Chemotherapy and Radiation in Treating Participants With Stage 3 Non-Small Cell Lung Cancer
PROCLAIM
Phase 3 Study of Pemetrexed, Cisplatin, and Radiotherapy Followed by Consolidation Pemetrexed Versus Etoposide, Cisplatin, and Radiotherapy Followed by Consolidation Cytotoxic Chemotherapy of Choice in Patients With Unresectable, Locally Advanced, Stage III Non-Small Cell Lung Cancer Other Than Predominantly Squamous Cell Histology
2 other identifiers
interventional
598
19 countries
133
Brief Summary
This study will compare the overall survival of participants with locally-advanced, Stage III Non-Small Cell Lung Cancer (NSCLC) with nonsquamous cell histology.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Sep 2008
Longer than P75 for phase_3
133 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
May 28, 2008
CompletedFirst Posted
Study publicly available on registry
May 30, 2008
CompletedStudy Start
First participant enrolled
September 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2014
CompletedResults Posted
Study results publicly available
November 26, 2015
CompletedJune 28, 2016
May 1, 2016
6.1 years
May 28, 2008
October 22, 2015
May 20, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Overall Survival
Overall survival (OS) time is from baseline to the date of death from any cause. For participants not known to have died as of the data cut-off date, OS time was censored at the last contact date the participant was known to be alive prior to the data cut-off date. OS was summarized using Kaplan-Meier estimates.
Baseline to Date of Death from Any Cause (Up to 71.4 Months)
Secondary Outcomes (5)
Progression-free Survival (PFS)
Baseline to Measured Progressive Disease or Death from Any Cause (Up to 66.6 Months)
Objective Response Rate (Complete Response [CR] + Partial Response [PR])
Baseline to Measured Progressive Disease (Up to 7 Months)
Survival Rates at 1, 2, and 3 Years
Baseline to Date of Death from Any Cause (Up to 71.4 Months)
First Site of Disease Failure in Terms of Relapse
Baseline to Relapse (Up to 66.6 Months)
Percentage of Participants With a Post Baseline Swallowing Diary Score >=4
Baseline through 30 Days Post Study
Other Outcomes (1)
Adverse Events: The Number of Deaths Per Treatment Group
Baseline through 30 Days Post Study
Study Arms (2)
Arm A: Pemetrexed + Cisplatin and TRT
EXPERIMENTALParticipants were treated with Pemetrexed plus Cisplatin and concurrent thoracic radiation therapy (TRT) ("Concurrent Phase") for three 21-day cycles, followed by a 3-5 week "Recovery Period," then treated with consolidation chemotherapy with pemetrexed ("Consolidation Phase") for up to four 21-day cycles Concurrent Phase: Pemetrexed: 500 milligrams per meter squared (mg/m\^2), intravenous (IV) on Day 1 of each 21-day cycle for 3 cycles. Cisplatin: 75 mg/m\^2, IV on Day 1 of each 21-day cycle x 3 cycles. TRT: Beginning on Day 1 of chemotherapy, once daily fractions (2 Gray \[Gy\] per day), 5 days a week for 6 weeks and 3 days to target 66 Gy in 33 fractions. Consolidation Phase: Pemetrexed: 500 mg/m\^2, IV on Day 1 of each 21-day cycle up to 4 cycles
Arm B: Etoposide + Cisplatin and TRT
ACTIVE COMPARATORParticipants were treated with Etoposide plus Cisplatin and concurrent TRT ("Concurrent Phase") for two 28-day cycles, followed by a 3-5 week "Recovery Period," then received consolidation treatment with cytotoxic chemotherapy of choice ("Consolidation Phase") for up to 2 cycles Concurrent Phase: Etoposide/Cisplatin (28-day cycle); Etoposide: 50 mg/m\^2, IV on Days 1 to 5 and Days 29 to 33 and Cisplatin: 50 mg/m\^2, IV on Days1, 8, 29, and 36 Consolidation Phase options: Option 1: Continue the same treatment plan as Concurrent Phase Option 2: Vinorelbine/Cisplatin (21-day cycle); Vinorelbine: 30 mg/m\^2, IV on Days 1, 8, 22, and 29; Cisplatin: 75 mg/m\^2, IV on Days 1 and 22 Option 3: Paclitaxel/Carboplatin (21-day cycle); Paclitaxel: 200 mg/m\^2, IV, on Days 1 and 22; Carboplatin: area under the concentration-time curve (AUC) = 6 (Carboplatin dosing based on calculated creatinine clearance), IV on Days 1 and 22
Interventions
infusion over 10 minutes
infusion over 60 minutes with adequate anti-emetic treatment and appropriate hydration per local practice guidelines
administered per local practice guidelines over a minimum of 30 minutes
administered over 6-10 minutes infusion per local practice guidelines
administered per local practice guidelines over 30 minutes
Eligibility Criteria
You may qualify if:
- Participants must have Stage IIIA or IIIIB NSCLC of the non-squamous type
- Participants must have measureable tumor lesions according to the Response Evaluation Criteria in Solid Tumors (RECIST) guidelines or disease that can be evaluated on computerized tomography (CT) scan
- Participants must be physically mobile, take care of themselves and must be up and about and able to perform light activities, such as light housework or office work
- Participants must be 18 years of age or older
- Participants must have lost no more than 10% of their body weight in the previous 3 months
- Women must be sterile, postmenopausal, or on contraception, and men must be sterile or on contraception
- Participants' test results assessing the function of their blood forming tissue, kidneys, liver, and lungs must be satisfactory
- Participants with Stage IIIB NSCLC who have supraclavicular nodal involvement may be entered into this study. However, participants with cervical nodes are not permitted. The upper border of supraclavicular nodes must not extend above the upper border of the lateral end of the clavicle, extended medially.
You may not qualify if:
- Participants cannot have other on-going (uncontrolled) illnesses, including active infections, recent heart problems, or psychiatric illnesses
- Participants who are unable to take vitamins (including injections of vitamin B12) or oral cortisone medication
- Participants who have had a heart attack (myocardial infarction) or other cardiac issues within 6 months of the trial
- Participants who have received other investigational drugs within the last 30 days
- Participants who are unable to stop taking more than 1.3 grams of aspirin on a daily basis or non-steroidal anti-inflammatory agents
- Participants who have diseases considered for surgical treatment as part of their care plan, such as Pancoast or superior sulcus tumors
- Participants who had prior thoracic radiation. However, other prior radiotherapy is allowed. Participants must have recovered from the toxic effects of the treatment prior to study enrollment. Participants may not have received whole pelvis radiation or radiation to more than 25% of their bone marrow. Prior radiotherapy must have been completed at least 30 days prior to study treatment.
- Participants who have a radiation treatment plan that would expose more than 35% of the volume of their lung to 20 gray (Gy) or more of radiation
- Participants who have concurrent cancer from another primary site requiring treatment of any kind within the past 5 years. Exemptions to this will be permitted on a case-by-case basis after prior approval by the Sponsor physician or designate if the investigator believes the participant's risk of recurrence and death is very low. Curatively treated nonmelanoma skin cancer or in situ carcinoma of any origin is allowed. Participants with recurrence of a previously resected lung cancer or who have a second primary lung cancer are ineligible.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (133)
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Birmingham, Alabama, 35249, United States
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Scottsdale, Arizona, 85259, United States
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Tucson, Arizona, 85704, United States
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Fayetteville, Arkansas, 72703, United States
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Duarte, California, 91010, United States
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Fountain Valley, California, 92708, United States
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La Jolla, California, 92093, United States
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New Haven, Connecticut, 06520, United States
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Hollywood, Florida, 33021, United States
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Tampa, Florida, 33612, United States
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West Palm Beach, Florida, 33401, United States
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Athens, Georgia, 30607, United States
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Marietta, Georgia, 30060, United States
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Thomasville, Georgia, 31792, United States
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Chicago, Illinois, 60637, United States
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Quincy, Illinois, 62301, United States
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Evansville, Indiana, 47713, United States
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Indianapolis, Indiana, 46237, United States
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New Albany, Indiana, 47150, United States
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Westwood, Kansas, 66205, United States
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Wichita, Kansas, 67214, United States
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Louisville, Kentucky, 40402, United States
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Columbia, Maryland, 21044, United States
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Fairhaven, Massachusetts, 02719, United States
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Ann Arbor, Michigan, 48106, United States
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Minneapolis, Minnesota, 55455, United States
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Kansas City, Missouri, 64132, United States
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St Louis, Missouri, 63110, United States
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New York, New York, 10065, United States
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The Bronx, New York, 10467, United States
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Fargo, North Dakota, 58122, United States
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Cincinnati, Ohio, 45242, United States
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Charleston, South Carolina, 29425, United States
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Chattanooga, Tennessee, 37404, United States
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Memphis, Tennessee, 38119, United States
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Nashville, Tennessee, 37203, United States
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Bedford, Texas, 76022, United States
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Dallas, Texas, 75246, United States
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Longview, Texas, 75601, United States
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Odessa, Texas, 79761, United States
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San Marcos, Texas, 78666, United States
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Sherman, Texas, 75090, United States
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Sugar Land, Texas, 77479, United States
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The Woodlands, Texas, 77380, United States
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Wichita Falls, Texas, 76310, United States
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Burlington, Vermont, 05405, United States
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Spokane, Washington, 99220, United States
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Vancouver, Washington, 98684, United States
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Morgantown, West Virginia, 26506, United States
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Madison, Wisconsin, 53792, United States
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Buenos Aires, C1188AAF, Argentina
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Wollongong, New South Wales, 2500, Australia
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Launceston, Tasmania, 7250, Australia
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Frankston, Victoria, 3199, Australia
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Antwerp, 2020, Belgium
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Edegem, 2650, Belgium
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Ghent, 9000, Belgium
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Gilly, 6060, Belgium
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Haine-St.- Paul, 7100, Belgium
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Leuven, 3000, Belgium
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Namur, 5000, Belgium
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Turnhout, 2300, Belgium
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Barretos, 14784700, Brazil
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Curitiba, 81520-060, Brazil
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Porto Alegre, 90610-970, Brazil
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Rio de Janeiro, 20231-050, Brazil
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São Paulo, 01246000, Brazil
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Edmonton, Alberta, T6G 1Z2, Canada
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London, Ontario, N6A 4L6, Canada
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Newmarket, Ontario, L3Y2P9, Canada
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Toronto, Ontario, M5G 2M9, Canada
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Montreal, Quebec, H3G 1A4, Canada
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Beijing, 100021, China
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Guangzhou, 510060, China
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Jinan, China
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Shanghai, 200030, China
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Sichuan, 610041, China
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Wuhan, 430030, China
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Bayonne, 64100, France
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Lille, 59020, France
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Paris, 75475, France
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Pierre-Bénite, 69495, France
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Cologne, 51109, Germany
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Erlangen, 91054, Germany
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Frankfurt, 60596, Germany
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Hanover, 30625, Germany
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Hemer, 58675, Germany
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Immenhausen, 34376, Germany
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Mainz, 55131, Germany
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Mannheim, 68167, Germany
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Oldenburg, 26121, Germany
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Rheine, 48431, Germany
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Ulm, 89081, Germany
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Athens, 18537, Greece
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Pátrai, 26500, Greece
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Bangalore, 560 027, India
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Hyderabaad, 500024, India
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Jaipur, 302016, India
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Kolkata, 700029, India
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Madurai, 625020, India
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Mumbai, 400053, India
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Trivandrum, 695011, India
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Dublin, Ireland
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's-Hertogenbosch, 5223 GZ, Netherlands
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Amsterdam, 1081 HV, Netherlands
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Breda, 4818 CK, Netherlands
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Lisbon, 1649-035, Portugal
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Santa Maria da Feira, 4520-211, Portugal
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Vila Franca de Xira, 4434-502, Portugal
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Incheon, 405-760, South Korea
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Seoul, 139-706, South Korea
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Suwon, 442-723, South Korea
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Alicante, 03010, Spain
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Badalona, 08915, Spain
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Elche, 03202, Spain
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L'Hospitalet de Llobregat, 08908, Spain
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Madrid, 28050, Spain
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Majadahonda, 28222, Spain
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Pamplona, 31008, Spain
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Terrassa, 08227, Spain
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Kaohsiung City, 813, Taiwan
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Kuei Shan Hsiang, 33305, Taiwan
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Taichung, 40705, Taiwan
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Taipei, 100, Taiwan
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Fatih, 34098, Turkey (Türkiye)
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Gaziantep, 27310, Turkey (Türkiye)
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Izmir, 35100, Turkey (Türkiye)
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Melikgazi, 38039, Turkey (Türkiye)
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Umuttepe, 41380, Turkey (Türkiye)
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Edgbaston, Birmingham, B15 2TH, United Kingdom
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London, Greater London, W6 8RF, United Kingdom
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Edinburgh, Scotland, EH4 2XU, United Kingdom
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Manchester, United Kingdom, M20 4BX, United Kingdom
Related Publications (2)
Govindan R, Senan S, Dickgreber N, Provencio M, Wu YL, Syrigos K, Parente B, Wilson M, Ziemiecki R, Chouaki N, Hossain A, San Antonio B, Winfree K, Vokes EE. Healthcare resource utilization and associated cost analysis of the PROCLAIM study in patients with stage III non-small-cell lung cancer. Curr Med Res Opin. 2019 Oct;35(10):1761-1767. doi: 10.1080/03007995.2019.1623185. Epub 2019 Jul 5.
PMID: 31125266DERIVEDBrade AM, Wenz F, Koppe F, Lievens Y, San Antonio B, Iscoe NA, Hossain A, Chouaki N, Senan S. Radiation Therapy Quality Assurance (RTQA) of Concurrent Chemoradiation Therapy for Locally Advanced Non-Small Cell Lung Cancer in the PROCLAIM Phase 3 Trial. Int J Radiat Oncol Biol Phys. 2018 Jul 15;101(4):927-934. doi: 10.1016/j.ijrobp.2018.04.015. Epub 2018 Apr 12.
PMID: 29976505DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 28, 2008
First Posted
May 30, 2008
Study Start
September 1, 2008
Primary Completion
October 1, 2014
Study Completion
November 1, 2014
Last Updated
June 28, 2016
Results First Posted
November 26, 2015
Record last verified: 2016-05