Effect of Celecoxib on Survival in Patients With Advanced Non-Small Cell Lung Cancer Receiving Chemotherapy
CYCLUS
Cox-2-Inhibitor and Chemotherapy in Non-Small Cell Lung Cancer. A Prospective Randomized Double-Blind Study
1 other identifier
interventional
319
1 country
13
Brief Summary
The primary purpose of the study is to investigate if daily treatment with celecoxib, an inhibitor of cyclooxygenase-2, can prolong survival in patients with advanced non-small cell lung cancer who receive anticancer chemotherapy as their primary treatment. Secondary endpoints of the study are: health-related quality of life, toxicity, cardiovascular events, progression-free survival, and biological markers (VEGF, proteomics).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 nonsmall-cell-lung-cancer
Started May 2006
13 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
March 8, 2006
CompletedFirst Posted
Study publicly available on registry
March 9, 2006
CompletedStudy Start
First participant enrolled
May 1, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2010
CompletedJune 30, 2009
June 1, 2009
4 years
March 8, 2006
June 29, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Overall survival
Minimum follow-up 1 yr after randomization
Secondary Outcomes (5)
Quality of life
Week 0, 3, 6, 9, 12, 20, 28, 36, 44
Progression-free survival
minimum follow-up 1 yr after randomization
Toxicity
Within one month after stopping study drug
Cardiovascular events
Within one month after stopping study drug
Biological parameters (plasma VEGF, proteomics)
Week 0, 6, 12, and 20
Study Arms (2)
Celecoxib
ACTIVE COMPARATORFour cycles of combination chemotherapy, usually with carboplatin + gemcitabine or carboplatin + vinorelbine, plus celecoxib 400 mg b.i.d. Treatment with celecoxib is continued after completion of chemotherapy. Maximum treatment duration is one year.
Placebo
PLACEBO COMPARATORChemotherapy as in arm 1 plus placebo capsules, b.i.d.
Interventions
Celecoxib 400 mg twice daily, orally, starting on the same day as palliative chemotherapy. Maximum duration of treatment is one year. Treatment should be terminated earlier in case of disease progression, unacceptable toxicity, or if the patient wants to stop treatment.
One capsule twice daily, starting on the same day as palliative chemotherapy. Maximum duration of treatment is one year. Treatment should be terminated earlier in case of disease progression, unacceptable toxicity, or if the patient wants to stop treatment.
Eligibility Criteria
You may qualify if:
- Histologically or cytologically confirmed non-small cell lung cancer (NSCLC).
- Age at least 18 years. No upper age limit.
- Disease stage IIIB or IV.
- Performance status (WHO) 0-2
- Treatment with curative intent is not possible
- No prior chemotherapy for the present disease
- Planned treatment is palliative chemotherapy
- WBC count at least 3.0, platelet count at least 100
- Bilirubin \< 1.5 \* upper reference limit (URL), ASAT and ALAT \< 3 \* URL (\<5 in case of liver metastases)
- Calculated creatinine clearance at least 40 mg/ml
- Informed oral and written consent
You may not qualify if:
- Regular use of NSAID (except ASA at a dose of 50-100 mg daily)
- Active duodenal ulcer, ongoing gastrointestinal bleeding or inflammatory bowel disease
- Serious heart failure or serious liver disease
- Hypersensitivity so sulfonamides
- Pregnancy
- Lactation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Hospital, Linkoepinglead
- Swedish Lung Cancer Study Groupcollaborator
- Pfizercollaborator
Study Sites (13)
Department of Pulmonary Medicine and Allergology, Sahlgrenska University Hospital
Gothenburg, 413 45, Sweden
Section of Pulmonary Medicine, Ryhov County Hospital
Jönköping, 551 85, Sweden
Section of Pulmonary Medicine and Allergology, County Hospital of Kalmar
Kalmar, 391 85, Sweden
Department of Pulmonary Medicine, University Hospital
Linköping, 581 85, Sweden
Department of Pulmonary Medicine and Allergy, Lund University Hospital
Lund, 221 85, Sweden
Section of Pulmonary Medicine, Malmö University Hospital
Malmo, 205 02, Sweden
Department of Pulmonary Medicine, Örebro University Hospital
Örebro, 701 85, Sweden
Department of Medicine, Skövde Hospital/KSS
Skövde, 541 85, Sweden
Department of Medicine, Trollhättan Hospital/NÄL
Trollhättan, 461 85, Sweden
Department of Medicine, Uddevalla Hospital
Uddevalla, 451 80, Sweden
Department of Pulmonary medicine, Umeå University Hospital
Umeå, 901 85, Sweden
Department of Pulmonary Medicine and Allergology, Uppsala University Hospital
Uppsala, 751 85, Sweden
Department of Medicine, Ystad Hospital
Ystad, SE-27182, Sweden
Related Publications (1)
Koch A, Bergman B, Holmberg E, Sederholm C, Ek L, Kosieradzki J, Lamberg K, Thaning L, Ydreborg SO, Sorenson S; Swedish Lung Cancer Study Group. Effect of celecoxib on survival in patients with advanced non-small cell lung cancer: a double blind randomised clinical phase III trial (CYCLUS study) by the Swedish Lung Cancer Study Group. Eur J Cancer. 2011 Jul;47(10):1546-55. doi: 10.1016/j.ejca.2011.03.035. Epub 2011 May 10.
PMID: 21565487DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Sverre Sörenson, MD, PhD
Department of Medicine, Ryhov County Hospital, Jönköping, Sweden, Department of Pulmonary Medicine, University Hospital, Linköping, Sweden, and Department of Medical and Health Sciences, Linköping University, Sweden
- PRINCIPAL INVESTIGATOR
Andrea Koch, MD
Allergy Centre, University Hospital, Linköping, Sweden, Department of Pulmonary Medicine, University Hospital, Linköping, Sweden, and Department of Medical and Health Sciences, Linköping University, Sweden
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 8, 2006
First Posted
March 9, 2006
Study Start
May 1, 2006
Primary Completion
May 1, 2010
Study Completion
September 1, 2010
Last Updated
June 30, 2009
Record last verified: 2009-06