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Home > "R" Clinical Trials Conditions > Radiation Therapy in Treating Patients With Stage I Non-Small Cell Lung Cancer And Lung Dysfunction

Radiation Therapy in Treating Patients With Stage I Non-Small Cell Lung Cancer And Lung Dysfunction



Radiation Therapy in Treating Patients With Stage I Non-Small Cell Lung Cancer And Lung Dysfunction

For Condition: adenosquamous cell lung cancer,bronchoalveolar cell lung cancer,adenocarcinoma of the lung,large cell lung cancer,stage 1 non-small cell lung cancer,squamous cell lung cancer
Status: Suspended
Sponsor(s): Cancer and Leukemia Group B , National Cancer Institute (NCI)
Synopsis: RATIONALE: Specialized radiation therapy that delivers a high dose of radiation directly to the tumor may kill more tumor cells and cause less damage to normal tissue. PURPOSE: Phase I trial to study the effectiveness of specialized high-dose radiation therapy in treating patients who have stage I non-small cell lung cancer and lung dysfunction.
Details: OBJECTIVES: - Determine the maximum tolerated course of accelerated 3-dimensional conformal radiotherapy in patients with stage I non-small cell lung cancer with pulmonary dysfunction. - Determine the short-term and long-term toxicity of this regimen in these patients. - Determine local tumor control, failure-free survival, and overall survival in patients treated with this regimen. - Determine the effect of radiotherapy dose volume relationships and pre-treatment pulmonary function studies on the incidence of pulmonary toxicity in these patients. OUTLINE: This is a dose-escalation, multicenter study. Patients receive accelerated 3-dimensional (3-D) conformal radiotherapy daily 5 days a week for 3.5-6 weeks. Cohorts of 8 patients receive escalating fractions of accelerated 3-D conformal radiotherapy until the maximum tolerated course is reached. The maximum tolerated course is defined as the course at which no more than 2 patients develop at least grade 3 dose-limiting toxicity and no more than 1 patient develops at least grade 4 dose-limiting toxicity. Patients are followed at 3 weeks, 6 weeks, 3 months, every 3 months for 2 years, and then every 6 months for 3 years. PROJECTED ACCRUAL: Approximately 8-32 patients will be accrued for this study within 2-3 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed stage I (T1-2, N0) non-small cell lung cancer (NSCLC) - Squamous cell carcinoma - Basaloid carcinoma - Adenocarcinoma - Bronchoalveolar carcinoma - Adenosquamous carcinoma - Large cell carcinoma - Large cell neuroendocrine carcinoma - Giant cell carcinoma - Sarcomatoid carcinoma - Non-small cell carcinoma not otherwise specified - Tridimensionally measurable solitary parenchymal lung lesion no greater than 4 cm in diameter by chest CT scan (lung windows) - No metastatic disease or hilar or mediastinal lymphadenopathy - Must have mediastinoscopy* (anterior, cervical, or both) if mediastinal lymph nodes are greater than 1.0 cm in diameter by chest CT scan - No positive lymph nodes on mediastinoscopy NOTE: *Patients may have positron-emission tomography in lieu of mediastinoscopy provided there is no fludeoxyglucose F 18 uptake in the mediastinum and hilum - Poor surgical risk as defined by 1 of the following: - High risk due to nonpulmonary reasons, such as renal failure, cardiac failure, or hepatic dysfunction and deemed by thoracic surgeon to be unsuitable for lobectomy - Pulmonary dysfunction indicated by one or more of the following: - FEV_1 less than 40% of predicted - DLCO less than 50% of predicted - Oxygen dependent - Chronic PaCO_2 greater than 45 mm Hg - VO_2 less than 15 mL/kg/min PATIENT CHARACTERISTICS: Age: - 18 and over Performance status: - 0-2 Life expectancy: - Not specified Hematopoietic: - Not specified Hepatic: - See Disease Characteristics Renal: - See Disease Characteristics Cardiovascular: - See Disease Characteristics Pulmonary: - See Disease Characteristics Other: - Not pregnant or nursing - Fertile patients must use effective contraception - No weight loss of more than 10% within the past 6 months - No other active (less than 30% risk of relapse after completion of prior therapy) malignancy except nonmelanoma skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - No prior chemotherapy for NSCLC Endocrine therapy: - Not specified Radiotherapy: - No prior chest radiotherapy Surgery: - See Disease Characteristics
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
JeffreyBogart,  Study Chair,  State University of New York

MBCCOP - Massey Cancer Center
Richmond,  Virginia,  23298-0037
United States
 

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

North Shore University Hospital
Manhasset,  New York,  11030
United States
 

Arthur G. James Cancer Hospital - Ohio State University
Columbus,  Ohio,  43210-1240
United States
 

CCOP - Mount Sinai Medical Center
Miami,  Florida,  33140
United States
 

Veterans Affairs Medical Center - Columbia (Truman Memorial)
Columbia,  Missouri,  65201
United States
 

CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
Syracuse,  New York,  13217
United States
 

Veterans Affairs Medical Center - Buffalo
Buffalo,  New York,  14215
United States
 

Comprehensive Cancer Center at Wake Forest University
Winston Salem,  North Carolina,  27157-1082
United States
 

Ellis Fischel Cancer Center at University of Missouri - Columbia
Columbia,  Missouri,  65203
United States
 

University of Chicago Cancer Research Center
Chicago,  Illinois,  60637-1470
United States
 

Memorial Regional Hospital Comprehensive Cancer Center
Hollywood,  Florida,  33021
United States
 

Veterans Affairs Medical Center - Chicago (Westside Hospital)
Chicago,  Illinois,  60612
United States
 

Louis A. Weiss Memorial Hospital
Chicago,  Illinois,  60640
United States
 

CCOP - Southeast Cancer Control Consortium
Winston Salem,  North Carolina,  27104-4241
United States
 

Broward General Medical Center
Ft. Lauderdale,  Florida,  33316
United States
 

Veterans Affairs Medical Center - Syracuse
Syracuse,  New York,  13210
United States
 

University of Nebraska Medical Center
Omaha,  Nebraska,  68198-7680
United States
 

Veterans Affairs Medical Center - San Diego
San Diego,  California,  92161
United States
 

University of Minnesota Cancer Center
Minneapolis,  Minnesota,  55455
United States
 


Additional Information:
Study ID Numbers:
  CDR0000068409;  CALGB-39904
Study Start Date: 
Record last reviewed: February 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00009789

Other Squamous Cell Lung Cancer Studies:
1. Chemotherapy With or Without Radiation Therapy Before Surgery in Treating Patients With Non-Small Cell Lung Cancer

2. Video-Assisted Surgery Followed by Radiation Therapy in Treating Patients With Stage I Non-small Cell Lung Cancer and Poor Heart and Lung Function

3. Gemcitabine and Docetaxel in Treating Patients With Inoperable Stage IIIB or Stage IV Non-Small Cell Lung Cancer

4. Chemotherapy, Amifostine, and Radiation Therapy in Treating Patients With Non-small Cell Lung Cancer

5. Combination Chemotherapy Followed by Radiation Therapy Before Surgery in Treating Patients With Stage IIIB Non-Small Cell Lung Cancer

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