Captopril in Treating Patients With Non-Small Cell Lung Cancer or Limited-Stage Small Cell Lung Cancer That Has Been Previously Treated With Radiation Therapy With or Without Chemotherapy
Lung Cancer, Pulmonary Complications, Radiation Fibrosis
About this trial
This is an interventional supportive care trial for Lung Cancer focused on measuring radiation fibrosis, pulmonary complications, limited stage small cell lung cancer, stage II non-small cell lung cancer, stage IIIA non-small cell lung cancer, stage IIIB non-small cell lung cancer, stage I non-small cell lung cancer
Eligibility Criteria
DISEASE CHARACTERISTICS: One of the following histologically or cytologically confirmed diagnoses: Stage II-IIIB non-small cell lung cancer (NSCLC) Stage I central NSCLC No peripheral coin lesions Limited stage small cell lung cancer Nonmetastatic disease that is receiving radiotherapy and the target is confined to a single radiotherapy treatment area Planning to receive radiotherapy At least 45 Gy to be delivered to the target volume More than 25% of total lung volume to receive > 20 Gy if receiving radiotherapy alone PATIENT CHARACTERISTICS: Age 18 and over Performance status Zubrod 0-1 Hematopoietic Absolute granulocyte count greater than 1,000/mm^3 Platelet count greater than 75,000/mm^3 Hemoglobin greater than 9.0 g/dL (transfusion allowed) Hepatic Bilirubin less than 1.5 mg/dL Serum glutamate oxaloacetate transaminase (SGOT) less than 2 times normal Renal Blood urea nitrogen (BUN) less than 25 mg/dL Creatinine less than 1.6 mg/dL Urine protein less than 10 mg/dL Urine glucose negative Cardiovascular Systolic blood pressure greater than 110 mm Hg Diastolic blood pressure greater than 60 mm Hg Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception Sodium normal Potassium normal No collagen vascular disease (e.g., lupus or scleroderma) Rheumatoid arthritis allowed No known hypersensitivity to ACE inhibitors PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy Induction or concurrent chemotherapy allowed either during radiotherapy or during therapy with captopril No concurrent methotrexate Endocrine therapy Not specified Radiotherapy See Disease Characteristics Surgery Prior pulmonary lobectomy or segmentectomy allowed No prior pneumonectomy Other No concurrent angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor antagonists for hypertension or congestive heart failure No concurrent lithium No concurrent procainamide
Sites / Locations
- Lurleen Wallace Comprehensive Cancer at University of Alabama - Birmingham
- Mobile Infirmary Medical Center
- Arizona Oncology Services Foundation
- Providence Saint Joseph Medical Center - Burbank
- Veterans Affairs Medical Center - Long Beach
- Robert and Beverly Lewis Family Cancer Care Center at Pomona Valley Hospital Medical Center
- General Robert Huyser Cancer Center at David Grant Medical Center
- University of Colorado Cancer Center at UC Health Sciences Center
- University of Florida Shands Cancer Center
- Baptist-South Miami Regional Cancer Program
- Saint Anthony's Hospital at Saint Anthony's Health Center
- Good Samaritan Regional Health Center
- Saint John's Cancer Center at Saint John's Medical Center
- Methodist Cancer Center at Methodist Hospital
- Cancer Treatment Center for Southern Kentucky
- Central Baptist Hospital
- Central Maine Comprehensive Cancer Center at Central Maine Medical Center
- Greenebaum Cancer Center at University of Maryland Medical Center
- Hickman Cancer Center at Bixby Medical Center
- Josephine Ford Cancer Center at Henry Ford Hospital
- Great Lakes Cancer Institute at McLaren Regional Medical Center
- Borgess Medical Center
- West Michigan Cancer Center
- Bronson Methodist Hospital
- Haematology-Oncology Associates of Ohio and Michigan, PC
- Community Cancer Center of Monroe
- Mercy Memorial Hospital - Monroe
- William Beaumont Hospital - Royal Oak Campus
- Regional Cancer Center at Singing River Hospital
- Southeast Missouri Regional Cancer Center at Southeast Missouri Hospital
- Saint Francis Medical Center
- CCOP - St. Louis-Cape Girardeau
- David C. Pratt Cancer Center at St. John's Mercy
- Monmouth Medical Center
- Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital Marlton
- J. Phillip Citta Regional Cancer Center at Community Medical Center
- SUNY Downstate Medical Center
- New York Methodist Hospital
- Fitzpatrick Cancer Center at Champlain Valley Physicians Hospital Medical Center
- Highland Hospital of Rochester
- James P. Wilmot Cancer Center at University of Rochester Medical Center
- Mission Hospitals - Memorial Campus
- Wayne Memorial Hospital, Incorporated
- Wayne Radiation Oncology
- Cancer Centers of North Carolina - Raleigh
- Rex Cancer Center at Rex Hospital
- Wilmed Radiation Oncology Services
- Trinity CancerCare Center
- Wood County Oncology Center
- Adena Regional Medical Center
- Riverside Methodist Hospital Cancer Care
- CCOP - Columbus
- Grant Medical Center Cancer Care
- Mount Carmel Health - West Hospital
- Doctors Hospital at Ohio Health
- Grady Memorial Hospital
- Fremont Memorial Hospital
- Fairfield Medical Center
- Lima Memorial Hospital
- Strecker Cancer Center at Marietta Memorial Hospital
- Northwest Ohio Oncology Center
- St. Luke's Hospital
- Licking Memorial Cancer Care Program at Licking Memorial Hospital
- St. Charles Mercy Hospital
- Toledo Clinic - Oregon
- Firelands Regional Medical Center
- North Coast Cancer Care, Incorporated
- 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
- Fulton County Health Center
- Mount Carmel St. Ann's Cancer Center
- Genesis - Good Samaritan Hospital
- CCOP - Greenville
- Rapid City Regional Hospital
- Fredericksburg Oncology, Incorporated
- Columbia Saint Mary's Hospital - Ozaukee
- Columbia-Saint Mary's Cancer Care Center
- Vince Lombardi Cancer Clinic at Aurora St. Luke's Medical Center
- All Saints Cancer Center at Wheaton Franciscan Healthcare
- West Allis Memorial Hospital
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Observation
Captopril
Clinical observation
Captopril