At a glance
ClinicalIndex Comparison Record- ✓Histologically or cytologically confirmed NSCLC (squamous, adenocarcinoma, large cell)
- ✓Unresectable or inoperable stage IIIA or selected IIIB disease, M0 (no distant metastasis)
- ✓Any T with N2 or N3 disease, or T3/N1-N3 if unresectable, or T4 with any N if encompassable in radiation field
- ✓Measurable disease ≥20 mm by conventional imaging or ≥10 mm by spiral CT
- ✕Stage IIIA/IIIB with T3/N0 disease, M1 disease, or atelectasis of entire lung
- ✕Direct vertebral body invasion or scalene/supraclavicular/contralateral hilar node involvement
- ✕Malignant, exudative, or bloody pleural effusion
- ✕Prior chemotherapy for NSCLC, chest radiation therapy, or therapy targeting EGFR pathway
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Randomized Phase II Study of Radiation Therapy, Pemetrexed and Carboplatin With or Without Cetuximab in Stage III Non-Small Cell Lung Cancer
In Brief
A Phase 2 clinical trial evaluating cetuximab, carboplatin, and 2 other interventions for Lung Cancer. Completed, enrolled 109 participants across 71 sites.
Detailed Summary
RATIONALE: Pemetrexed disodium may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Radiation therapy uses high-energy x-rays to kill tumor cells. Monoclonal antibodies, such as cetuximab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Cetuximab may also make tumor cells more sensitive to radiation therapy. Giving pemetrexed disodium, carboplatin, and radiation therapy together with cetuximab may kill more tumor cells. PURPOSE: This randomized phase II trial is studying how well giving pemetrexed disodium and carboplatin together with radiation therapy with or without cetuximab works in treating patients with stage III non-small cell lung cancer that cannot be removed by surgery.
Study Details
Timeline
Interventions
400 mg/sq m IV over 120 min: Day 1; Week 1 250 mg/sq m IV over 60 min weekly for 6 more weeks.
AUC = 5 q 21 days for 4 cycles
500 mg/sq m IV q 21 days during chemoradiation and consolidation chemotherapy phases
Thoracic radiotherapy: 70 Gy for 7 weeks beginning on Day 1.