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Evaluation of Pemetrexed Combined With Cisplatin and Radiotherapy for Unresectable Locally Advanced Non-Small Cell Lung Cancer (NSCLC) (PACCORA)

A

Antwerp University Hospital (UZA)

Status and phase

Completed
Phase 2

Conditions

Non-Small Cell Lung Cancer

Treatments

Drug: combination chemotherapy (pemetrexed + cisplatin)
Radiation: thoracic irradiation + pemetrexed

Study type

Interventional

Funder types

Other
Industry

Identifiers

NCT00497315
Eudra CT 2005-004030-40
TOGA 0502

Details and patient eligibility

About

The aim of this study is to evaluate if the multi modality treatment pemetrexed combined with cisplatin and radiotherapy can lead to a better tumor control and/or a better side-effect profile in patients with locally advanced NSCLC. Patients will be randomized between 3 cycles of induction chemotherapy followed by concurrent chemoradiotherapy or concurrent chemoradiotherapy followed by 3 cycles of adjuvant combination chemotherapy.

Enrollment

30 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • cytological or histological proven NSCLC
  • unresectable stage III NSCLC
  • presence of at least one measurable lesion (RECIST criteria)
  • adequate haematological, renal and hepatic function
  • adequate lung function reserve
  • good condition, weight loss <10 % over previous 6 months, life expectancy > 3 months

Exclusion criteria

  • previous chemo- or radiotherapy for NSCLC
  • distant metastasis or a malignant pleural or pericardial effusion
  • second active primary malignancy or serious concomitant medical disease
  • interstitial lung disease
  • auto-immune systemic disease with potential involvement of the lungs
  • inability to interrupt aspirin or other non-steroidal anti-inflammatory agents for a 5-day period
  • concomitant use of amiodarone

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

30 participants in 2 patient groups

A
Experimental group
Description:
pemetrexed + cisplatin (3 cycles) followed by thoracic irradiation + pemetrexed
Treatment:
Radiation: thoracic irradiation + pemetrexed
Drug: combination chemotherapy (pemetrexed + cisplatin)
B
Experimental group
Description:
thoracic irradiation + pemetrexed followed by pemetrexed + cisplatin
Treatment:
Radiation: thoracic irradiation + pemetrexed
Drug: combination chemotherapy (pemetrexed + cisplatin)

Trial contacts and locations

3

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Data sourced from clinicaltrials.gov

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