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A Randomized Phase 3 Trial of Pemetrexed and Cisplatin Versus Gemcitabine and Cisplatin in Patients With Locally Advanced or Metastatic Non Small Cell Lung Cancer

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Lilly

Status and phase

Completed
Phase 3

Conditions

Non Small Cell Lung Carcinoma

Treatments

Drug: gemcitabine
Drug: cisplatin
Drug: pemetrexed

Study type

Interventional

Funder types

Industry

Identifiers

NCT00087711
H3E-MC-JMDB (Other Identifier)
2938

Details and patient eligibility

About

This study is a randomized Phase 3 study comparing pemetrexed and cisplatin combination to gemcitabine and cisplatin for the treatment of Non Small Cell Lung Cancer (NCSLC). Gemcitabine plus cisplatin is currently the standard of care for NSCLC. It is thought that pemetrexed plus cisplatin may be as effective and may have fewer side effects than the standard of care.

Enrollment

1,713 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Diagnosis of NSCLC Stage IIIB not amenable to curative treatment or Stage IV.
  • No prior chemotherapy for lung cancer.
  • Patients must have at least one uni-dimensionally measurable lesion.
  • Prior radiation therapy to less than 25% of bone marrow, whole pelvis not allowed. Radiation must be completed at least 4 weeks prior to study enrollment.

Exclusion criteria

  • Treatment with any drug within the last 30 days that has not received regulatory approval.
  • Serious cardiac condition.
  • Serious medical disorder in addition to NSCLC that would make it difficult for the patient to complete the study.
  • Inability or unwillingness to take folic acid or Vitamin B12 supplementation.
  • Presence of fluid retention that cannot be controlled by drainage.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

1,713 participants in 2 patient groups

A
Experimental group
Treatment:
Drug: cisplatin
Drug: pemetrexed
B
Active Comparator group
Treatment:
Drug: cisplatin
Drug: gemcitabine

Trial contacts and locations

134

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Data sourced from clinicaltrials.gov

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