Polyglutamate Paclitaxel Compared With Gemcitabine or Vinorelbine in Treating Patients With Advanced or Recurrent Non-Small Cell Lung Cancer
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known whether polyglutamate paclitaxel is more effective than gemcitabine or vinorelbine in treating non-small cell lung cancer. PURPOSE: Randomized phase III trial to compare the effectiveness of polyglutamate paclitaxel with that of gemcitabine or vinorelbine in treating patients who have stage IIIB, stage IV, or recurrent non-small cell lung cancer.
Checked against the public recordLast updated Oct 5, 2020 · Source: ClinicalTrials.gov
What this study is about
- Purpose
- Treatment
- Study type
- Interventional
- Phase
- Phase 3
- Sponsor
- CTI BioPharma
- Interventions being studied
- Drug: gemcitabine hydrochloride; Drug: paclitaxel poliglumex; Drug: vinorelbine tartrate
How this study is categorized
These labels come from structured fields and exact terms in the public record.
Who may be able to participate
DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed non-small cell lung cancer (NSCLC) meeting 1 of the following criteria: * Locally advanced or recurrent disease previously treated with radiotherapy and/or surgery * Stage IIIB and not a candidate for combined modality therapy * Stage IV * No evidence of small cell carcinoma, carcinoid, or mixed small cell/non-small cell histology * Cytological diagnosis must be based on the following: * No cellular diagnosis by sputum cytology alone * Cytologic specimens obtained from brushings, washings, or needle aspiration of a defined lesion or pleural effusion are acceptable * Measurable or nonmeasurable disease * Brain metastases allowed provided patient received prior standard antitumor therapy for CNS metastases (e.g., whole brain radiotherapy, stereotactic radioablation, or surgery) and the following conditions are met: * Neurologic function stable for at least 2 weeks before study entry * Off steroid therapy or on a tapering regimen * Recovered from prior therapy PATIENT CHARACTERISTICS: Age * 18 and over Performance status * ECOG 2 Life expectancy * Not specified Hematopoietic * Absolute neutrophil count at least 1,500/mm\^3 * Platelet count at least 100,000/mm\^3 Hepatic * Bilirubin no greater than upper limit of normal (ULN) * SGOT/SGPT no greater than 2.5 times ULN (5 times ULN if liver metastases present) * Alkaline phosphatase no greater than 2.5 times ULN (except for laboratory documentation that demonstrates bone origin) Renal * Creatinine no greater than 1.5 times ULN Cardiovascular * No unstable angina * No myocardial infarction within the past 6 months * Cardiac conduction abnormalities (e.g., bundle branch block or heart block) allowed provided cardiac status has been stable for at least 6 months prior to study entry Neurologic * See Disease Characteristics * No neuropathy greater than grade 1 * No evidence of unstable neurologic symptoms within the past 4 weeks (2 weeks for neurologic symptoms due to brain metastases) Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * No intolerance to excipients of polyglutamate paclitaxel (e.g., poly-L-glutamic acid, poloxamer 188, dibasic sodium phosphate, or monobasic sodium hydroxide) * No clinically significant active infection * No other concurrent primary malignancy except carcinoma in situ or nonmelanoma skin cancer * No other unstable medical conditions * No circumstance that would preclude study completion or follow-up PRIOR CONCURRENT THERAPY: Biologic therapy * No prior systemic biologic agent for lung cancer Chemotherapy * See Disease Characteristics * No prior systemic chemotherapy for lung cancer including radiosensitizing agents Endocrine therapy * See Disease Characteristics Radiotherapy * See Disease Characteristics * No concurrent radiotherapy Surgery * See Disease Characteristics * Recovered from prior major surgery Other * More than 12 weeks since prior participation in any research study or treatment with investigational drugs * Recovered from prior investigational therapy or stable for 4 weeks before study treatment * No other concurrent investigational drugs * No other concurrent systemic antitumor therapy * No concurrent amifostine * Concurrent bisphosphonates allowed
Important: This is the sponsor’s public criteria, not a determination of eligibility. The study team must review your individual situation.
U.S. locations
- Cooper Green HospitalBirmingham, Alabama
- Medical Oncology/HematologyGilroy, California
- Northwest Oncology and Hematology AssociatesCoral Springs, Florida
- Midwest Cancer Research Group, IncorporatedSkokie, Illinois
- Medschool Associates NorthReno, Nevada
- New York Oncology Hematology, P.C. - LathamLatham, New York
- Clinical Research ServicesBismarck, North Dakota
- Charleston Hematology-Oncology, P.A.Charleston, South Carolina
- Western Washington Medical GroupEverett, Washington
- Western Washington Oncology, IncorporatedOlympia, Washington
Source and freshness
Processed from ClinicalTrials.gov. Last public update: Oct 5, 2020. Always confirm current availability with the study team.