NCT00113386

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as cisplatin and docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Radiation therapy uses high-energy x-rays to kill tumor cells. Cisplatin and docetaxel may make tumor cells more sensitive to radiation therapy. Giving more than one drug (combination chemotherapy) together with radiation therapy before surgery may shrink the tumor so it can be removed. Giving chemotherapy after surgery may kill any tumor cells that remain after surgery. It is not yet known whether giving cisplatin and docetaxel together with radiation therapy is more effective than giving cisplatin together with docetaxel in treating non-small cell lung cancer. PURPOSE: This randomized phase III trial is studying cisplatin, docetaxel, and radiation therapy to see how well they work compared to cisplatin and docetaxel in treating patients who are undergoing surgery for newly diagnosed stage III non-small cell lung cancer.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
19

participants targeted

Target at below P25 for phase_3 lung-cancer

Geographic Reach
1 country

76 active sites

Status
terminated

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

Study Start

First participant enrolled

April 1, 2005

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

June 7, 2005

Completed
1 day until next milestone

First Posted

Study publicly available on registry

June 8, 2005

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2009

Completed
3.9 years until next milestone

Results Posted

Study results publicly available

December 27, 2012

Completed
Last Updated

June 28, 2013

Status Verified

June 1, 2013

Enrollment Period

3.8 years

First QC Date

June 7, 2005

Results QC Date

November 27, 2012

Last Update Submit

June 21, 2013

Conditions

Keywords

stage IIIA non-small cell lung canceradenocarcinoma of the lunglarge cell lung cancersquamous cell lung cancerbronchoalveolar cell lung cancer

Outcome Measures

Primary Outcomes (1)

  • Comparison of Overall Survival

    Date of death or date of last follow-up

Study Arms (2)

Induction chemotherapy, surgery, consolidation chemotherapy

OTHER

Induction/surgery/consolidation

Biological: filgrastimBiological: pegfilgrastimDrug: cisplatinDrug: docetaxelProcedure: adjuvant therapyProcedure: conventional surgeryProcedure: neoadjuvant therapy

Chemotherapy and radiation, surgery, consolidation ch

OTHER

Induction/radiation/surgery/cosolidation

Biological: filgrastimBiological: pegfilgrastimDrug: cisplatinDrug: docetaxelProcedure: adjuvant therapyProcedure: conventional surgeryProcedure: neoadjuvant therapyRadiation: radiation therapy

Interventions

filgrastimBIOLOGICAL

Consolidation chemotherapy

Chemotherapy and radiation, surgery, consolidation chInduction chemotherapy, surgery, consolidation chemotherapy
pegfilgrastimBIOLOGICAL

Consolidation chemotherapy

Chemotherapy and radiation, surgery, consolidation chInduction chemotherapy, surgery, consolidation chemotherapy
Chemotherapy and radiation, surgery, consolidation chInduction chemotherapy, surgery, consolidation chemotherapy
Chemotherapy and radiation, surgery, consolidation chInduction chemotherapy, surgery, consolidation chemotherapy
Chemotherapy and radiation, surgery, consolidation chInduction chemotherapy, surgery, consolidation chemotherapy
Chemotherapy and radiation, surgery, consolidation chInduction chemotherapy, surgery, consolidation chemotherapy
Chemotherapy and radiation, surgery, consolidation chInduction chemotherapy, surgery, consolidation chemotherapy
Chemotherapy and radiation, surgery, consolidation ch

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed primary non-small cell lung cancer (NSCLC)\*, including any of the following cellular types: * Adenocarcinoma * Squamous cell carcinoma * Large cell carcinoma * Non-lobar and non-diffuse bronchoalveolar cell carcinoma * NSCLC not otherwise specified NOTE: \*Diagnosed within the past 3 months; diagnosis by mediastinal nodal biopsy or needle aspiration allowed provided a distinct lung primary (separate from the nodes) is clearly evident on CT scan * Stage IIIA disease * T1-T3 disease * If pleural effusion is present, must meet ≥ 1 of the following criteria to exclude T4 disease: * Pleural effusion cytologically negative by thoracentesis * Documented absence of pleural metastases and pleural effusion cytologically negative by thoracoscopy (for patients with pleural effusion on CT scan \[but not on chest x-ray\] that is deemed too small to tap safely under either CT scan or ultrasound guidance) * Confirmed positive ipsilateral mediastinal lymph node(s) (N2 disease)\*\*, with or without positive ipsilateral hilar nodes, by mediastinoscopy, mediastinotomy, endoscopic ultrasound-guided transesophageal biopsy, thoracotomy, video-assisted thoracoscopy, Wang needles, or fine needle aspiration under bronchoscopic or CT guidance * N2 nodes must be separate from primary tumor by CT scan or surgical exploration AND maximum diameter ≤ 3.0 cm * Mediastinoscopy OR other means of mediastinal lymph node biopsy required (regardless of the primary tumor site) for patients with subcarinal lymphadenopathy by size criteria or by positron emission tomography (PET) scan * If the lymph nodes in the contralateral mediastinum and neck are visible by contrast CT scan of the chest AND are ≥ 1.0 cm OR if contralateral involvement is suggested by PET scan, lymph nodes must be confirmed negative by one of the above diagnostic procedures AND N3 status must be confirmed negative by histology or cytology * No palpable lymph nodes in the supraclavicular areas or higher in the neck unless proven benign by excisional biopsy * A nodal biopsy or needle aspiration may be omitted provided all of the following criteria are true: * Paralyzed left true vocal cord by bronchoscopy or indirect laryngoscopy * Nodes visible in the aortopulmonary window (level 5) region on CT scan * Distinct primary tumor (separate from the nodes) is visible by CT scan * No evidence of subcarinal nodal involvement by CT scan NOTE: \*\*PET scan positivity is not sufficient to establish N2 nodal status * Measurable disease by chest x-ray and/or contrast-enhanced CT scan * Candidate for surgery * Resectable disease * No distant metastases, including other ipsilateral or contralateral parenchymal lesions or liver or adrenal metastases, by history or physical examination, fludeoxyglucose F 18 PET scan, MRI or CT scan of the brain, chest x-ray and/or CT scan of the lungs and upper abdomen PATIENT CHARACTERISTICS: Age * 18 and over Performance status * Zubrod 0-1 Life expectancy * Not specified Hematopoietic * Absolute neutrophil count ≥ 1,800/mm\^3 * Platelet count ≥ 100,000/mm\^3 * Hemoglobin ≥ 10.0 g/dL (transfusion or other intervention allowed) Hepatic * ALT and AST ≤ 2.5 times upper limit of normal (ULN) * Alkaline phosphatase ≤ 2.5 times ULN * Bilirubin ≤ 1.5 times ULN * No hepatic insufficiency resulting in clinical jaundice or coagulation defects Renal * Creatinine clearance ≥ 60 mL/min Cardiovascular * No unstable angina or congestive heart failure requiring hospitalization within the past 6 months * No transmural myocardial infarction within the past 6 months Pulmonary * FEV\_1 ≥ 2.0 L OR * Predicted post-resection FEV\_1 ≥ 0.8 L * DLCO ≥ 50% of predicted * No chronic obstructive pulmonary disease exacerbation * No other respiratory illness requiring hospitalization or that would preclude study therapy Immunologic * No AIDS * No prior allergic reaction to the study drugs * No history of severe hypersensitivity to other drugs formulated with polysorbate 80 * No acute bacterial or fungal infection requiring IV antibiotics Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * No unintentional weight loss \> 5% of body weight within the past 6 months * No pre-existing peripheral neuropathy ≥ grade 2 * No other invasive malignancy within the past 3 years except nonmelanoma skin cancer or carcinoma in situ of the breast, oral cavity, or cervix * No other severe active comorbidity PRIOR CONCURRENT THERAPY: Biologic therapy * No prior biological agent for this cancer * No concurrent filgrastim (G-CSF), sargramostim (GM-CSF), or pegfilgrastim during study induction therapy (for patients randomized to the chemoradiotherapy arm) Chemotherapy * No prior systemic chemotherapy for this cancer * Prior chemotherapy for a different cancer allowed Endocrine therapy * Not specified Radiotherapy * No prior radiotherapy to the region of this cancer that would result in overlap of radiotherapy fields * No routine post-operative radiotherapy * No concurrent intensity modulated radiotherapy Surgery * See Disease Characteristics Other * No prior gefitinib for this cancer * No concurrent amifostine

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (76)

Cancer Center at Providence Alaska Medical Center

Anchorage, Alaska, 99519-6604, United States

Location

Arkansas Cancer Research Center at University of Arkansas for Medical Sciences

Little Rock, Arkansas, 72205, United States

Location

Cancer Care Center at John Muir Health - Concord Campus

Concord, California, 94524-4110, United States

Location

Moores UCSD Cancer Center

La Jolla, California, 92093-0658, United States

Location

USC/Norris Comprehensive Cancer Center and Hospital

Los Angeles, California, 90089-9181, United States

Location

University of California Davis Cancer Center

Sacramento, California, 95817, United States

Location

Memorial Hospital

Colorado Springs, Colorado, 80909, United States

Location

Front Range Cancer Specialists

Fort Collins, Colorado, 80524, United States

Location

Poudre Valley Hospital

Fort Collins, Colorado, 80524, United States

Location

CCOP - Christiana Care Health Services

Newark, Delaware, 19713, United States

Location

Mayo Clinic - Jacksonville

Jacksonville, Florida, 32224, United States

Location

Ella Milbank Foshay Cancer Center at Jupiter Medical Center

Jupiter, Florida, 33458, United States

Location

Watson Clinic, LLC

Lakeland, Florida, 33804-5000, United States

Location

CCOP - Mount Sinai Medical Center

Miami Beach, Florida, 33140, United States

Location

Phoebe Cancer Center at Phoebe Putney Memorial Hospital

Albany, Georgia, 31701, United States

Location

CCOP - Atlanta Regional

Atlanta, Georgia, 30342, United States

Location

Northeast Georgia Medical Center

Gainesville, Georgia, 30501, United States

Location

Delnor Community Hospital - Geneva

Geneva, Illinois, 60134, United States

Location

Cardinal Bernardin Cancer Center at Loyola University Medical Center

Maywood, Illinois, 60153, United States

Location

Community Cancer Center

Normal, Illinois, 61761, United States

Location

Advocate Christ Medical Center

Oak Lawn, Illinois, 60453-2699, United States

Location

Cancer Treatment Center at Pekin Hospital

Pekin, Illinois, 61554, United States

Location

Oncology Hematology Associates of Central Illinois, PC - Peoria

Peoria, Illinois, 61615, United States

Location

OSF St. Francis Medical Center

Peoria, Illinois, 61637, United States

Location

Cancer Institute at St. John's Hospital

Springfield, Illinois, 62702, United States

Location

Reid Hospital & Health Care Services, Incorporated

Richmond, Indiana, 47374, United States

Location

Memorial Hospital of South Bend

South Bend, Indiana, 46601, United States

Location

Hematology Oncology Associates of the Quad Cities

Bettendorf, Iowa, 52722, United States

Location

Genesis Regional Cancer Center at Genesis Medical Center

Davenport, Iowa, 52803, United States

Location

Markey Cancer Center at University of Kentucky Chandler Medical Center

Lexington, Kentucky, 40536-0293, United States

Location

St. Agnes Hospital Cancer Center

Baltimore, Maryland, 21229, United States

Location

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, 21231-2410, United States

Location

Frederick Memorial Hospital Regional Cancer Therapy Center

Frederick, Maryland, 21701, United States

Location

Massachusetts General Hospital Cancer Center

Boston, Massachusetts, 02114, United States

Location

CCOP - Michigan Cancer Research Consortium

Ann Arbor, Michigan, 48106, United States

Location

University of Michigan Comprehensive Cancer Center

Ann Arbor, Michigan, 48109-0942, United States

Location

Bronson Methodist Hospital

Kalamazoo, Michigan, 49007, United States

Location

Upper Michigan Cancer Center at Marquette General Hospital

Marquette, Michigan, 49855, United States

Location

Mayo Clinic Cancer Center

Rochester, Minnesota, 55905, United States

Location

St. John's Regional Medical Center

Joplin, Missouri, 64804, United States

Location

St. John's Regional Health Center

Springfield, Missouri, 65804, United States

Location

Siteman Cancer Center at Barnes-Jewish Hospital

St Louis, Missouri, 63110, United States

Location

Good Samaritan Cancer Center at Good Samaritan Hospital

Kearney, Nebraska, 68848-1990, United States

Location

Methodist Cancer Center at Methodist Hospital - Omaha

Omaha, Nebraska, 68114, United States

Location

UNMC Eppley Cancer Center at the University of Nebraska Medical Center

Omaha, Nebraska, 68198-6805, United States

Location

Valley Hospital - Ridgewood

Ridgewood, New Jersey, 07450, United States

Location

NYU Cancer Institute at New York University Medical Center

New York, New York, 10016, United States

Location

SUNY Upstate Medical University Hospital

Syracuse, New York, 13210, United States

Location

Faxton Regional Cancer Center

Utica, New York, 13502, United States

Location

Duke Comprehensive Cancer Center

Durham, North Carolina, 27710, United States

Location

Leo W. Jenkins Cancer Center at ECU Medical School

Greenville, North Carolina, 27835-6028, United States

Location

Lenoir Memorial Cancer Center

Kinston, North Carolina, 28501, United States

Location

FirstHealth Moore Regional Community Hospital Comprehensive Cancer Center

Pinehurst, North Carolina, 28374, United States

Location

Charles M. Barrett Cancer Center at University Hospital

Cincinnati, Ohio, 45267, United States

Location

Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University

Columbus, Ohio, 43210-1240, United States

Location

Veterans Affairs Medical Center - Portland

Portland, Oregon, 97207, United States

Location

Oregon Health & Science University Cancer Institute

Portland, Oregon, 97239-3098, United States

Location

St. Luke's Hospital Cancer Center

Bethlehem, Pennsylvania, 18015, United States

Location

Penn State Cancer Institute at Milton S. Hershey Medical Center

Hershey, Pennsylvania, 17033-0850, United States

Location

Lancaster General Hospital

Lancaster, Pennsylvania, 17604, United States

Location

Kimmel Cancer Center at Thomas Jefferson University - Philadelphia

Philadelphia, Pennsylvania, 19107-5541, United States

Location

Albert Einstein Cancer Center

Philadelphia, Pennsylvania, 19141, United States

Location

Allegheny Cancer Center at Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212, United States

Location

York Cancer Center at Apple Hill Medical Center

York, Pennsylvania, 17405, United States

Location

Hollings Cancer Center at Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

CCOP - Greenville

Greenville, South Carolina, 29615, United States

Location

CCOP - Upstate Carolina

Spartanburg, South Carolina, 29303, United States

Location

U.T. Cancer Institute at University of Tennessee Medical Center

Knoxville, Tennessee, 37920-6999, United States

Location

Medical City Dallas Hospital

Dallas, Texas, 75230, United States

Location

Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas

Dallas, Texas, 75390, United States

Location

CCOP - Virginia Mason Research Center

Seattle, Washington, 98101, United States

Location

Swedish Cancer Institute at Swedish Medical Center - First Hill Campus

Seattle, Washington, 98122-4307, United States

Location

Madigan Army Medical Center - Tacoma

Tacoma, Washington, 98431, United States

Location

Vince Lombardi Cancer Clinic - Green Bay at Aurora BayCare Medical Center

Green Bay, Wisconsin, 54311, United States

Location

Dean Medical Center - Madison

Madison, Wisconsin, 53717, United States

Location

Vince Lombardi Cancer Clinic - Sheboygan

Sheboygan, Wisconsin, 53081, United States

Location

MeSH Terms

Conditions

Lung NeoplasmsCarcinoma, Non-Small-Cell LungAdenocarcinoma of LungAdenocarcinoma, Bronchiolo-Alveolar

Interventions

FilgrastimpegfilgrastimCisplatinDocetaxelChemotherapy, AdjuvantNeoadjuvant TherapyRadiotherapy

Condition Hierarchy (Ancestors)

Respiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract DiseasesCarcinoma, BronchogenicBronchial NeoplasmsAdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic Type

Intervention Hierarchy (Ancestors)

Granulocyte Colony-Stimulating FactorColony-Stimulating FactorsGlycoproteinsGlycoconjugatesCarbohydratesHematopoietic Cell Growth FactorsCytokinesIntercellular Signaling Peptides and ProteinsPeptidesAmino Acids, Peptides, and ProteinsProteinsBiological FactorsChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesCombined Modality TherapyTherapeuticsDrug Therapy

Limitations and Caveats

This study terminated early with 19 out of 574 subjects accrued. Therefore no analysis was performed.

Results Point of Contact

Title
Wendy Seiferheld
Organization
Radiation Therapy Oncology Group

Study Officials

  • Maria Werner-Wasik, MD

    Sidney Kimmel Cancer Center at Thomas Jefferson University

    PRINCIPAL INVESTIGATOR
  • Howard L. West, MD

    Swedish Cancer Institute at Swedish Medical Center - First Hill Campus

    PRINCIPAL INVESTIGATOR
  • Jeffrey Crawford, MD

    Duke Cancer Institute

    STUDY CHAIR
  • Chandra P. Belani, MD

    University of Pittsburgh

    STUDY CHAIR
  • James R. Jett, MD

    Mayo Clinic

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
NETWORK
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 7, 2005

First Posted

June 8, 2005

Study Start

April 1, 2005

Primary Completion

February 1, 2009

Last Updated

June 28, 2013

Results First Posted

December 27, 2012

Record last verified: 2013-06

Locations