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Diagnosis and Treatment Planning in Patients Suspected of Having Lung Cancer



Diagnosis and Treatment Planning in Patients Suspected of Having Lung Cancer

For Condition: childhood thorax/respiratory cancer,Quality of Life,stage 2 non-small cell lung cancer,stage 1 non-small cell lung cancer,limited stage small cell lung cancer
Status: No longer recruiting
Sponsor(s): Royal Marsden NHS Trust ,
Synopsis: RATIONALE: Diagnostic procedures and treatment-planning systems may affect outcome in patients suspected of having lung cancer. PURPOSE: Randomized diagnostic trial to compare the effectiveness of two types of diagnostic and treatment-planning systems in patients who are suspected of having lung cancer.
Details: OBJECTIVES: I. Compare the survival rate of patients with suspected lung cancer when diagnosed and managed using the conventional locally based approach versus a new centralized system using a 2 stop diagnosis. II. Compare the resection rate in both diagnostic arms. III. Assess the quality of service given in both diagnostic arms. PROTOCOL OUTLINE: This is a randomized study. Patients present to a general practitioner where they are referred to the local chest clinic. Patients are seen by the chest physician and, if deemed eligible, are randomized between 2 diagnostic arms. Arm I (Conventional Locally Based Diagnosis): Patients undergo bronchoscopy and CT scan as appropriate, and then are discussed or referred by individual chest physicians, as is the current practice. The optimal period for diagnosis and discussion of management plans is 6 weeks. Arm II (Centralized 2 Stop Diagnosis): Patients undergo CT scan the following Monday morning. The consultant radiologist advises the most appropriate diagnostic test (e.g., bronchoscopy or percutaneous needle biopsy) to be done that same Monday. A tissue diagnosis is available Thursday morning for the multidisciplinary meeting attended by the chest physician, medical and clinical oncologists, and a surgeon, and the patient treatment plan is decided. Quality of life is assessed at baseline and at 6 weeks. Patients are followed for 2 years. PROJECTED ACCRUAL: A total of 252-315 patients will be accrued for this study within 2 years.
Eligibility:
Study Type:
  Interventional, Diagnostic
Minimum Age/Maximum Age: /
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Possible diagnosis of lung cancer - Fit enough for bronchoscopy and CT scan --Prior/Concurrent Therapy-- - Not specified --Patient Characteristics-- - Age: Not specified - Performance status: Not specified - Life expectancy: Not specified - Hematopoietic: Not specified - Hepatic: Not specified - Renal: Not specified
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
MaryO'Brien,  Study Chair,  Royal Marsden NHS Trust

Royal Marsden Hospital
Sutton,  England,  SM2 5PT
United Kingdom
 


Additional Information:
Study ID Numbers:
  CDR0000067676;  RMNHS-PATHWAY,EU-99039
Study Start Date: October 1998
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00005071

Other Stage 2 Non-Small Cell Lung Cancer Studies:
1. Chemotherapy in Treating Patients With Stage IIIB or Stage IV Non-small Cell Lung Cancer

2. Diagnosis and Treatment Planning in Patients Suspected of Having Lung Cancer

3. Vaccine Therapy and Ganciclovir in Treating Patients With Mesothelioma

4. Phase I/II Study of Lepirudin in Patients with Recurrent or Extensive Stage Small Cell Lung Cancer

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Diagnosis and Treatment Planning in Patients Suspected of Having Lung Cancer

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