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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00863512
Registration number
NCT00863512
Ethics application status
Date submitted
17/03/2009
Date registered
18/03/2009
Date last updated
27/03/2017
Titles & IDs
Public title
Chemotherapy or Observation in Treating Patients With Early Stage Non-Small Cell Lung Cancer
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Scientific title
A Randomized Phase III Trial of Adjuvant Chemotherapy in Patients With Early Stage Non-Small Cell Lung Cancer Associated With Banking of Frozen Tumor Specimens and Collection of Gene Expression Profile Data
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Secondary ID [1]
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CALGB-30506
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Secondary ID [2]
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CALGB-30506
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lung Cancer
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Condition category
Condition code
Cancer
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Lung - Mesothelioma
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Cancer
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Lung - Non small cell
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Cancer
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Lung - Small cell
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - cisplatin
Treatment: Drugs - docetaxel
Treatment: Drugs - gemcitabine hydrochloride
Treatment: Drugs - pemetrexed disodium
Treatment: Drugs - vinorelbine tartrate
Treatment: Surgery - standard follow-up care
Experimental: Arm I - Patients receive cisplatin IV on day 1 and vinorelbine ditartrate IV on days 1 and 8 OR docetaxel IV and cytarabine IV on day 1 OR gemcitabine hydrochloride IV on days 1 and 8 and cytarabine IV on day 1 OR pemetrexed disodium IV and cisplatin IV on day 1.. Treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity.
Experimental: Arm II - Patients receive standard care (observation).
Treatment: Drugs: cisplatin
Given IV
Treatment: Drugs: docetaxel
Given IV
Treatment: Drugs: gemcitabine hydrochloride
Given IV
Treatment: Drugs: pemetrexed disodium
Given IV
Treatment: Drugs: vinorelbine tartrate
Given IV
Treatment: Surgery: standard follow-up care
Standard care
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Overall Survival
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Assessment method [1]
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Overall survival (OS) is defined as the time between formal registration and death from any cause. The median OS with 95% CI was estimated using the Kaplan-Meier method.
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Timepoint [1]
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Up to 12 years
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Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Histologically confirmed non-small cell lung cancer
* Any variant allowed (e.g., pure or mixed bronchioloalveolar carcinoma or adenosquamous cell carcinoma)
* Primary tumor must be T1a, T1b, T2a, or T2b by AJCC 7.0
* No status
* Tumor measuring = 2.0 cm but = 7.0 cm in diameter by CT scan
* The mass must have a source document to verify tumor size in the greatest dimension, which includes a CT scan report, a clinic note from the enrolling physician, and/or a printed image with caliper measurements on the lung mass
* Node-negative disease
* Evidence of hilar or mediastinal node involvement by chest CT scan (> 1 cm diameter) must be assessed with mediastinoscopy, endo-esophageal ultrasound with biopsy, endo-bronchial ultrasound, bronchoscopy, or mediastinal nodal sampling before or at time of thoracotomy
* No locally advanced or metastatic disease
PATIENT CHARACTERISTICS:
* ECOG performance status 0-1
* Granulocytes = 1,500/µL
* Platelet count = 100,000/µL
* Bilirubin = 1.5 mg/dL
* AST < 1.5 times upper limit of normal (ULN)
* Serum creatinine = 1.5 times ULN
* Not pregnant or nursing
* Fertile patients must use effective contraception
* No history of prior or concurrent malignancy, except curatively treated carcinoma in situ of the cervix, basal cell or squamous cell carcinoma of the skin, surgically treated in situ carcinoma of the breast, or other cancer for which the patient has been disease-free for 3 years
PRIOR CONCURRENT THERAPY:
* More than 3 years since prior cytotoxic or anticancer treatment
* No concurrent treatment with hormones or other chemotherapeutic agents, except steroids given for adrenal failure, hormone administered for nondisease-related conditions (e.g., insulin for diabetes), or intermittent use of dexamethasone as an antiemetic
* No concurrent thoracic radiotherapy
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2009
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/11/2012
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Sample size
Target
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Accrual to date
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Final
34
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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St. Vincent's Hospital - Melbourne - Fitzroy
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Recruitment postcode(s) [1]
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3065 - Fitzroy
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Recruitment outside Australia
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United States of America
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Alabama
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California
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Connecticut
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Florida
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Georgia
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Illinois
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Indiana
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Louisiana
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Maine
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Maryland
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Massachusetts
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Michigan
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Nebraska
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New Hampshire
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North Carolina
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Ohio
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Washington
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Wisconsin
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Funding & Sponsors
Primary sponsor type
Other
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Name
Alliance for Clinical Trials in Oncology
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Address
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Other collaborator category [1]
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Government body
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Name [1]
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National Cancer Institute (NCI)
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Ethics approval
Ethics application status
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Summary
Brief summary
RATIONALE: Drugs used in chemotherapy, such as vinorelbine, cisplatin, docetaxel, gemcitabine, and pemetrexed disodium, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Sometimes after surgery, the tumor may not need more treatment until it progresses. In this case, observation may be sufficient. It is not yet known whether chemotherapy is more effective than observation in treating patients who have undergone surgery for stage I non-small cell lung cancer. PURPOSE: This randomized phase III trial is studying four chemotherapy regimens to see how well they work compared with observation in treating patients with early stage non-small cell lung cancer.
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Trial website
https://clinicaltrials.gov/study/NCT00863512
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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David H. Harpole, MD
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Address
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Duke Cancer Institute
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00863512
Download to PDF