A Prospective Randomized Study Comparing the Target Volume for Limited-stage Small Cell Lung Cancer
Omitting Elective Nodal Irradiation and Irradiating Post-induction Versus Pre-induction Chemotherapy Tumor Extent for Limited-stage Small Cell Lung Cancer
1 other identifier
interventional
500
1 country
1
Brief Summary
We hypothesized that the local control for both arms were not statistically significant, when irradiation to the post-induction chemotherapy tumor volume is compared with irradiation to the pre-induction chemotherapy tumor volume.While elective nodal irradiation will be omitted for both arms.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Jun 2002
Longer than P75 for phase_2
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
June 1, 2002
CompletedFirst Submitted
Initial submission to the registry
November 14, 2012
CompletedFirst Posted
Study publicly available on registry
November 21, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedJanuary 23, 2013
January 1, 2013
12.5 years
November 14, 2012
January 21, 2013
Conditions
Outcome Measures
Primary Outcomes (1)
local-regional progression
at least 6 months
Secondary Outcomes (1)
overall survival
at least 1 year
Study Arms (2)
study arm
EXPERIMENTALFor patients who are randomized to study arm, (i.e. to irradiate the post-chemotherapy tumor extent) the clinical target volume-tumor (CTV-T) includes the post-chemotherapy gross tumor volume-tumor (GTV-T) with a margin of 0.8 cm. Chemotherapy includes etoposide 100mg/m2 d1-d3 combine with cisplatin 80mg/m2 d1 at 21-day interval for 4 cycles. Radiotherapy will be administered with cycle 3 chemotherapy(1.5 Gy twice daily to 45 Gy in 30 fractions over 3 weeks)
control arm
ACTIVE COMPARATORFor patients who are randomized to control arm, (i.e. to irradiate the pre-chemotherapy tumor extent) the clinical target volume-tumor (CTV-T) includes the pre-chemotherapy gross tumor volume-tumor (GTV-T) with a margin of 0.8 cm. Chemotherapy includes etoposide 100mg/m2 d1-d3 combine with cisplatin 80mg/m2 d1 at 21-day interval for 4 cycles. Radiotherapy will be administered with cycle 3 chemotherapy (1.5 Gy twice daily to 45 Gy in 30 fractions over 3 weeks).
Interventions
1.5 Gy twice daily to 45 Gy in 30 fractions over 3 weeks for both arms
Eligibility Criteria
You may qualify if:
- Patients were eligible if they had histologic or cytologic verification of small cell lung cancer (SCLC) and were radiographically confirmed limited-stage
- Patients with contralateral mediastinal and ipsilateral supraclavicular lymphadenopathy were also included.
- The patients should be between 18 and 75 years old without previous thoracic radiotherapy, chemotherapy or biotherapy.
- Karnofsky performance status was ≥ 80.
- Forced expiratory volume at 1 second (FEV1) ≥ 1 L.
- Had measurable or assessable disease.
- Neutrophilic granulocyte ≥ 1.5×109/L, haemoglobin ≥ 100 g/L, platelet count ≥ 100×109/L.
- Serum creatine and bilirubin \< 1.5 × the upper normal limit (UNL), aminotransferase \< 2 × UNL.
- Weight loss was less than 10% within 6 months before diagnosis.
- Written informed consent was required from all patients.
You may not qualify if:
- Patients were ineligible if they had a history of other malignant diseases except for non-melanomatous skin cancer and carcinoma in situ of the cervix, or any contraindications for chemoradiotherapy, malignant pleural and/or pericardial effusion.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Zhejiang Cancer Hospitallead
- Sun Yat-sen Universitycollaborator
Study Sites (1)
Sun Yat-Sen University, Cancer Center
Guangzhou, Guangdong, 510060, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ming Chen, MD
Zhejiang Cancer Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 14, 2012
First Posted
November 21, 2012
Study Start
June 1, 2002
Primary Completion
December 1, 2014
Study Completion
December 1, 2016
Last Updated
January 23, 2013
Record last verified: 2013-01