Carboplatin, Paclitaxel, and Radiation Therapy With or Without Thalidomide in Patients With Stage III Non-small Cell Lung Cancer
Lung Cancer

About this trial
This is an interventional treatment trial for Lung Cancer focused on measuring squamous cell lung cancer, large cell lung cancer, stage IIIA non-small cell lung cancer, stage IIIB non-small cell lung cancer, adenocarcinoma of the lung, adenosquamous cell lung cancer, bronchoalveolar cell lung cancer
Eligibility Criteria
Inclusion Criteria: Histologically confirmed newly diagnosed non-small cell bronchogenic carcinoma Squamous cell Adenocarcinoma Large cell undifferentiated Bronchoalveolar Non-small cell carcinoma not otherwise stated Unresectable stage IIIA Mediastinal lymph node enlargement of at least 1 cm but less than 2 cm on computed tomography (CT) scans must have mediastinotomy or thoracoscopy to rule out resectability OR Stage IIIB disease without significant pleural effusion Seen on CT scan only (not seen on chest x-ray) or does not reaccumulate after 1 thoracentesis and is cytologically negative Metastases to contralateral, mediastinal, or supraclavicular nodes allowed Bidimensionally measurable or evaluable disease 18 and over ECOG performance status 0-1 Adequate hematopoietic, hepatic, and renal function obtained <=4 weeks prior to registration: Platelet count at least 100,000/mm^3 White Blood Cell (WBC) count at least 4,000/mm^3 OR absolute neutrophil count at least 2,000/mm^3 Bilirubin normal Serum glutamic oxaloacetic transaminase (SGOT) no greater than 2.5 times upper limit of normal Creatinine no greater than 1.5 mg/dL OR creatinine clearance at least 60 mL/min Fertile patients must use 2 methods of effective contraception for 4 weeks prior to, during, and for 4 weeks after study therapy Concurrent filgrastim (G-CSF) allowed for persistent neutropenia Exclusion Criteria: Positive pregnancy test,pregnant or nursing Uncontrolled high blood pressure, unstable angina, congestive heart failure, or myocardial infarction within the prior year Serious cardiac arrhythmias requiring medication Prior radiotherapy to only area of measurable or active tumor Less than 5 years since prior chemotherapy Other active malignancies Serious uncontrolled active infection Evidence of greater than grade 1 neuropathy by history or physical examination History of seizure disorders Contraindication to daily low-dose (81 mg/day) aspirin
Sites / Locations
- Hembree Mercy Cancer Center at St. Edward Mercy Medical Center
- Memorial Medical Center Cancer Services
- Salinas Valley Memorial Hospital
- Stanford Comprehensive Cancer Center at Stanford University Medical Center
- Aurora Presbyterian Hospital
- Boulder Community Hospital
- Memorial Hospital
- Penrose Cancer Center at Penrose Hospital
- Porter Adventist Hospital
- Presbyterian - St. Luke's Medical Center
- St. Joseph Hospital
- Rose Medical Center
- CCOP - Colorado Cancer Research Program, Incorporated
- Swedish Medical Center
- St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center
- Sky Ridge Medical Center
- Hope Cancer Care Center at Longmont United Hospital
- St. Mary-Corwin Regional Medical Center
- North Suburban Medical Center
- Praxair Cancer Center at Danbury Hospital
- William W. Backus Hospital
- Halifax Medical Center - Daytona Beach
- Baptist Cancer Institute - Jacksonville
- Veterans Affairs Medical Center - Augusta
- MBCCOP - Medical College of Georgia Cancer Center
- Veterans Affairs Medical Center - Atlanta (Decatur)
- Medical Center of Central Georgia
- Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
- Pearlman Comprehensive Cancer Center at South Georgia Medical Center
- Robert H. Lurie Comprehensive Cancer Center at Northwestern University
- Mercy Hospital and Medical Center
- Swedish Covenant Hospital
- Hinsdale Hematology Oncology Associates
- Midwest Center for Hematology/Oncology
- Trinity Medical Center - East
- Swedish-American Regional Cancer Center
- Hematology/Oncology of the North Shore at Gross Point Medical Center
- Elkhart General Hospital
- Howard Community Hospital at Howard Regional Health System
- Center for Cancer Therapy at LaPorte Hospital and Health Services
- Reid Hospital & Health Care Services, Incorporated
- CCOP - Northern Indiana CR Consortium
- Memorial Hospital of South Bend
- Saint Joseph Regional Medical Center
- Hematology Oncology Associates of the Quad Cities
- St. Luke's Hospital
- Cedar Rapids Oncology Associates
- Mercy Regional Cancer Center at Mercy Medical Center
- Genesis Regional Cancer Center at Genesis Medical Center
- Mercy Capitol Hospital
- CCOP - Iowa Oncology Research Association
- John Stoddard Cancer Center at Iowa Methodist Medical Center
- Medical Oncology and Hematology Associates at John Stoddard Cancer Center
- Medical Oncology and Hematology Associates at Mercy Cancer Center
- Mercy Cancer Center at Mercy Medical Center - Des Moines
- John Stoddard Cancer Center at Iowa Lutheran Hospital
- Siouxland Hematology-Oncology Associates, LLP
- Mercy Medical Center - Sioux City
- St. Luke's Regional Medical Center
- Medical Oncology and Hematology Associates - West Des Moines
- Merle M. Mahr Cancer Center at Regional Medical Center of Hopkins County
- DeCesaris Cancer Institute at Anne Arundel Medical Center
- Tufts-NEMC Cancer Center
- Newton-Wellesley Hospital
- Baystate Regional Cancer Program at D'Amour Center for Cancer Care
- Morton Hospital & Medical Center
- Hickman Cancer Center at Bixby Medical Center
- St. Joseph Mercy Cancer Center at St. Joseph Mercy Hospital
- CCOP - Michigan Cancer Research Consortium
- Oakwood Cancer Center at Oakwood Hospital and Medical Center
- Green Bay Oncology, Limited - Escanaba
- Genesys Hurley Cancer Institute
- Hurley Medical Center
- Van Elslander Cancer Center at St. John Hospital and Medical Center
- Green Bay Oncology, Limited - Iron Mountain
- Foote Hospital
- Borgess Medical Center
- West Michigan Cancer Center
- Bronson Methodist Hospital
- Haematology-Oncology Associates of Ohio and Michigan, PC
- Sparrow Regional Cancer Center
- Mercy Memorial Hospital System
- Seton Cancer Institute - Saginaw
- Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph
- St. John Macomb Hospital
- Fairview Ridges Hospital
- Mercy and Unity Cancer Center at Mercy Hospital
- CCOP - Duluth
- Miller-Dwan Medical Center
- St. Mary's - Duluth Clinic Cancer Center
- Fairview Southdale Hospital
- Mercy and Unity Cancer Center at Unity Hospital
- Hutchinson Area Health Care
- Meeker County Memorial Hospital
- HealthEast Cancer Care at St. John's Hospital
- Virginia Piper Cancer Institute at Abbott-Northwestern Hospital
- Hennepin County Medical Center - Minneapolis
- Hubert H. Humphrey Cancer Center at North Memorial Medical Center
- CCOP - Metro-Minnesota
- Saint Francis Cancer Center
- St. Joseph's Hospital
- CentraCare Clinic - River Campus
- Park Nicollet Health Services
- Regions Hospital Cancer Care Center
- United Hospital
- Ridgeview Medical Center
- Woodwinds Health Campus
- CCOP - Kansas City
- St. John's Regional Health Center
- Hulston Cancer Center at Cox Medical Center South
- Missouri Baptist Cancer Center
- CCOP - Montana Cancer Consortium
- Northern Rockies Radiation Oncology Center
- Deaconess Billings Clinic - Downtown
- Big Sky Oncology
- Great Falls Clinic
- Sletten Regional Cancer Institute at Benefis Healthcare
- Cancer Resource Center - Lincoln
- CCOP - Missouri Valley Cancer Consortium
- Immanuel Medical Center
- Alegant Health Cancer Center at Bergan Mercy Medical Center
- Creighton University Medical Center
- CCOP - Nevada Cancer Research Foundation
- Veterans Affairs Medical Center - East Orange
- Hunterdon Regional Cancer Center at Hunterdon Medical Center
- Cancer Institute of New Jersey at Hamilton
- Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital Marlton
- Mountainside Hospital Cancer Center
- Carol G. Simon Cancer Center at Morristown Memorial Hospital
- Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
- Warren Hospital
- Booker Cancer Center at Riverview Medical Center
- Shore Memorial Hospital - Somers Point
- Overlook Hospital
- Fox Chase Virtua Health Cancer Program at Virtua West Jersey
- Albert Einstein Cancer Center at Albert Einstein College of Medicine
- Our Lady of Mercy Medical Center Comprehensive Cancer Center
- Veterans Affairs Medical Center - Buffalo
- Lipson Cancer and Blood Center at Rochester General Hospital
- CCOP - Hematology-Oncology Associates of Central New York
- Wayne Memorial Hospital, Incorporated
- Wilson Medical Center
- Bismarck Cancer Center
- Cancer Care Center at Medcenter One Hospital
- Mid Dakota Clinic, P. C.
- St. Alexius Medical Center
- Akron City Hospital
- Aultman Hospital Cancer Center at Aultman Health Foundation
- Adena Regional Medical Center
- MetroHealth's Cancer Care Center at MetroHealth Medical Center
- Riverside Methodist Hospital Cancer Care
- CCOP - Columbus
- Grant Riverside Cancer Services
- Mount Carmel Health - West Hospital
- Doctors Hospital at Ohio Health
- David L. Rike Cancer Center at Miami Valley Hospital
- Samaritan North Cancer Care Center
- Veterans Affairs Medical Center - Dayton
- Grady Memorial Hospital
- Blanchard Valley Medical Associates
- Fremont Memorial Hospital
- Charles F. Kettering Memorial Hospital
- Fairfield Medical Center
- St. Rita's Medical Center
- Lima Memorial Hospital
- MedCentral - Mansfield Hospital
- Strecker Cancer Center at Marietta Memorial Hospital
- St. Luke's Hospital
- Northwest Ohio Oncology Center
- Licking Memorial Cancer Care Program at Licking Memorial Hospital
- St. Charles Mercy Hospital
- Firelands Regional Medical Center
- Mercy Medical Center
- Community Hospital of Springfield and Clark County
- Flower Hospital Cancer Center
- Mercy Hospital of Tiffin
- Toledo Hospital
- St. Vincent Mercy Medical Center
- Medical University of Ohio Cancer Center
- CCOP - Toledo Community Hospital
- Toledo Clinic, Incorporated - Main Clinic
- UVMC Cancer Care Center at Upper Valley Medical Center
- Fulton County Health Center
- Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest
- Bryn Mawr Hospital
- Geisinger Medical Center
- Oncology Hematology Associates of Northern Pennsylvania, PC at Hahne Regional Cancer Center
- Easton Regional Cancer Center at Easton Hospital
- PinnacleHealth Regional Cancer Center at Polyclinic Hospital
- Penn State Cancer Institute at Milton S. Hershey Medical Center
- Lancaster General Hospital
- Lewistown Hospital
- Paoli Memorial Hospital
- Joan Karnell Cancer Center at Pennsylvania Hospital
- Cancer Center at Phoenixville Hospital
- Allegheny Cancer Center at Allegheny General Hospital
- Hillman Cancer Center at University of Pittsburgh Cancer Institute
- Pottstown Memorial Regional Cancer Center
- Reading Hospital and Medical Center
- Mercy Hospital Cancer Center - Scranton
- Hematology and Oncology Associates
- Grand View Hospital
- Mount Nittany Medical Center
- Jennersville Regional Hospital
- Frank M. and Dorothea Henry Cancer Center at Geisinger Wyoming Valley Medical Center
- CCOP - MainLine Health
- Lankenau Cancer Center at Lankenau Hospital
- Cancer Care Institute of Carolina at Aiken Regional Medical Centers
- CCOP - Greenville
- Avera Cancer Institute
- Medical X-Ray Center, PC
- Sioux Valley Hospital and University of South Dakota Medical Center
- Christine LaGuardia Phillips Cancer Center at Wellmont Holston Valley Medical Center
- MBCCOP - Meharry Medical College - Nashville
- CCOP - Scott and White Hospital
- University of Virginia Cancer Center at UV Health System
- Danville Regional Medical Center
- Southwest Virginia Regional Cancer Center
- Virginia Commonwealth University Massey Cancer Center
- West Virginia University - Robert C. Byrd Health Sciences Center - Charleston Division
- Marshall University Medical Center
- Green Bay Oncology, Limited at St. Vincent Hospital
- Green Bay Oncology, Limited at St. Mary's Hospital
- St. Mary's Hospital Medical Center - Green Bay
- St. Vincent Hospital Regional Cancer Center
- Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
- Dean Medical Center - Madison
- University of Wisconsin Comprehensive Cancer Center
- Bay Area Cancer Care Center at Bay Area Medical Center
- Marshfield Clinic - Marshfield Center
- Green Bay Oncology, Limited - Oconto Falls
- All Saints Cancer Center at All Saints Healthcare
- Green Bay Oncology, Limited - Sturgeon Bay
- Pretoria Academic Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Arm A (Paclitaxel + Carboplatin + RT)
Arm B (Paclitaxel + Carboplatin + RT+ Thalidomide)
Induction chemotherapy dosing: Paclitaxel, 225 mg/m² (3 hour infusion) Day 1. Carboplatin, area under the plasma drug concentration versus time curve (AUC) =6.0, 15-30 min IV infusion immediately following paclitaxel, Day 1 Concurrent chemotherapy / radiotherapy dosing: Paclitaxel, 45 mg/m2, administered weekly during radiotherapy over one hour. Carboplatin, AUC=2, 15- 30 minutes IV infusion immediately following paclitaxel; administered weekly during radiotherapy Radiation therapy started between days 43-50 from day 1 of cycle 1. The primary tumor and areas of known nodal disease received 60 Gy at 2.0 Gy fractions, 5 fractions/week for 30 fractions over 6 weeks to the post chemotherapy tumor volume as seen on computed tomography (CT). The initial 50 Gy was delivered to target volume (TV). The final 10 Gy was delivered to a reduced volume targeting defined by TV
paclitaxel, carboplatin, and radiotherapy are same as those in Arm A. thalidomide: Induction chemotherapy dosing, oral daily, starting Day 1 for 24 months or until disease progression. Concurrent chemotherapy / radiotherapy dosing, oral daily, begin with 200 mg thalidomide as a single dose at bedtime. The dose is then increased by 100 mg every week as tolerated up to a total dose of 1000 mg.