Brain Irradiation in Treating Patients With Limited-Stage Small Cell Lung Cancer
Lung Cancer
About this trial
This is an interventional treatment trial for Lung Cancer focused on measuring limited stage small cell lung cancer
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed small cell lung cancer by fine needle aspiration, biopsy, or 2 positive sputa Limited stage (I-IIIB) Confined to 1 hemithorax No T4 based on malignant pleural effusion, or N3 disease based on contralateral hilar or contralateral supraclavicular involvement Complete response after induction chemotherapy (with or without thoracic radiotherapy) Consolidative chest radiotherapy may be initiated before study No radiographic evidence of any of the following: Brain metastases Normal brain CT scan or MRI less than 1 month before study Ipsilateral lung metastases Malignant pleural effusion Minimal pleural effusion by chest CT scan allowed, but not by chest x-ray PATIENT CHARACTERISTICS: Age Not specified Performance status Zubrod 0-1 Life expectancy Not specified Hematopoietic Absolute granulocyte count at least 1,500/mm^3 Platelet count at least 75,000/mm^3 Hemoglobin at least 10.0 g/dL^ Hepatic Not specified Renal Not specified Pulmonary See Disease Characteristics Other Not pregnant or nursing Fertile patients must use effective contraception Neurological function class 1 or 2 No epilepsy requiring permanent oral medication No other malignancy within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix No other serious medical or psychiatric condition that would preclude study participation PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy See Disease Characteristics At least 1 week since prior chemotherapy No concurrent chemotherapy Endocrine therapy Not specified Radiotherapy See Disease Characteristics No prior external beam radiotherapy to the head or neck, including stereotactic radiotherapy Concurrent thoracic radiotherapy allowed Surgery Not specified Other No concurrent antitumor agents
Sites / Locations
- Lurleen Wallace Comprehensive Cancer at University of Alabama - Birmingham
- Arizona Oncology Services Foundation
- Virginia G. Piper Cancer Center at Scottsdale Healthcare - Osborn
- Virginia G. Piper Cancer Center at Scottsdale Healthcare - Shea
- Highlands Oncology Group - Springdale
- Auburn Radiation Oncology
- Radiation Oncology Centers - Cameron Park
- Rebecca and John Moores UCSD Cancer Center
- CCOP - Bay Area Tumor Institute
- Robert and Beverly Lewis Family Cancer Care Center at Pomona Valley Hospital Medical Center
- Radiation Oncology Center - Roseville
- Radiological Associates of Sacramento Medical Group, Incorporated
- Mercy General Hospital
- Solano Radiation Oncology Center
- Memorial Hospital Cancer Center - Colorado Springs
- St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center
- Tunnell Cancer Center at Beebe Medical Center
- CCOP - Christiana Care Health Services
- University of Florida Shands Cancer Center
- University of Miami Sylvester Comprehensive Cancer Center - Miami
- Baptist-South Miami Regional Cancer Program
- Bay Medical
- Northeast Georgia Medical Center
- Northwest Community Hospital
- Rush-Copley Cancer Care Center
- St. Joseph Medical Center
- Graham Hospital
- Memorial Hospital
- St. Anthony's Memorial Hospital
- Eureka Community Hospital
- Galesburg Clinic, PC
- Galesburg Cottage Hospital
- InterCommunity Cancer Center of Western Illinois
- Mason District Hospital
- Hopedale Medical Complex
- Joliet Oncology-Hematology Associates, Limited - West
- Kewanee Hospital
- La Grange Memorial Hospital
- McDonough District Hospital
- Cardinal Bernardin Cancer Center at Loyola University Medical Center
- BroMenn Regional Medical Center
- Community Cancer Center
- Community Hospital of Ottawa
- Cancer Treatment Center at Pekin Hospital
- Proctor Hospital
- CCOP - Illinois Oncology Research Association
- Oncology Hematology Associates of Central Illinois, PC - Peoria
- Methodist Medical Center of Illinois
- OSF St. Francis Medical Center
- Illinois Valley Community Hospital
- Perry Memorial Hospital
- St. Margaret's Hospital
- Valley Cancer Center
- Carle Cancer Center at Carle Foundation Hospital
- CCOP - Carle Cancer Center
- Saint John's Cancer Center at Saint John's Medical Center
- Parkview Regional Cancer Center at Parkview Health
- Indiana University Melvin and Bren Simon Cancer Center
- Veterans Affairs Medical Center - Indianapolis
- Center for Cancer Therapy at LaPorte Hospital and Health Services
- Saint Anthony Memorial Health Centers
- Cancer Center at Ball Memorial Hospital
- Memorial Hospital of South Bend
- McFarland Clinic, PC
- Holden Comprehensive Cancer Center at University of Iowa
- Cancer Center of Kansas, PA - Chanute
- Cancer Center of Kansas, PA - Dodge City
- Cancer Center of Kansas, PA - El Dorado
- Cancer Center of Kansas, PA - Kingman
- Southwest Medical Center
- Cancer Center of Kansas, PA - Newton
- Cancer Center of Kansas, PA - Parsons
- Cancer Center of Kansas, PA - Pratt
- Cancer Center of Kansas, PA - Salina
- Cotton-O'Neil Cancer Center
- St. Francis Comprehensive Cancer Center
- Cancer Center of Kansas, PA - Wellington
- Associates in Womens Health, PA - North Review
- Cancer Center of Kansas, PA - Medical Arts Tower
- Cancer Center of Kansas, PA - Wichita
- CCOP - Wichita
- Via Christi Cancer Center at Via Christi Regional Medical Center
- Wesley Medical Center
- Cancer Center of Kansas, PA - Winfield
- Lucille P. Markey Cancer Center at University of Kentucky
- Greenebaum Cancer Center at University of Maryland Medical Center
- Union Hospital Cancer Program at Union Hospital
- Boston University Cancer Research Center
- Hudner Oncology Center at Saint Anne's Hospital - Fall River
- South Suburban Oncology Center
- Hickman Cancer Center at Bixby Medical Center
- Veterans Affairs Medical Center - Ann Arbor
- University of Michigan Comprehensive Cancer Center
- Battle Creek Health System Cancer Care Center
- Mecosta County Medical Center
- Barbara Ann Karmanos Cancer Institute
- Josephine Ford Cancer Center at Henry Ford Hospital
- Butterworth Hospital at Spectrum Health
- CCOP - Grand Rapids
- Lacks Cancer Center at Saint Mary's Health Care
- Metro Health Hospital
- Holland Community Hospital
- Borgess Medical Center
- West Michigan Cancer Center
- Bronson Methodist Hospital
- Hackley Hospital
- Lakeland Regional Cancer Care Center - St. Joseph
- Munson Medical Center
- Immanuel St. Joseph's
- CentraCare Clinic - River Campus
- Regional Cancer Center at Singing River Hospital
- Cancer Institute of Cape Girardeau, LLC
- CCOP - St. Louis-Cape Girardeau
- University Medical Center of Southern Nevada
- CCOP - Nevada Cancer Research Foundation
- Radiation Oncology Associates - Reno
- Ocean Medical Center at Meridian Health
- John F. Kennedy Medical Center
- Monmouth Medical Center
- Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital Marlton
- Booker Cancer Center at Riverview Medical Center
- Frederick R. and Betty M. Smith Cancer Treatment Center
- J. Phillip Citta Regional Cancer Center at Community Medical Center
- Franklin & Edith Scarpa Regional Cancer Center at South Jersey Healthcare
- Cancer Institute of New Jersey at Cooper - Voorhees
- Roswell Park Cancer Institute
- Tucker Center for Cancer Care at Orange Regional Medical Center
- Hudson Valley Oncology Associates
- Highland Hospital of Rochester
- James P. Wilmot Cancer Center at University of Rochester Medical Center
- SUNY Upstate Medical University Hospital
- Presbyterian Cancer Center at Presbyterian Hospital
- Wayne Memorial Hospital, Incorporated
- Wayne Radiation Oncology
- Leo W. Jenkins Cancer Center at ECU Medical School
- Kinston Medical Specialists
- Iredell Memorial Hospital
- Summa Center for Cancer Care at Akron City Hospital
- Aultman Cancer Center at Aultman Hospital
- Charles M. Barrett Cancer Center at University Hospital
- Huron Hospital Cancer Care Center
- Euclid Hospital
- Cleveland Clinic Taussig Cancer Center
- St. Rita's Medical Center
- Lima Memorial Hospital
- MedCentral - Mansfield Hospital
- St. Luke's Hospital
- Hillcrest Cancer Center at Hillcrest Hospital
- St. Charles Mercy Hospital
- Cancer Research UK Medical Oncology Unit at Churchill Hospital & Weatherall Institute of Molecular Medicine - Oxford
- Firelands Regional Medical Center
- 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
- South Pointe Hospital Cancer Care Center
- Cancer Treatment Center
- Three Rivers Community Hospital
- Legacy Mount Hood Medical Center
- Dubs Cancer Center at Rogue Valley Medical Center
- Providence Cancer Center at PMCC
- Providence Milwaukie Hospital
- Legacy Good Samaritan Hospital & Comprehensive Cancer Center
- Providence Cancer Center at Providence Portland Medical Center
- CCOP - Columbia River Oncology Program
- Providence St. Vincent Medical Center
- Legacy Emanuel Hospital and Health Center and Children's Hospital
- Legacy Meridian Park Hospital
- Rosenfeld Cancer Center at Abington Memorial Hospital
- St. Luke's Cancer Network at St. Luke's Hospital
- Dale and Frances Hughes Cancer Center at Pocono Medical Center
- Penn State Cancer Institute at Milton S. Hershey Medical Center
- Kimmel Cancer Center at Thomas Jefferson University - Philadelphia
- Fox Chase Cancer Center - Philadelphia
- Fox Chase Cancer Center CCOP Research Base
- Albert Einstein Cancer Center
- McGlinn Family Regional Cancer Center at Reading Hospital and Medical Center
- York Cancer Center at Apple Hill Medical Center
- Hollings Cancer Center at Medical University of South Carolina
- CCOP - Greenville
- Rapid City Regional Hospital
- Arlington Cancer Center - Arlington
- Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas
- M. D. Anderson Cancer Center at University of Texas
- Cottonwood Hospital Medical Center
- Jon and Karen Huntsman Cancer Center at Intermountain Medical Center
- Val and Ann Browning Cancer Center at McKay-Dee Hospital Center
- Utah Valley Regional Medical Center - Provo
- Dixie Regional Medical Center - East Campus
- Utah Cancer Specialists at UCS Cancer Center
- LDS Hospital
- St. Joseph Cancer Center
- Harrison Medical Center
- Fred Hutchinson Cancer Research Center
- Harborview Medical Center
- Group Health Central Hospital
- Swedish Cancer Institute at Swedish Medical Center - First Hill Campus
- University Cancer Center at University of Washington Medical Center
- Cancer Care Northwest - Spokane South
- Madigan Army Medical Center - Tacoma
- Southwest Washington Medical Center Cancer Center
- Wenatchee Valley Medical Center
- Schiffler Cancer Center at Wheeling Hospital
- Green Bay Oncology, Limited at St. Vincent Hospital Regional Cancer Center
- 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
- Bay Area Cancer Care Center at Bay Area Medical Center
- Medical College of Wisconsin Cancer Center
- Veterans Affairs Medical Center - Milwaukee
- Regional Cancer Center at Oconomowoc Memorial Hospital
- All Saints Cancer Center at Wheaton Franciscan Healthcare
- Waukesha Memorial Hospital Regional Cancer Center
- CancerCare Manitoba
- Princess Margaret Hospital
- Hopital Notre-Dame du CHUM
- Centre Hospitalier Universitaire de Quebec
- McGill Cancer Centre at McGill University
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Experimental
Experimental
Arm I
Arm II
Arm III
Prophylactic cranial irradiation, 2.5 Gy fx
Prophylactic cranial irradiation, 2.0 Gy fx
Prophylactic cranial irradiation, 1.5 Gy fx