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Home > "A" Clinical Trials Conditions > Amifostine, Chemotherapy, and Radiation Therapy in Treating Patients With Limited-Stage Small Cell Lung Cancer

Amifostine, Chemotherapy, and Radiation Therapy in Treating Patients With Limited-Stage Small Cell Lung Cancer



Amifostine, Chemotherapy, and Radiation Therapy in Treating Patients With Limited-Stage Small Cell Lung Cancer

For Condition: radiation toxicity,limited stage small cell lung cancer,Drug Toxicity
Status: No longer recruiting
Sponsor(s): Washington University Barnard Cancer Center ,
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Drugs such as amifostine may protect normal cells from the side effects of chemotherapy and radiation therapy. PURPOSE: Phase II trial to study the effectiveness of amifostine plus chemotherapy and radiation therapy in treating patients who have limited-stage small cell lung cancer.
Details: OBJECTIVES: I. Determine the incidence and duration of moderate and severe acute esophagitis in patients with limited stage small cell lung cancer treated with amifostine chemoprotection plus chemotherapy and radiotherapy. II. Determine the tumor response to this regimen in these patients. PROTOCOL OUTLINE: Course 1: Patients receive amifostine IV over 5 minutes daily, followed by radiotherapy twice daily Monday through Friday for 3 weeks. Patients receive cisplatin IV over 30-60 minutes on day 1, and etoposide IV over 1 hour on days 1, 2, and 3. Courses 2-4: Patients receive amifostine over 15 minutes on day 1, followed by cisplatin IV over 30-60 minutes and etoposide IV over 1 hour every 3 weeks. Patients are followed at 1 month, then every 3 months until death. PROJECTED ACCRUAL: Approximately 33 patients will be accrued for this study within 1-2 years.
Eligibility:
Study Type:
  Interventional, Educational/Counseling/Training
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically confirmed limited stage small cell lung cancer confined to one hemithorax - Measurable disease - No pleural effusion(s) --Prior/Concurrent Therapy-- - Biologic therapy: No prior biologic therapy - Chemotherapy: No prior chemotherapy - Endocrine therapy: Not specified - Radiotherapy: No prior radiotherapy - Surgery: Not specified - Other: No drugs that could potentiate nephrotoxicity of cisplatin (e.g., aminoglycosides or lithium) --Patient Characteristics-- - Age: 18 and over - Performance status: Karnofsky 60-100% - Life expectancy: Not specified - Hematopoietic: Neutrophil count at least 1,500/mm3; Platelet count at least 75,000/mm3 - Hepatic: Bilirubin no greater than 2.0 mg/dL; SGOT and alkaline phosphatase no greater than 2 times upper limit of normal - Renal: Creatinine no greater than 1.5 mg/dL OR Creatinine clearance at least 60 mL/min; Calcium normal (8.9-10.3 mg/dL) - Cardiovascular: No history of congestive heart failure or myocardial infarction within the past 6 months; No uncontrolled or unexplained rhythm disturbance or symptoms of unstable ischemic heart disease - Other: Not pregnant; Fertile patients must use effective contraception; No prior or concurrent malignancy within the past 5 years, except: Basal or squamous cell skin cancer; Carcinoma in situ of the cervix; No concurrent infection; No significant uncontrolled hyponatremia; No other significant concurrent medical or psychiatric illness which would preclude compliance; No antecedent hearing loss; Afebrile for at least 3 days unless fever due to tumor or obstructive pneumonia
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
ToddWasserman,  Study Chair,  Washington University Barnard Cancer Center

University of Pittsburgh Cancer Institute
Pittsburgh,  Pennsylvania,  15213
United States
 

Washington University Barnard Cancer Center
St. Louis,  Missouri,  63110
United States
 

Rocky Mountain Cancer Center
Denver,  Colorado,  80218
United States
 

Lineberger Comprehensive Cancer Center, UNC
Chapel Hill,  North Carolina,  27599-7295
United States
 


Additional Information:
Study ID Numbers:
  CDR0000067202;  WU-98-0206,NCI-V99-1559,ALZA-WU-98-0206
Study Start Date: August 1998
Record last reviewed: May 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004176

Other Radiation Toxicity Studies:
1. Combination Chemotherapy After Surgery With or Without Chinese Herbal Therapy to Treat Symptoms in Women With Breast Cancer

2. Amifostine to Treat Side Effects of Treatment in Patients Receiving Radiation Therapy and Cisplatin for Advanced Head and Neck Cancer

3. Erlotinib in Treating Patients With Advanced Non-Small Cell Lung Cancer, Ovarian Cancer, or Head and Neck Cancer

4. Amifostine to Prevent Side Effects in Patients Who Are Receiving Chemotherapy and Radiation Therapy for Limited-Stage Small Cell Lung Cancer

5. Chemotherapy Plus Radiation Therapy With or Without Amifostine in Treating Patients With Locally Advanced Cancer of the Nasopharynx

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