S0342: Paclitaxel, Carboplatin, and Cetuximab in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer
Phase II Selection Design Trial Of Concurrent Chemotherapy + Cetuximab Vs. Chemotherapy Followed By Cetuximab In Advanced Non-Small Cell Lung Cancer (NSCLC)
3 other identifiers
interventional
242
1 country
163
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as paclitaxel and carboplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies such as cetuximab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining more than one chemotherapy drug with a monoclonal antibody may kill more tumor cells. It is not yet known whether cetuximab is more effective when given at the same time as chemotherapy or following chemotherapy. PURPOSE: This randomized phase II trial is studying how well giving cetuximab at the same time as combination chemotherapy works compared to giving cetuximab after combination chemotherapy in treating patients with stage IIIB or stage IV non-small cell lung cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 lung-cancer
Started Jul 2004
Longer than P75 for phase_2 lung-cancer
163 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 10, 2004
CompletedFirst Posted
Study publicly available on registry
June 11, 2004
CompletedStudy Start
First participant enrolled
July 1, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2011
CompletedNovember 1, 2012
October 1, 2012
3.1 years
June 10, 2004
October 30, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Select a regimen based on overall survival
To select a regimen based on overall survival via a Phase II selection design of chemotherapy in conjunction with cetuximab (concurrent vs. sequential) for Phase III testing against chemotherapy alone in Stage IIIB and Stage IV non-small cell lung cancer.
From date of registration until the date of progression or date of death from any cause, whichever came first, assessed up to 3 years
Response rate (confirmed and unconfirmed, complete and partial response)
To evaluate response rates (confirmed and unconfirmed, complete and partial) of patients with selected Stage IIIB and Stage IV NSCLC treated with paclitaxel and carboplatin with concurrent cetuximab or paclitaxel and carboplatin followed by cetuximab.
From date of registration until the date of progression or date of death from any cause, whichever came first, assessed up to 3 years
Toxicities
To evaluate the toxicities of the two treatment regimens in patients with selected Stage IIIB and Stage IV NSCLC.
From date of registration until the date of progression or date of death from any cause, whichever came first, assessed up to 3 years
Secondary Outcomes (2)
Correlation of epidermal growth factor receptor polymorphisms and downstream biomarkers with response
At prestudy
Evaluate EGFR polymorphisms
At prestudy and week 5
Study Arms (2)
1
ACTIVE COMPARATOR2
ACTIVE COMPARATORInterventions
Arm 1: 400 mg/m2 (Initial dose), 2 hour IV infusion on Day 1, Week 1 only. 250 mg/m2 (Subsequent doses), 1 hour IV infusion, on Day 1 weekly starting at Week 2. Arm 2: 400 mg/m2 (Initial dose), 2 hour IV infusion on Week 13 ONLY 250 mg/m2 (Subsequent doses), 1 hour IV infusion, weekly starting at Week 14.
Arm 1: AUC=6 30 minute IV infusion immediately following paclitaxel on Day 1 q 21 days x 4 starting at Week 2 Arm 2: AUC=6 30 minute IV infusion immediately following paclitaxel on Day 1 q 21 days x 4 starting at Week 1
Arm 1: 225 mg/m2 3 hour IV infusion 1 hour following cetuximab on Day 1, q 21 days x 4 Starting at Week 4. Arm 2: 225 mg/m2 3 hour IV infusion 1 hour following cetuximab on Day 1, q 21 days x 4 Starting at Week 1.
Eligibility Criteria
Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.
Sponsors & Collaborators
- SWOG Cancer Research Networklead
- National Cancer Institute (NCI)collaborator
Study Sites (163)
Alaska Regional Hospital
Anchorage, Alaska, 99508, United States
Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205, United States
Alta Bates Comprehensive Cancer Center
Berkeley, California, 94705, United States
Peninsula Medical Center
Burlingame, California, 94010, United States
City of Hope Comprehensive Cancer Center
Duarte, California, 91010, United States
Marin Cancer Institute at Marin General Hospital
Greenbrae, California, 94904, United States
Sutter Health Western Division Cancer Research Group
Greenbrae, California, 94904, United States
Saint Rose Hospital
Hayward, California, 94545, United States
Valley Memorial Hospital
Livermore, California, 94550, United States
USC/Norris Comprehensive Cancer Center and Hospital
Los Angeles, California, 90033-0804, United States
Highland General Hospital
Oakland, California, 94602, United States
CCOP - Bay Area Tumor Institute
Oakland, California, 94609, United States
Summit Medical Center
Oakland, California, 94609, United States
Comprehensive Cancer Center at Desert Regional Medical Center
Palm Springs, California, 92262, United States
Sutter Roseville Medical Center
Roseville, California, 95661, United States
Sutter Cancer Center
Sacramento, California, 95816, United States
University of California Davis Cancer Center
Sacramento, California, 95817, United States
Mercy General Hospital
Sacramento, California, 95819, United States
California Pacific Medical Center - California Campus
San Francisco, California, 94118, United States
J.C. Robinson, M.D. Regional Cancer Center
San Pablo, California, 94806, United States
CCOP - Santa Rosa Memorial Hospital
Sana Rosa, California, 95405, United States
St. Anthony Central Hospital
Denver, Colorado, 80204, United States
University of Colorado Cancer Center at University of Colorado Health Sciences Center
Denver, Colorado, 80217-3364, United States
Veterans Affairs Medical Center - Denver
Denver, Colorado, 80220, United States
Poudre Valley Hospital
Fort Collins, Colorado, 80524, United States
Montrose Memorial Hospital Cancer Center
Montrose, Colorado, 81401, United States
St. Anthony North Hospital
Westminster, Colorado, 80030, United States
Exempla Lutheran Medical Center
Wheat Ridge, Colorado, 80033, United States
Piedmont Hospital
Atlanta, Georgia, 30309, United States
CCOP - Atlanta Regional
Atlanta, Georgia, 30342, United States
Northside Hospital Cancer Center
Atlanta, Georgia, 30342, United States
Saint Joseph's Hospital of Atlanta
Atlanta, Georgia, 30342, United States
Augusta Oncology Associates
Augusta, Georgia, 30901, United States
WellStar Cobb Hospital
Austell, Georgia, 30106, United States
Charles B. Eberhart Cancer Center at DeKalb Medical Center
Decatur, Georgia, 30033, United States
Northeast Georgia Medical Center
Gainesville, Georgia, 30501, United States
Gwinnett Medical Center
Lawrenceville, Georgia, 30045, United States
Kennestone Cancer Center at Wellstar Kennestone Hospital
Marietta, Georgia, 30060, United States
Southern Regional Medical Center
Riverdale, Georgia, 30274, United States
Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
Savannah, Georgia, 31403, United States
Pearlman Comprehensive Cancer Center at South Georgia Medical Center
Valdosta, Georgia, 31603, United States
Cancer Research Center of Hawaii
Honolula, Hawaii, 96813, United States
OnCare Hawaii, Incorporated - Lusitana
Honolulu, Hawaii, 96813, United States
Queen's Cancer Institute at Queen's Medical Center
Honolulu, Hawaii, 96813, United States
Straub Clinic and Hospital, Incorporated
Honolulu, Hawaii, 96813, United States
OnCare Hawaii, Incorporated - Kuakini
Honolulu, Hawaii, 96817, United States
St. Francis Medical Center
Honolulu, Hawaii, 96817, United States
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96826, United States
Kapiolani Medical Center at Pali Momi
‘Aiea, Hawaii, 96701, United States
St. Luke's Mountain States Tumor Institute - Boise
Boise, Idaho, 83712, United States
Saint Anthony's Hospital at Saint Anthony's Health Center
Alton, Illinois, 62002, United States
Cardinal Bernardin Cancer Center at Loyola University Medical Center
Maywood, Illinois, 60153, United States
Hematology Oncology Consultants Ltd.
Naperville, Illinois, 60540, United States
Edward Hospital Cancer Center
Naperville, Illinois, 60566, United States
St. Francis Hospital and Health Centers
Beech Grove, Indiana, 46107, United States
Genesis Regional Cancer Center at Genesis Medical Center
Davenport, Iowa, 52803, United States
Genesis Medical Center - West Campus
Davenport, Iowa, 52804, United States
Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
Salina Regional Health Center
Salina, Kansas, 67401, United States
Via Christi Cancer Center at Via Christi Regional Medical Center
Wichita, Kansas, 67214, United States
Tulane Cancer Center
New Orleans, Louisiana, 70112, United States
Cancer Treatment Center at Christus Schumpert St. Mary Place
Shreveport, Louisiana, 71101, United States
Cancer Research Center at Boston Medical Center
Boston, Massachusetts, 02118, United States
CCOP - Michigan Cancer Research Consortium
Ann Arbor, Michigan, 48100, United States
St. Joseph Mercy Cancer Center at St. Joseph Mercy Hospital
Ann Arbor, Michigan, 48106-0995, United States
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, 48109, United States
Cancer Care Center at Battle Creek Health System
Battle Creek, Michigan, 49017, United States
Bay Regional Medical Center
Bay City, Michigan, 48708, United States
Mecosta County General Hospital
Big Rapids, Michigan, 49307, United States
Josephine Ford Cancer Center at Henry Ford Health System
Detroit, Michigan, 48202, United States
Genesys Hurley Cancer Institute
Flint, Michigan, 48532, United States
CCOP - Grand Rapids
Grand Rapids, Michigan, 49503, United States
Lacks Cancer Center at Saint Mary's Mercy Medical Center
Grand Rapids, Michigan, 49503, United States
Spectrum Health Cancer Care - Butterworth Campus
Grand Rapids, Michigan, 49503, United States
Metropolitan Hospital
Grand Rapids, Michigan, 49506, United States
Spectrum Health Hospital - Blodgett Campus
Grand Rapids, Michigan, 49506, United States
Holland Community Hospital
Holland, Michigan, 49423, United States
Mount Clemens General Hospital
Mount Clemens, Michigan, 48043, United States
Hackley Hospital
Muskegon, Michigan, 49443, United States
Northern Michigan Hospital
Petoskey, Michigan, 49770, United States
St. Joseph Mercy Hospital
Pontiac, Michigan, 48341-2985, United States
Seton Cancer Institute - Saginaw
Saginaw, Michigan, 48601, United States
Munson Medical Center
Traverse City, Michigan, 49684, United States
St. John Macomb Hospital
Warren, Michigan, 48903, United States
University of Mississippi Medical Center
Jackson, Mississippi, 39216, United States
Keesler Medical Center - Keesler Air Force Base
Kessler Air Force Base, Mississippi, 39534-2519, United States
St. Francis Medical Center
Cape Girardeau, Missouri, 63701, United States
Southeast Missouri Regional Cancer Center at Southeast Missouri Hospital
Gape Girardeau, Missouri, 63701, United States
Freeman Cancer Institute at Freeman Health System
Joplin, Missouri, 64804, United States
St. John's Regional Health Center
Springfield, Missouri, 65804, United States
Hulston Cancer Center at Cox Medical Center South
Springfield, Missouri, 65807, United States
CCOP - St. Louis-Cape Girardeau
St Louis, Missouri, 63141, United States
David C. Pratt Cancer Center at St. John's Mercy
St Louis, Missouri, 63141, United States
CCOP - Montana Cancer Consortium
Billings, Montana, 59101, United States
Big Sky Oncology
Great Falls, Montana, 59405, United States
Great Falls Clinic
Great Falls, Montana, 59405, United States
Sletten Regional Cancer Institute
Great Falls, Montana, 59405, United States
Valley Hospital - Ridgewood
Ridgewood, New Jersey, 07450, United States
Adirondack Cancer Care
Glens Falls, New York, 12801, United States
James P. Wilmot Cancer Center at University of Rochester Medical Center
Rochester, New York, 14642, United States
Blumenthal Cancer Center at Carolinas Medical Center
Charlotte, North Carolina, 28203, United States
Wayne Memorial Hospital, Incorporated
Goldsboro, North Carolina, 27534, United States
Pardee Memorial Hospital
Hendersonville, North Carolina, 28791, United States
Rutherford Hospital
Rutherfordton, North Carolina, 28139, United States
McDowell Cancer Center at Akron General Medical Center
Akron, Ohio, 44307, United States
Tri-Health Good Samaritan Hospital
Cincinnati, Ohio, 45220, United States
Cleveland Clinic Taussig Cancer Center
Cleveland, Ohio, 44195, United States
Grandview Hospital
Dayton, Ohio, 45405, United States
Good Samaritan Hospital
Dayton, Ohio, 45406, United States
David L. Rike Cancer Center at Miami Valley Hospital
Dayton, Ohio, 45409, United States
Samaritan North Cancer Care Center
Dayton, Ohio, 45415, United States
Veterans Affairs Medical Center - Dayton
Dayton, Ohio, 45428, United States
CCOP - Dayton
Dayton, Ohio, 45429, United States
Community Oncology Group - Independence
Independence, Ohio, 44131, United States
Charles F. Kettering Memorial Hospital
Kettering, Ohio, 45429, United States
MedCentral - Mansfield Hospital
Mansfield, Ohio, 44903, United States
Middletown Regional Hospital
Middletown, Ohio, 45044, United States
UVMC Cancer Care Center at Upper Valley Medical Center
Troy, Ohio, 45373, United States
Cleveland Clinic - Wooster
Wooster, Ohio, 44691, United States
United States Air Force Medical Center Wright-Patterson
Wright-Patterson AFB, Ohio, 45433-5529, United States
Ruth G. McMillan Cancer Center at Greene Memorial Hospital
Xenia, Ohio, 45385, United States
St. Charles Medical Center
Bend, Oregon, 97701, United States
Legacy Mount Hood Medical Center
Glesham, Oregon, 97030, United States
Providence Milwaukie Hospital
Milwaukie, Oregon, 97222, United States
Comprehensive Cancer Center at Legacy Good Samaritan Hospital & Medical Center
Portland, Oregon, 97210, United States
Providence Cancer Center at Providence Portland Medical Center
Portland, Oregon, 97213, United States
CCOP - Columbia River Oncology Program
Portland, Oregon, 97225, United States
Providence St. Vincent Medical Center
Portland, Oregon, 97225, United States
Institute of Oncology at Vilnius University
Portland, Oregon, 97227, United States
Salem Hospital Regional Cancer Center
Salem, Oregon, 97309, United States
Legacy Meridian Park Hospital
Tualatin, Oregon, 97062, United States
Rose Ramer Cancer Clinic at Anderson Area Medical Center
Anderson, South Carolina, 29621, United States
Hollings Cancer Center at Medical University of South Carolina
Charleston, South Carolina, 29425, United States
McLeod Regional Medical Center
Florence, South Carolina, 29506, United States
Bon Secours St. Francis Health System
Greenville, South Carolina, 29601, United States
Greenville Hospital System Cancer Center
Greenville, South Carolina, 29605, United States
CCOP - Greenville
Greenville, South Carolina, 29615, United States
Gibbs Regional Cancer Center at Spartanburg Regional Medical Center
Spartanburg, South Carolina, 29303, United States
CCOP - Upstate Carolina
Spartanburg, South Carolina, 29304, United States
Thompson Cancer Survival Center
Knoxville, Tennessee, 37916, United States
Arlington Cancer Center - Arlington
Arlington, Texas, 76012, United States
Brooke Army Medical Center
Fort Sam Houston, Texas, 78234, United States
Wilford Hall Medical Center
Lackland Air Force Base, Texas, 78236, United States
UMC Southwest Cancer and Research Center
Lubbock, Texas, 79415, United States
Huntsman Cancer Institute at University of Utah
Salt Lake City, Utah, 84112, United States
Danville Regional Medical Center
Danville, Virginia, 24541, United States
Memorial Hospital of Martinsville and Henry County
Martinsville, Virginia, 24115, United States
St. Joseph Hospital Community Cancer Center
Bellingham, Washington, 98225, United States
Olympic Hematology and Oncology
Bremerton, Washington, 98310, United States
Cancer Care Center at Skagit Valley Hospital
Mount Vernon, Washington, 98273, United States
Fred Hutchinson Cancer Research Center
Seattle, Washington, 98104, United States
Group Health Central Hospital
Seattle, Washington, 98104, United States
Harborview Medical Center
Seattle, Washington, 98104, United States
Swedish Cancer Institute at Swedish Medical Center - First Hill Campus
Seattle, Washington, 98114, United States
University Cancer Center at University of Washington Medical Center
Seattle, Washington, 98195, United States
Cancer Care Northwest - Spokane South
Spokane, Washington, 99202, United States
Providence Cancer Center at Sacred Heart Medical Center
Spokane, Washington, 99204, United States
Providence Cancer Center at Holy Family Hospital
Spokane, Washington, 99207, United States
Southwest Washington Medical Center Cancer Center
Vancouver, Washington, 98668, United States
Central Washington Hospital
Wenatchee, Washington, 98801, United States
Wenatchee Valley Clinic
Wenatchee, Washington, 98801, United States
North Star Lodge Cancer Center
Yakima, Washington, 98902, United States
Washington Hematology - Oncology Specialists
Yakima, Washington, 98902, United States
Related Publications (5)
Franklin WA, Gandara DR, Kim ES, et al.: SWOG S0342 and S0536: expression of EGFR protein and markers of epithelial-mesenchymal transformation (EMT) in cetuximab/chemotherapy-treated non-small cell lung cancer (NSCLC). [Abstract] J Clin Oncol 27 (Suppl 15): A-11076, 2009.
BACKGROUNDMack PC, Holland WS, Redman M, et al.: KRAS mutation analysis in cetuximab-treated advanced stage non-small cell lung cancer (NSCLC): SWOG experience with S0342 and S0536. [Abstract] J Clin Oncol 27 (Suppl15): A-8022, 2009.
BACKGROUNDHirsch FR, Herbst RS, Olsen C, Chansky K, Crowley J, Kelly K, Franklin WA, Bunn PA Jr, Varella-Garcia M, Gandara DR. Increased EGFR gene copy number detected by fluorescent in situ hybridization predicts outcome in non-small-cell lung cancer patients treated with cetuximab and chemotherapy. J Clin Oncol. 2008 Jul 10;26(20):3351-7. doi: 10.1200/JCO.2007.14.0111.
PMID: 18612151RESULTHerbst RS, Chansky K, Kelly K, et al.: A phase II randomized selection trial evaluating concurrent chemotherapy plus cetuximab or chemotherapy followed by cetuximab in patients with advanced non-small cell lung cancer (NSCLC): final report of SWOG 0342. [Abstract] J Clin Oncol 25 (Suppl 18): A-7545, 395s, 2007.
RESULTKelly K, Herbst RS, Crowley JJ, et al.: Concurrent chemotherapy plus cetuximab or chemotherapy followed by cetuximab in advanced non-small cell lung cancer (NSCLC): a randomized phase II selectional trial SWOG 0342. [Abstract] J Clin Oncol 24 (Suppl 18): A-7015, 367s, 2006.
RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Roy S. Herbst, MD, PhD
M.D. Anderson Cancer Center
- PRINCIPAL INVESTIGATOR
Karen Kelly, MD
University of Colorado, Denver
- PRINCIPAL INVESTIGATOR
David R. Gandara, MD
University of California, Davis
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 10, 2004
First Posted
June 11, 2004
Study Start
July 1, 2004
Primary Completion
August 1, 2007
Study Completion
July 1, 2011
Last Updated
November 1, 2012
Record last verified: 2012-10