Expired Study
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La Crosse, Wisconsin 54601


RATIONALE: Drugs used in chemotherapy, such as cisplatin, etoposide, and cyclophosphamide, work in different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one chemotherapy drug may kill more tumor cells. PURPOSE: This phase II trial is studying how well giving cisplatin, etoposide, and cyclophosphamide together works in treating patients with extensive-stage small cell lung cancer.

Study summary:

OBJECTIVES: Primary - Determine the safety of cisplatin, etoposide, and cyclophosphamide in patients with extensive stage small cell lung cancer. - Determine the effect of this regimen on circulating endothelial cells in the peripheral blood of these patients. Secondary - Determine progression-free survival, tumor response rate, and overall survival in patients treated with this regimen. OUTLINE: This is a multicenter study. - Induction therapy: Patients receive cisplatin IV over 30 minutes-2 hours on day 1, etoposide IV over 1-2 hours on days 1-3 OR etoposide IV on day 1 and orally twice daily on days 2-3, and oral cyclophosphamide twice daily on days 8-19. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity. - Maintenance therapy: Patients receive oral cyclophosphamide twice daily in the absence of disease progression. Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter. PROJECTED ACCRUAL: A total of 10 patients will be accrued for this study.


DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed small cell lung cancer - Extensive stage disease (i.e., disease beyond the hemithorax and cannot be encompassed safely by a tolerable radiation field) - Measurable disease - Concurrent CNS metastases allowed provided patient remains asymptomatic - Radiotherapy or surgery for uncontrolled symptoms allowed before study entry PATIENT CHARACTERISTICS: Age - 18 and over Performance status - ECOG 0-2 Life expectancy - Not specified Hematopoietic - Absolute neutrophil count ≥ 1,500/mm^3 - Platelet count ≥ 100,000/mm^3 - Hemoglobin ≥ 8 g/dL (transfusion allowed) Hepatic - ALT ≤ 2 times upper limit of normal (ULN) - Bilirubin ≤ 2 times ULN Renal - Creatinine ≤ 1.5 mg/dL OR - Creatinine clearance ≥ 60 mL/min Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No other malignancy within the past year except adequately treated basal cell or squamous cell skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy - No prior biologic therapy Chemotherapy - No prior chemotherapy Endocrine therapy - Concurrent corticosteroids for brain metastases allowed Radiotherapy - See Disease Characteristics - Prior radiotherapy to any symptomatic site allowed provided the target site(s) was not previously irradiated - No concurrent radiotherapy Surgery - See Disease Characteristics



Primary Contact:

Study Chair
Ronald S. Go, MD
Gundersen Lutheran Center for Cancer and Blood

Backup Contact:


Location Contact:

La Crosse, Wisconsin 54601
United States

There is no listed contact information for this specific location.

Site Status: N/A

Data Source: ClinicalTrials.gov

Date Processed: October 09, 2019

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