Gemcitabine/Cisplatin Versus Gemcitabine/Epirubicin for Non-Small Cell Lung Cancer (NSCLC)

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National Taiwan University

Status and phase

Completed
Phase 2

Conditions

Non-Small Cell Lung Cancer

Treatments

Drug: Epirubicin
Drug: Cisplatin
Drug: Gemcitabine

Study type

Interventional

Funder types

Other

Identifiers

NCT00154739
46S1

Details and patient eligibility

About

The purpose of this study is to evaluate the efficacy of gemcitabine/cisplatin versus gemcitabine/epirubicin in Stage IIIB/IV NSCLC in terms of response rate and overall survival.

Full description

Most patients suffered from nausea, vomiting and prolonged anorexia after cisplatin treatment. Epirubicin is an anthracycline that was used widely in the treatment of cancer. Our previous study of an epirubicin and paclitaxel combination in non-small cell lung cancer patients showed a response rate of 52.6% and good median survival. However, most patients suffered from paclitaxel-related neurotoxicity. Chemotherapy may increase an average of 1 to 2 months of median survival in inoperable non-small cell lung cancer patients treated with chemotherapy. However, chemotherapy may not provide a cure for these patients. Reduction of side effects and enhancement of life quality of the patients are as important as life prolongation for these patients. We designed a combination chemotherapy using gemcitabine with epirubicin in the treatment of inoperable non-small cell lung cancer. The treatment will be compared to gemcitabine and cisplatin combination.

Enrollment

86 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Histologic or cytologic diagnosis of stage IIIB/IV NSCLC
  • No prior chemotherapy
  • Age > 18 years
  • ECOG score < 0 to 2
  • Bi-dimensionally measurable lesions
  • WBC > 4,000/ml, ANC > 1,500/ml, platelets>100,000/ml
  • Hb>10g/dl.
  • ALT/AST < 5 times x UNL, bilirubin < 1.5times x UNL, creatinine < 1.25 times x UNL, normal calcium level
  • Life expectancy > 12 weeks

Exclusion criteria

  • CNS metastases, Concomitant myelosuppressive radiotherapy, C/T, hormonal therapy or immunotherapy.
  • Active congestive heart failure, angina and/or arrhythmia requiring therapy or previous myocardial infarction

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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