
and pre-treatment weight loss. The main endpoint is progression free survival and additional
endpoints are local control, overall survival, toxicity quality of life and relapse pattern.


Inclusion Criteria:



- Histological or cytological diagnosis of NSCLC stage IIIA-B.

- Nonresectable or medically inoperable patients.

- No prior chemo- or radiotherapy for NSCLC.

- PS 0-1.

- FEV1 > 1 l or > 40% and CO diffusion capacity > 40%.

- Patient compliance and geographic proximity that allow adequate follow-up.

- Adequate bone marrow reserve: WBCC >3.0, platelets >100, haemoglobin > 100.

- Written informed concent.

- Effective use of contraception.

Exclusion Criteria:

- Excessive weight loss within 6 months (> 10%).

- Supraclavicular nodes.

- Apical tumors-pancoast.

- T4 tumors with separate manifestations in different lobes.

- Evidence of active serious infections.

- Inadequate liver function.

- Inadequate kidney function.

- Pregnancy.

- Breast feeding.

- Serious concomitant systemic disorder.

- Second primary malignancy the last 5 years.

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Progression free survival

Outcome Time Frame:

36 monts after randomization

Safety Issue:

No

Principal Investigator

Jan Nyman, Ass. prof

Investigator Role:

Principal Investigator

Investigator Affiliation:

Swedish Lung Cancer Study Group

Authority:

Sweden: Medical Products Agency

Study ID:

PLANET

NCT ID:

NCT01664663

Start Date:

September 2011

Completion Date:

October 2017

Related Keywords:

  • Non Small Cell Lung Cancer
  • Radiotherapy
  • Dose escalation
  • Normal tissue constraints
  • Locally advanced disease
  • Good performance status
  • Carcinoma, Non-Small-Cell Lung
  • Lung Neoplasms

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