Phase I Cetuximab and Concurrent Radio-chemotherapy
Determination of the Toxicity of Standard Dose Cetuximab Together With Concurrent Individualised, Isotoxic Accelerated Radiotherapy and Cisplatin-vinorelbine for Patients With Stage III Non-small Cell Lung Cancer: A Phase I Study
1 other identifier
interventional
24
1 country
1
Brief Summary
To determine the MTD toxicity of standard dose cetuximab together with concurrent individualized, isotoxic accelerated radiotherapy and cisplatin-vinorelbine
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1 nonsmall-cell-lung-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2007
CompletedFirst Submitted
Initial submission to the registry
August 29, 2007
CompletedFirst Posted
Study publicly available on registry
August 30, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2011
CompletedJuly 19, 2011
July 1, 2011
4.3 years
August 29, 2007
July 18, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Maximum Tolerated Dose (MTD) 3 months after the ende of chemo-radiation
3 months
Secondary Outcomes (1)
During and after chemo-radiation: (CTC 3.0) Dysphagia, Cough, Dyspnea, Skin rash, Myelitis, Neuropathy, Neutrophiles, Platelets, Hemoglobin, Diarrhea, Renal failure, Liver dysfunction, Tumour response 3 m. after end chemo-radiation and Survival
3 months
Interventions
Eligible patients will be given 2 cycles(of 21 days) of carboplatin (AUC 5) day 1 and gemcitabine (1250 mg/m2) days 1,8. Patients without progressive disease will be entered in the phase I dose-escalation part of the study. Chest radiation will be given concurrently with cetuximab, cisplatin and vinorelbine, which will be escalated in 3 steps until dose-limiting toxicity occurs. 14 days after the last gemcitabine (=day 43), radiotherapy is started : First 3 weeks: 1.5 Gy BID to a dose of 45 Gy in 30 fractions, then 2 Gy QD to a mean lung dose of 19 Gy. Cetuximab: 400 mg/m2 7 days before radiotherapy (= day 36) and during the course of radiotherapy a weekly dose 250 mg/m2. Cetuximab will be delivered at the same days as chemotherapy. Cisplatin(all steps): 50 mg/m2 days 43, 50; 40 mg/m2 day 64. Vinorelbine: Step 1: 10 mg/ m2 days 43, 50; 8 mg/m2 days 66 and 73. Step 2: 20 mg/ m2 days 43, 50; 8 mg/m2 days 66 and 73. Step 3: 20 mg/ m2 days 43, 50; 15 mg/m2 days 66 and 73.
Eligibility Criteria
You may qualify if:
- Histologically confirmed non-small cell lung cancer
- Inoperable stage III (UICC 2002; sixth edition) (no pleural effusion)
- WHO performance status 0 or 1
- Less than 10% weight loss in the last 6 months
- Lung function: FEV1 at least 50% and DLCO at least 50% of the predicted value
- No recent severe cardiac disease
- Adequate bone marrow function
- Adequate renal function
- Adequate hepatic function
- Life expectancy more than 6 months
- Measurable cancer
- Willing and able to comply with study prescriptions
- years or older
- Not pregnant or breast feeding
- Written informed consent
- +1 more criteria
You may not qualify if:
- Not non-small cell lung cancer histology
- Mixed pathology
- History of prior chest radiotherapy
- Recent (\<3 months) myocardial infarction
- Uncontrolled infectious disease
- Less than 18 years old
- Inadequate pulmonary function
- Other active malignancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Maastricht Radiation Oncologylead
- Academisch Ziekenhuis Maastrichtcollaborator
- Merck Sharp & Dohme LLCcollaborator
Study Sites (1)
Maastricht Radiation Oncology, MAASTRO clinic
Maastricht, Limburg, Netherlands
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dirk De Ruysscher, MD PhD
Maastro Clinic, The Netherlands
- PRINCIPAL INVESTIGATOR
Anne-Marie Dingemans, MD PhD
academisch ziekenhuis Maastricht, azM
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
August 29, 2007
First Posted
August 30, 2007
Study Start
April 1, 2007
Primary Completion
July 1, 2011
Last Updated
July 19, 2011
Record last verified: 2011-07