Study Stopped
slow accrual
The DISTAL-2 Study: Docetaxel Alone or in Combination in Second-line Treatment of Advanced Non Small-Cell Lung Cancer
DISTAL-2
Single Agent Chemotherapy With Weekly Docetaxel vs Combination Chemotherapy in Second-line Treatment of Advanced Non Small Cell Lung Cancer
1 other identifier
interventional
84
1 country
24
Brief Summary
The purpose of this study is to compare the overall survival of patients with advanced non small cell lung cancer treated with docetaxel as single therapy versus docetaxel in combination with either gemcitabine or vinorelbine or in combination with capecitabine.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started May 2005
Typical duration for phase_3
24 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
Study Start
First participant enrolled
May 1, 2005
CompletedFirst Submitted
Initial submission to the registry
June 26, 2006
CompletedFirst Posted
Study publicly available on registry
June 27, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2008
CompletedJanuary 14, 2016
January 1, 2016
3 years
June 26, 2006
January 13, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
overall survival
one year
Study Arms (3)
docetaxel
ACTIVE COMPARATORsingle agent docetaxel
docetaxel + vinorelbine OR gemcitabine
EXPERIMENTALdocetaxel in combination with either vinorelbine or with gemcitabine
docetaxel + capecitabine
EXPERIMENTALdocetaxel in combination with capecitabine
Interventions
Eligibility Criteria
You may qualify if:
- Written informed consent
- Age \> 18
- Histological diagnosis of non small-cell lung cancer (NSCLC)
- Stage IIIb or Stage IV disease (in IIIb, previous treatment with chemotherapy + radiotherapy, or metastatic supraclavicular lymph nodes or pleural effusion)
- Disease in progression
- Previous chemotherapy with platinum-derivative (and with \> 21 days from last administration)
You may not qualify if:
- ECOG performance status \> 2
- Age \> 75 years
- History of malignant neoplasm within the previous 5 years (except for baso- or spino-cellular skin carcinoma and in-situ carcinoma of the uterine cervix, provided they are being adequately treated)
- Previous treatment with docetaxel
- Presence of symptomatic cerebral metastasis
- Neutrophils \< 2.0 x 109/l, platelets \< 100,000/l, hemoglobin \> 10g/dl
- Bilirubin \< 1.5 x the upper normal limit
- SGOT , SGPT, or bilirubin \> 1.25 x the upper normal limits except in the presence of hepatic metastasis
- Creatinine \>1.25 x the upper normal limit
- Any concomitant pathology that would, in the Investigator's opinion, contraindicate the use of the drugs in the protocol
- Inability to comply with follow up
- Pregnant or nursing females
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (24)
Azienda Ospedaliera Giovanni Paolo II
Sciacca, AG, Italy
Azienda Ospedaliera S. Giuseppe Moscati, U.O. di Oncologia Medica
Monteforte Irpino, AV, 83024, Italy
Ospedale Fatebenefratelli, U.O. di Oncologia
Benevento, BN, 82100, Italy
Azienda Ospedaliera G. Rummo
Benevento, BN, Italy
Università di Chieti
Chieti, CH, 66013, Italy
Ospedali Riuniti
Foggia, FG, Italy
Ospedale Umberto di Frosinone
Frosinone, FR, 03031, Italy
Ospedale di Gaeta
Gaeta, LT, 04024, Italy
Div. di Medicina Generale Osp. dei SS. Benedetto e Geltrude -Presidio Osp. Di Cuggiono - Az. Osp. Di Legnano
Cuggiono, MI, Italy
Ospedale Civile di Legnano
Legnano, MI, Italy
Ospedale S. Paolo
Milan, MI, 20142, Italy
Ospedale S. Gerado
Monza, MI, 20052, Italy
Azienda Ospedaliera Carlo Poma, Divisione di Oncologia ed Ematologia
Mantova, MN, 46100, Italy
Casa di Cura La Maddalena S.p.A., Dipartimento Oncologico
Palermo, PA, 90146, Italy
Azienda Ospedaliera V. Cervello
Palermo, PA, Italy
Ospedale Buccheri La Ferla - Fatebenefratelli
Palermo, PA, Italy
U.L.S.S. 15 Regione Veneto
Cittadella, PD, Italy
Istituto Oncologico Veneto
Padua, PD, Italy
Azienda Ospedaliera Universitaria Senese
Siena, SI, 53100, Italy
Ospedale E. Morelli
Sondalo, SO, 23039, Italy
Presidio Ospedaliaro Alto Gardo e Ledro
Arco, TN, 38062, Italy
Azienda Ospedaliera Di Busto Arsizio
Saronno, VA, 21047, Italy
Divisione di Oncologia Medica, U.S.L.L. 13
Noale, VE, 30033, Italy
Istituto Nazionale dei Tumori , Divisione di Oncologia Medica B
Napoli, 80131, Italy
Related Publications (2)
Gebbia V, Morena R, Frontini L, Aitini E, Daniele B, Gamucci T, Di Maio M, Morabito A, Gallo C, Gridelli C. The DISTAL-2 phase III randomized trial of single agent weekly docetaxel (wD) vs wD plus gemcitabine (G) or vinorelbine (V) vs wD plus capecitabine (X) as second-line treatment of advanced non-small-cell lung cancer (NSCLC) patients (pts). J Clin Oncol 26: 2008 (May 20 suppl; abstr 19057)
RESULTGebbia V, Gridelli C, Verusio C, Frontini L, Aitini E, Daniele B, Gamucci T, Mancuso G, Di Maio M, Gallo C, Perrone F, Morabito A. Weekly docetaxel vs. docetaxel-based combination chemotherapy as second-line treatment of advanced non-small-cell lung cancer patients. The DISTAL-2 randomized trial. Lung Cancer. 2009 Feb;63(2):251-8. doi: 10.1016/j.lungcan.2008.05.027. Epub 2008 Jul 15.
PMID: 18632181RESULT
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Cesare Gridelli, M.D.
S.G. Moscati Hospital, Avellino, Italy; Division of Medical Oncology
- PRINCIPAL INVESTIGATOR
Francesco Perrone, M.D., Ph.D
National Cancer Institute, Naples Italy; Director Clinical Trials Unit
- PRINCIPAL INVESTIGATOR
Ciro Gallo, M.D., Ph.D.
Second University of Naples, Italy; Chair Medical Statistics
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 26, 2006
First Posted
June 27, 2006
Study Start
May 1, 2005
Primary Completion
May 1, 2008
Study Completion
May 1, 2008
Last Updated
January 14, 2016
Record last verified: 2016-01