NCT00247416

Brief Summary

The purpose of this study is to find better treatment for lung cancer and to find out what effects the combined treatment of carboplatin and gemcitabine when given with or without dexamethasone have on cancer. This study will determine if dexamethasone, when given before standard chemotherapy will increase the cancer fighting effects and reduce the side effects of chemotherapy.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Aug 2005

Typical duration for phase_2

Geographic Reach
1 country

7 active sites

Status
completed

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

August 1, 2005

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

October 28, 2005

Completed
4 days until next milestone

First Posted

Study publicly available on registry

November 1, 2005

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2009

Completed
4.7 years until next milestone

Results Posted

Study results publicly available

March 7, 2014

Completed
Last Updated

March 7, 2014

Status Verified

January 1, 2014

Enrollment Period

3.9 years

First QC Date

October 28, 2005

Results QC Date

August 2, 2013

Last Update Submit

January 16, 2014

Conditions

Keywords

UntreatedLungCancernon-small cellgemcitabinegemzarcarboplatindexamethasone

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants With Reduction in Grade 3/4 Neutropenia

    Reduction grade 3/4 neutropenia

    continuous throughout treatment, up to 25 weeks

Secondary Outcomes (3)

  • Effect of Dexamethasone Pre-treatment on Response Rate.

    Pre-treatment, pre-cycles 3 & 5, and up to 4 weeks after last treatment

  • Effect of Dexamethasone Pre-treatment on Overall Survival.

    Pre-treatment, pre-cycles 3 & 5,4 weeks after last treatment, every 3 months, an average of 471 days

  • Progression-free Survival

    Pre-treatment, pre-cycles 3 & 5,4 weeks after last treatment, and every 3 months, an average of 471 days

Study Arms (2)

1 No Dex

OTHER

No Dexamethasone

Drug: GemcitabineDrug: Carboplatin

2 Dex

EXPERIMENTAL

Dexamethasone

Drug: GemcitabineDrug: DexamethasoneDrug: Carboplatin

Interventions

Gemcitabine 1000 mg/m\^2 intravenously over 30 minutes on days 5 and 12.

Also known as: Gemzar
1 No Dex2 Dex

16 mg bid for 4 days prior to each chemotherapy start.

2 Dex

AUC 6.0 intravenously over 30 minutes on day 5.

1 No Dex2 Dex

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Untreated, stage IIIB with pleural effusion
  • Untreated, Stage IV, non-small cell lung cancer
  • Recurrent after surgery if no previous radiation therapy or chemotherapy were administered as part of their primary treatment, except for palliative radiotherapy
  • years of age or older
  • ECOG PS 0, 1 or 2
  • At Least one target lesion according to the RECIST Criteria
  • Adequate organ and marrow function

You may not qualify if:

  • Previous cancer history unless they have had curative treatment completed at least 5 years prior to entry.
  • No previous radiotherapy, chemotherapy or immunotherapy for NSCLC, except for radiation therapy to the brain to control metastasis, bone to control pain, or lung to relieve bronchial obstruction.
  • No radiation therapy for any previous cancer to more than 25% of bone marrow.
  • Uncontrolled, intercurrent illness
  • Non-study corticosteroids
  • Pregnant women
  • Peripheral neuropathy greater than grade 1
  • Uncontrolled seizures, central nervous system disorders
  • Major surgery within 4 weeks of the start of study treatment
  • Lack of complete recovery from major surgery.
  • Glaucoma
  • Lack of physical integrity of upper gastrointestinal tract, inability to swallow tablets
  • Severe acquired or hereditary immunodeficiency
  • Patients with brain metastases must receive definitive treatment (radiation, surgery or both) and be clinically and radiologically stable for 4 weeks \& off corticosteroids for at least 2 weeks prior to randomization.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

Commonwealth Cancer Center

Danville, Kentucky, 40422, United States

Location

Markey Cancer Center

Lexington, Kentucky, 40536, United States

Location

Brown Cancer Center

Louisville, Kentucky, 40202, United States

Location

St. Claire Regional Medical Center

Morehead, Kentucky, 40351, United States

Location

Montgomery Cancer Center

Mount Sterling, Kentucky, 40353, United States

Location

Owensboro Medical HealthCare System

Owensboro, Kentucky, 42303, United States

Location

West Kentucky Hematology & Oncology Group, PSC

Paducah, Kentucky, 42003, United States

Location

Related Publications (1)

  • Rinehart J, Arnold S, Kloecker G, Lim A, Zaydan MA, Baeker T, Maheshwari JG, Carloss H, Slone S, Shelton B, Croley J, Kvale E, Brooks M, Leggas M. Phase II randomized trial of carboplatin and gemcitabine with or without dexamethasone pre-treatment in patients with Stage IV non-small cell lung cancer. Cancer Chemother Pharmacol. 2013 May;71(5):1375-83. doi: 10.1007/s00280-013-2111-3. Epub 2013 Mar 9.

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungNeoplasms

Interventions

GemcitabineDexamethasoneCarboplatin

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingPregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, FluorinatedCoordination ComplexesOrganic Chemicals

Results Point of Contact

Title
Suzane Arnold, MD
Organization
University of Kentucky Markey Cancer Center

Study Officials

  • John Rinehart

    Lucille P. Markey Cancer Center at University of Kentucky

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Sponsor/Investigator

Study Record Dates

First Submitted

October 28, 2005

First Posted

November 1, 2005

Study Start

August 1, 2005

Primary Completion

July 1, 2009

Study Completion

July 1, 2009

Last Updated

March 7, 2014

Results First Posted

March 7, 2014

Record last verified: 2014-01

Locations