Paclitaxel, Carboplatin, and Dimethylxanthenone Acetic Acid in Treating Patients With Extensive-Stage Small Cell Lung Cancer
Lung Cancer
About this trial
This is an interventional treatment trial for Lung Cancer focused on measuring extensive stage small cell lung cancer
Eligibility Criteria
DISEASE CHARACTERISTICS:
Histologically (preferred) or cytologically confirmed small-cell lung carcinoma (SCLC) by surgical biopsy, brushing, washing, OR core needle aspiration (sputum cytology alone not acceptable)
Extensive stage or stage IV disease, including patients with malignant pleural or pericardial effusion
- No pleural effusion that causes ≥ CTC grade 2 dyspnea
- Not suitable for potentially curative combined-modality treatment for this disease
- Measurable or non-measurable disease
- No CNS metastases
PATIENT CHARACTERISTICS:
- WHO performance status 0-2
- Hemoglobin ≥ 10.0 g/dL
- Absolute neutrophils ≥ 2.0 x 10^9/L (without the use of growth factors)
- Platelet count ≥ 100 x 10^9/L
- Bilirubin ≤ 1.5 x the upper limit of normal (ULN)
- ALT ≤ 2.5 x ULN (≤ 5 x ULN if liver metastases)
- Alkaline phosphatase ≤ 2.5 x ULN (≤ 5 x ULN if liver metastases)
- Creatinine clearance ≥ 45 mL/min
- INR ≤ 1.5
- Magnesium, potassium, and calcium (corrected for albumin) normal
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 12 months after completion of study therapy
- No recent hemoptysis associated with SCLC (> 1 teaspoon in a single episode within 4 weeks)
- No other malignancy within the past 5 years except for nonmelanoma skin cancer or cervical cancer in situ
Must not have a history of any of the following conditions:
- Myocardial infarction within the past 12 months
- Uncontrolled hypertension (systolic BP > 160 mm Hg and/or diastolic BP > 90 mm Hg) or poor compliance with anti-hypertensive regimen
- Sustained ventricular tachycardia
- Ventricular fibrillation or Torsades de Pointes
- Long QT syndrome
- QTc of > 450 msec
- NYHA class III or IV congestive heart failure
- Unstable or poorly controlled angina pectoris, including Prinzmetal variant angina pectoris
- Right bundle branch block and left anterior hemiblock (bifascicular block)
- Bradycardia (defined as heart rate < 50 beats per minute)
- Cardiac arrhythmias (i.e., symptomatic, but may not require medications) CTCAE grade ≥ 2
- No significant neurologic or psychiatric disorder that would compromise study participation
- No peripheral sensory neuropathy with functional impairment ≥ CTC grade 2 (regardless of cause)
No concurrent severe and/or uncontrolled medical disease, including any of the following:
- Uncontrolled diabetes
- Chronic renal disease
- Chronic liver disease
- Confirmed diagnosis of HIV infection
- Active uncontrolled infection
- No serious underlying medical condition, in the judgment of the investigator, that would impair the patient's ability to participate in the trial
- No known hypersensitivity to study drugs or to any other component of the study drugs (taxanes or other drugs formulated in Cremophor EL [polyoxyethylated castor oil])
PRIOR CONCURRENT THERAPY:
- Recovered from all prior therapy
- No prior systemic chemotherapy, immunotherapy, or biologic anti-cancer therapy
More than 2 weeks since prior and no concurrent radiotherapy
- Localized palliative radiotherapy to symptomatic bone metastases allowed
More than 2 weeks since minor surgery
- Insertion of a vascular access device allowed
- More than 3 weeks since prior dimethylxanthenone acetic acid for prophylactic cranial irradiation
- More than 4 weeks since major surgery (defined by the use of general anesthesia)
- At least 30 days since prior and no other concurrent investigational drugs or anti-cancer therapy
- No treatment in a clinical trial within 30 days prior to trial entry
- No concurrent therapy with a risk of causing Torsades de Pointes
- No concurrent drugs that would be contraindicated for use with study drugs
- No factors with the potential to prolong QT interval
Sites / Locations
- Saint Claraspital AG
- Universitaetsspital-Basel
- Istituto Oncologico della Svizzera Italiana - Ospedale San Giovanni
- Inselspital Bern
- Spitalzentrum Biel
- Centre Hospitalier Universitaire Vaudois
- Kantonsspital Olten
- Onkologie Schaffhausen
- Kantonsspital - St. Gallen
- Regionalspital
- Kantonsspital Winterthur
- Klinik Hirslanden
Arms of the Study
Arm 1
Experimental
Paclitaxel, Carboplatin, ASA404