Cisplatin and Irinotecan Followed by Carboplatin, Etoposide, and Radiation Therapy 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
Histologically or cytologically documented small cell lung cancer of limited stage. 1.1 Limited stage disease category includes patients with disease restricted to one hemithorax with regional lymph node metastases, including hilar, ipsilateral and contralateral mediastinal lymph nodes. 1.2 Although they are usually defined as having limited stage small cell lung cancer, because of concern about the volume of the radiation field that would be required, patients with clinically suspected or confirmed supraclavicular lymph node metastases, patients with pathologically enlarged contralateral hilar lymph nodes, and patients with pleural effusions that are visible on plain chest radiographs, whether cytologically positive or not, are NOT eligible. All Patients must have Measurable Disease 2.1 Lesions that can be accurately measured in at least one dimension (longest diameter to be recorded) as ≥20 mm with conventional techniques or as ≥10 mm with spiral CT scan. 2.2 Pleural/pericardial effusions are not considered measurable. Age ≥18 ECOG Performance status 0-2. Prior Treatment - No prior chemotherapy or radiotherapy for SCLC. No "currently active" second malignancy other than non-melanoma skin cancers. Patients are not considered to have a "currently active" malignancy if they have completed therapy and are considered by their physician to be at less than 30% risk of relapse. Non-pregnant and non-nursing because of significant risk to the fetus/infant. Required Initial Laboratory Values Granulocytes ≥1,500/µl Platelets ≥100,000/µl Serum Creatinine ≤ULN Bilirubin <1.5 mg/dl SGOT (AST) <2 x ULN
Sites / Locations
- Beebe Medical Center
- CCOP - Christiana Care Health Services
- St. Francis Hospital
- Walter Reed Army Medical Center
- Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
- St. Joseph Medical Center
- Graham Hospital
- Memorial Hospital
- University of Chicago Cancer Research Center
- Eureka Hospital
- Galesburg Clinic
- Galesburg Cottage Hospital
- InterCommunity Cancer Center of Western Illinois
- Mason District Hospital
- Hopedale Medical Complex
- Kewanee Hospital
- McDonough District Hospital
- BroMenn Regional Medical Center
- Community Cancer Center
- Community Hospital of Ottawa
- Oncology Hematology Associates of Central Illinois - Ottawa
- Cancer Treatment Center at Pekin Hospital
- Methodist Medical Center of Illinois
- Proctor Hospital
- CCOP - Illinois Oncology Research Association
- Oncology/Hematology Associates of Central Illinois, P.C.
- OSF St. Francis Medical Center
- Illinois Valley Community Hospital
- Perry Memorial Hospital
- St. Margaret's Hospital
- Valley Cancer Center
- Elkhart General Hospital
- Fort Wayne Medical Oncology and Hematology, Incorporated
- Center for Cancer Therapy at LaPorte Hospital and Health Services
- Saint Joseph Regional Medical Center - Plymouth Campus
- CCOP - Northern Indiana CR Consortium
- Memorial Hospital of South Bend
- Holden Comprehensive Cancer Center at University of Iowa
- Union Hospital Cancer Center at Union Hospital
- Hudner Oncology Center at Saint Anne's Hospital
- Mercy Memorial Hospital System
- Fairview University Medical Center - University Campus
- Saint Luke's Hospital
- Ellis Fischel Cancer Center at University of Missouri - Columbia
- CCOP - Kansas City
- Siteman Cancer Center at Barnes-Jewish Hospital
- Missouri Baptist Cancer Center
- Methodist Cancer Center at Methodist Hospital - Omaha
- Kingsbury Center for Cancer Care at Cheshire Medical Center
- Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
- Frisbie Memorial Hospital
- Cancer Institute of New Jersey at the Cooper University Hospital
- Veterans Affairs Medical Center - Buffalo
- Charles R. Wood Cancer Center at Glens Falls Hospital
- North Shore University Hospital
- Long Island Jewish Medical Center
- CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
- SUNY Upstate Medical University Hospital
- Community General Hospital of Greater Syracuse
- Faxton Regional Cancer Center
- Duke Comprehensive Cancer Center
- Comprehensive Cancer Center at Gaston Memorial
- Wayne Memorial Hospital, Incorporated
- Pardee Memorial Hospital
- Lenoir Memorial Cancer Center
- Comprehensive Cancer Center at Moore Regional Hospital
- Zimmer Cancer Center at New Hanover Regional Medical Center
- Forsyth Regional Cancer Center at Forsyth Medical Center
- Comprehensive Cancer Center at Wake Forest University
- Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University
- Rhode Island Hospital
- Miriam Hospital at Lifespan
- Bon Secours St. Francis Health System
- Greenville Hospital System Cancer Center
- CCOP - Greenville
- Danville Regional Medical Center
Arms of the Study
Arm 1
Experimental
Induction and consolidation chemotherapy
Induction chemotherapy (Cycles 1 and 2): Patients receive cisplatin 30 mg/m^2 on days 1, 8, 22 and 29 and irinotecan 65 mg/m^2 on days 1, 8, 22 and 29 for cycles 1 and 2. Consolidation chemotherapy (Cycles 3, 4 and 5 beginning on day 43, week 7): Patients receive carboplatin on days 43, 64 and 85, etoposide 100 mg/m^2 IV on days 43-45, 64-66 and 85-87 and XRT 5 fractions/week starting on day 43