Maintenance Gemcitabine in the Chinese Advanced Lung Cancer

Зөвхөн бүртгэлтэй хэрэглэгчид л нийтлэл орчуулах боломжтой

Нэвтрэх / Бүртгүүлэх

Холбоосыг санах ойд хадгалдаг

Статус

Ивээн тэтгэгчид

Tongji University

Хамтран ажиллагсад

Shanghai Pulmonary Hospital, Shanghai, China

ЭМНЭЛ ЗҮЙН ТУРШИЛТ: NCT01336192

BioSeek: NCT01336192

Түлхүүр үгс

Хураангуй

Lung cancer, the most common cancer worldwide, remains the leading cause of cancer death. Approximately two-thirds of all patients with newly diagnosed non-small-cell lung cancer (NSCLC) present with advanced stage that palliative chemotherapy is the only appropriate measure. The standard treatment for this patient population consists of third generation platinum-based doublet regimen for no more than 6 cycles followed by watch and wait until disease progression (PD) before the administration of second-line and third-line systemic anticancer therapeutic agents. Patients who go on to receive second-line therapy represent a selected subgroup with an improved overall prognosis.

Switch maintenance therapy with pemetrexed or erlotinib in patients with advanced NSCLC without PD after first-line chemotherapy has been confirmed to improve progression free survival (PFS) and overall survival (OS) significantly compared with placebo in two large randomized controlled studies. However, continuation gemcitabine maintenance therapy in this setting yields conflicting results in the west, i.e.showing a prolongation of PFS without OS improvement. Thus, we investigate the efficacy and safety of continuation of gemcitabine maintenance therapy for patients with metastatic NSCLC with ECOG performance status of 0-1 and without PD after four cycles of first-line chemotherapy with gemcitabine and cisplatin in China.

Огноо

Сүүлд баталгаажуулсан:	03/31/2011
Эхлээд оруулсан:	04/06/2011
Тооцоолсон элсэлтийг оруулсан:	04/12/2011
Эхлээд нийтэлсэн:	04/14/2011
Сүүлийн шинэчлэлтийг оруулсан:	04/12/2011
Сүүлийн шинэчлэлтийг нийтэлсэн:	04/14/2011
Сургалтын бодит эхлэх огноо:	03/31/2011
Тооцоолсон анхан шатны ажил дуусах огноо:	03/31/2012
Судалгааны ажлыг дуусгах өдөр:	03/31/2013

Нөхцөл байдал эсвэл өвчин

Non Small Cell Lung Cancer

Хөндлөнгийн оролцоо / эмчилгээ

Drug: Maintenance gemcitabine

Үе шат

Үе шат 4

Arm Groups

Гар	Хөндлөнгийн оролцоо / эмчилгээ
No Intervention: Best supportive care Best supportive care
Experimental: Maintenance gemcitabine Maintenance therapy of gemcitabine alone	Drug: Maintenance gemcitabine Gemcitabine 1250mg/m^2 Day 1 and 8, 28 days per cycle until PD

Эрхийн шалгуур

Суралцах боломжтой нас	18 Years Хэнд 18 Years
Суралцах боломжтой хүйс	All
Эрүүл сайн дурын ажилтнуудыг хүлээн авдаг	Тийм ээ
Шалгуур үзүүлэлтүүд	Inclusion Criteria: - Histologic or cytologic confirmed diagnosis of Stage IV NSCLC according to 2009 the seventh edition of TNM staging of lung tumors. - No disease progression after four cycles of first-line chemotherapy with gemcitabine plus cisplatin (running period) within one month before the enrollment. - Brain metastases are permitted if treated with full course of whole brain radiotherapy without the presence of symptomatic central nervous system metastases. - ECOG score 0-1 Exclusion Criteria: - First-line chemotherapy other than combination treatment of gemcitabine plus cisplatin - Other therapy including targeted therapy, immunotherapy and prior radiotherapy for the treatment of the primary tumor prior to enrollment. - Active infection - Inadequate liver and renal function. - Serious concomitant systemic disorder incompatible with the study. - Second primary malignancy (except in situ carcinoma of the cervix, adequately treated basal cell carcinoma of the skin, T1 vocal cord cancer in remission, or prior malignancy treated more than 5 years prior enrollment without recurrence) - Presence of the pregnancy

Үр дүн

Анхан шатны үр дүнгийн арга хэмжээ

1. Progression free survival [12 months]

From the start of maintenance therapy or Best Suppotive Care(BSC) until the date of documented progressive disease or death from any cause

Хоёрдогч үр дүнгийн арга хэмжээ

1. Overall Survival [18 months]

From the start of maintenance therapy or BSC until the date of documented death from any cause

2. Response Rate [approximately 4 weeks]

From the start of maintenance therapy or BSC until the date of documented progressive disease

3. Time to The Progression [18 months]

From the start of maintenance therapy or BSC until the date of documented progressive disease

4. Health Related Quality of Life [Approximately 4 weeks]

From the start of maintenance therapy or BSC until the date of documented progressive disease or the termination of study

5. Number of Participants with treatment-related grade III/IV adverse events [6 months]

frequency and severity of adverse events and laboratory abnormalities

Maintenance Gemcitabine in the Chinese Advanced Lung Cancer

Түлхүүр үгс

lung neoplasms

хорт хавдар