At a glance
ClinicalIndex Comparison Record- ✓Extensive stage SCLC with measurable disease, evaluated within 2 weeks prior to randomization
- ✓ECOG performance status 0-3
- ✓Age 18 and older
- ✓If prior second malignancy (other than treated basal/squamous cell skin cancer or cervical carcinoma in situ), must be disease-free for ≥5 years
- ✕Prior chemotherapy for lung cancer
- ✕Prior radiotherapy for lung cancer (except CNS radiotherapy for CNS metastases)
- ✕Pregnant or lactating
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Randomized Phase II Study: Sequencing Topoisomerase Inhibitors for Extensive Stage Small Cell Lung Cancer (SCLC): Topotecan Sequenced With Etoposide/Cisplatin, and Irinotecan/Cisplatin Sequenced With Etoposide
In Brief
A Phase 2 clinical trial evaluating G-CSF, Cisplatin, and 3 other interventions for Extensive Stage Small Cell Lung Cancer. Completed, enrolled 140 participants across 79 sites.
Detailed Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known which combination chemotherapy regimen is more effective in treating extensive-stage small cell lung cancer. PURPOSE: Randomized phase II trial to compare the effectiveness of two combination chemotherapy regimens in treating patients who have extensive-stage small cell lung cancer.
Study Details
Timeline
Interventions
G-CSF will be administered subcutaneously at a dose of 5 mcg/kg once a day starting on day 11 until WBC recovery \> 10,000 dL.
Arm PET: 20 mg/m2 IV on days 8, 9 and 10 of each cycle following Etoposide. Arm PIE: 20 mg/m2 IV on days 1 and 8 of each cycle following Irinotecan.
Arm PET: 70 mg/m2 IV over 60 minutes on days 8, 9 and 10 of each cycle. Arm PIE: 85 mg/m2 orally (divided into 2 doses, 12 hours apart) on day 3 and 10 of each cycle.
50 mg/m2 IV over 90 minutes on days 1 and 8 of each cycle (Arm PIE only).
Topotecan 0.75 mg/m2 IV over 30 minutes on days 1,2 and 3 of each cycle (Arm PET only).