Title
Randomized Study of Cisplatin-Etoposide Versus an Etoposide Regimen Without Cisplatin in Extensive Small-Cell Lung Cancer
A Phase III Randomized Study Comparing A Chemotherapy With Cisplatin And Etoposide To A Etoposide Regimen Without Cisplatin For Patients With Extensive Small-Cell Lung Cancer
Phase
Phase 3Lead Sponsor
European Lung Cancer Working PartyStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Small Cell Lung Carcinoma, Extensive DiseaseIntervention/Treatment
epirubicin ifosfamide cisplatin etoposide ...Study Participants
361The purpose of this study is to determine if a cisplatin-etoposide regimen improves survival in comparison to a regimen containing etoposide and without platinum derivative.
Cisplatin 90 mg/m² day 1, every 3 weeks Etoposide 100 mg/m² days 1-3, every 3 weeks
Epirubicin 60 mg/m² day 1, every 3 weeks Ifosfamide (+ uromitexan) 1.5 g/m² days 1-3, every 3 weeks Etoposide 100 mg/m² days 1-3, every 3 weeks
Every 3 weeks intravenous epirubicin plus ifosfamide plus etoposide
Inclusion Criteria: Histological or cytological diagnosis of small-cell lung cancer Extensive disease (i.e. a disease with distant metastases or that cannot be included in a single irradiation field incorporating primary tumour, mediastinum and supraclavicular lymph node(s)) Availability for participating in the detailed follow-up of the protocol Presence of an evaluable or measurable lesion Informed consent Exclusion Criteria: Prior treatment with chemotherapy, radiotherapy or surgery Performance status < 60 on the Karnofsky scale A history of prior malignant tumor, except non-melanoma skin cancer or in situ carcinoma of the cervix or a cured cancer (defined as a disease-free interval > 5 years) White blood cells < 4000/mm3 Platelets < 100000/mm3 Serum bilirubin > 1.5 mg/100 ml Serum creatinine > 1.3 mg/100 ml and creatinine clearance <60 ml/min Recent myocardial infarction (less than 3 months prior to date of diagnosis) Congestive cardiac failure or cardiac arrhythmia uncontrolled by medical treatment Uncontrolled infectious disease Serious medical or psychological factors which may prevent adherence to the treatment schedule