Adjuvant CCRT vs CT in Minimal N2 NSCLC
A Randomized Phase II Study of Adjuvant Concurrent Chemoradiotherapy vs Chemotherapy Alone in Completely Resected Microscopic N2 Non-small Cell Lung Cancer
1 other identifier
interventional
17
1 country
1
Brief Summary
This study propose adjuvant concurrent chemoradiotherapy vs chemotherapy alone in completely resected microscopic N2 NSCLC
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2 nonsmall-cell-lung-cancer
Started Oct 2017
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
First Submitted
Initial submission to the registry
February 8, 2010
CompletedFirst Posted
Study publicly available on registry
February 10, 2010
CompletedStudy Start
First participant enrolled
October 23, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 18, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
January 18, 2021
CompletedMarch 22, 2021
March 1, 2021
3.2 years
February 8, 2010
March 18, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Disease-free survival
36 months
Secondary Outcomes (4)
Overall survival (OS)
36 months
Pattern of relapse
36 months
Toxicity profile
36 months
Quality of life (QOL)
36 months
Study Arms (2)
concurrent chemoradiotherapy
EXPERIMENTALchemotherapy only
ACTIVE COMPARATORInterventions
weekly paclitaxel 50mg/m2 plus weekly cisplatin 25mg/m2 5times with concurrent radiotherapy (5000rad/25fx) for 5 weeks followed by 2 cycles of 3-weekly paclitaxel (175mg/m2) plus cisplatin 80mg/m2.
four cycles of 3-weekly paclitaxel (175mg/m2) and carboplatin (AUC5.5).
Eligibility Criteria
You may qualify if:
- Histologically confirmed diagnosis of stage IIIA(N2) NSCLC that was completely resected by lobectomy, bilobectomy, pneumonectomy, or sleeve lobectomy through any incision (thoracoscopic or video-assisted thorascopic surgery approaches were acceptable)
- "Pathologic N2" disease (involvement of N2 nodes can only be determined at the time of surgical exploration or postoperative pathologic analysis)
- Age ≥18years
- No known residual disease (negative resection margin and no extracapsular invasion of lymph node metastasis)
- ECOG performance status of 0 to 1
- No previous chemotherapy or RT
- Adequate organ function as evidenced by the following; Absolute neutrophil count \> 1.5 x 109/L; platelets \> 100 x 109/L; total bilirubin ≤1.5 UNL; AST and/or ALT \< 5 UNL; creatinine clearance ≥ 50mL/min
- Written informed consent form
You may not qualify if:
- Patients with preoperative mediastinoscopic N2 positive disease
- Uncontrolled systemic illness such as DM, CHF, unstable angina, hypertension or arrhythmia
- Patients with post-obstructive pneumonia or uncontrolled serious infection
- Pregnant or nursing women ( Women of reproductive potential have to agree to use an effective contraceptive method)
- Prior history of malignancy within 5 years from study entry except for a adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer, well-treated thyroid cancer
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Samsung Medical Center
Seoul, South Korea
Related Publications (1)
Sun JM, Noh JM, Oh D, Kim HK, Lee SH, Choi YS, Pyo H, Ahn JS, Jung SH, Ahn YC, Kim J, Ahn MJ, Zo JI, Shim YM, Park K. Randomized Phase II Trial Comparing Chemoradiotherapy with Chemotherapy for Completely Resected Unsuspected N2-Positive Non-Small Cell Lung Cancer. J Thorac Oncol. 2017 Dec;12(12):1806-1813. doi: 10.1016/j.jtho.2017.09.1954. Epub 2017 Sep 28.
PMID: 28962948DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Keunchil Park, M.D., Ph.D
Samsung Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal investigator
Study Record Dates
First Submitted
February 8, 2010
First Posted
February 10, 2010
Study Start
October 23, 2017
Primary Completion
January 18, 2021
Study Completion
January 18, 2021
Last Updated
March 22, 2021
Record last verified: 2021-03