Title
Chemotherapy and Proton Radiation for the Treatment of Locally Advanced Lung Cancer
Phase I/II Study of Combined Chemotherapy and High Dose, Accelerated Proton Radiation for the Treatment of Locally Advanced Non-Small Cell Lung Carcinoma
Phase
Phase 1/Phase 2Lead Sponsor
Loma Linda UniversityStudy Type
InterventionalStatus
Terminated Results PostedIndication/Condition
Locally Advanced Non-Small Cell Lung CancerIntervention/Treatment
paclitaxel carboplatin ...Study Participants
28The purpose of this study is to determine the effectiveness of proton beam radiotherapy combined with chemotherapy for treatment of locally advanced non-small cell lung cancer.
A five week coarse of proton radiotherapy begins on day 28 and is given once daily for the first two weeks and twice daily for the final 3 weeks. The total dose given with proton beam is 76 Gy. Weekly chemotherapy with carboplatin and taxol is given during proton therapy.
200 mg/m2, IV, for 2 cycles followed by 50 mg/m2 weekly for 5 weeks during radiotherapy.
AUC 6, IV, for two cycles followed by AUC 2 weekly for 5 weeks during radiotherapy.
Induction Chemotherapy - Two cycles Taxol 200mg/m2 and Carboplatin AUC6 on day 1 and day 22. Weekly chemotherapy concurrent with radiotherapy Taxol 50mg/m2 and Carboplatin AUC 2 weekly for 5 weeks. Proton therapy - 76 Gy in 5 weeks to lung tumor.
Inclusion Criteria: Clinical stage 2, 3A or 3B (unresectable) Histologic evidence of non-small cell carcinoma Age > 18 years Karnofsky performance status 70 or greater No prior radiation to the chest No previous chemotherapy Exclusion Criteria: Clinical stage 1 or 4 Previous malignancies except for non-melanoma skin cancer unless disease free for > 3 years
Event Type | Organ System | Event Term | Treatment With Chemotherapy and Proton Beam Radiotherapy. |
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Median survival time following treatment.
grade 3 or higher esophageal toxicity Toxicity is categorized either early or late phase. Early phase- toxicity occurring during or within 30 days s/p treatment Late phase- toxicity occurring thereafter