Comparative Study of Chemoradiation and Sequential Chemoradiation About Lung Adenocarcinoma Patients With Postoperative in pN2
Lung Adenocarcinoma Patients With Postoperative in pN2
About this trial
This is an interventional treatment trial for Lung Adenocarcinoma Patients With Postoperative in pN2 focused on measuring Lung adenocarcinoma, Concurrent chemoradiotherapy, Sequential chemoradiotherapy, Progression-free survival
Eligibility Criteria
Inclusion Criteria:
- Clinical diagnosis of Lung adenocarcinoma
- Postoperative staging pN2 period
- Voluntary participation and informed consent
- Age ≥ 18 years old, male or female, within six months of weight loss of less than 10%, can tolerate radiotherapy
- performance status( PS) score 0-2.
- Hemoglobin ≥ 80 g / L, white blood cell ≥ 4 × 109 / L, platelets ≥ 100 × 109 / L.
- Liver function: alanine aminotransferase (ALAT), aspartate transaminase (ASAT) <upper limit of normal (ULN) of 1.5 times, bilirubin <1.5 × ULN.
- Renal function: serum creatinine <1.5 × ULN.
- Compliance, and can be regular follow-up, voluntary compliance with study requirements
Exclusion Criteria:
- Do not meet the inclusion criteria
- There is evidence of distant metastases
- Suffered from other malignancies in five years
- Within the past January subjects received other drug trials
- Having serious allergies or idiosyncratic persons, such as you can not use folic acid, dexamethasone, vitamin B12 patients
- Severe lung or heart disease, a history
- Refuses or is unable to sign informed consent to participate in trials
- The abuse of drugs or alcohol addicts.
- Patients with difficult to control bacterial, viral, fungal infections
- Having a personality or mental disorders, without civil capacity or restricted civil capacity.
- Being pregnant or lactating women.
Sites / Locations
- The People's Hospital of Guangxi Zhuang Autonomous RegionRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Progression-free survival&Concurrent chemoradiotherapy
Progression-free survival&sequential chemoradiotherapy
The first day of radiotherapy given pemetrexed(Powder for Injection) 500mg/m2 + cisplatin(Powder for Injection) 75mg/m2, two cycles of chemotherapy given during radiotherapy; then continue to give two cycles of consolidation chemotherapy, 21 days as a cycle. Intensity-modulated radiation therapy(IMRT),5000cGy~6000cGy/5~6W.
Patients received adjuvant chemotherapy for four cycles,pemetrexed(Powder for Injection) 500mg/m2 + cisplatin(Powder for Injection) 75mg/m2, 21 days as a cycle.Then accept the Intensity-modulated radiation therapy(IMRT),5000cGy~6000cGy/5~6W.