UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001810
Receipt number R000002185
Scientific Title Induction Chemoradiotherapy Followed by Surgical Resection for Non-Small Cell Lung Cancer Involving the Chest Wall: A Phase II Trial
Date of disclosure of the study information 2009/04/01
Last modified on 2018/10/07 13:22:23

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Basic information

Public title

Induction Chemoradiotherapy Followed by Surgical Resection for Non-Small Cell Lung Cancer Involving the Chest Wall: A Phase II Trial

Acronym

Chemoradiotherapy Followed by Surgery in Treating Patients With Non-Small Cell Lung Cancer Involving the Chest Wall

Scientific Title

Induction Chemoradiotherapy Followed by Surgical Resection for Non-Small Cell Lung Cancer Involving the Chest Wall: A Phase II Trial

Scientific Title:Acronym

Chemoradiotherapy Followed by Surgery in Treating Patients With Non-Small Cell Lung Cancer Involving the Chest Wall

Region

Japan


Condition

Condition

Lung Cancer

Classification by specialty

Pneumology Chest surgery Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Phase II trail to study the feasibility and effectiveness of concurrent chemotherapy using cisplatin and vinorelbine and radiotherapy followed by surgery in treating patients who have resectable non-small cell lung cancer involving the chest wall.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Three-year survival

Key secondary outcomes

Completion rate and objective response rate of induction chemoradiotherapy, Adverse effects of induction chemoradiotherapy, Operability after induction chemoradiotherapy, Complete resection rate, Perioperative morbidity and mortality, Pathologic response, Recurrence patterns, Disease free survival, and Overall survival


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

Patients receive chemotherapy consisted of Cisplatin 80 mg/m2 day 1 + Vinorelbine 20 mg/m2 days 1 and 8 / 4 weeks x 2 courses

Patients receive also concurrent radiotherapy (Radiation field: Primary tumor, Total dose 40 Gy (2 Gy/day for 4 weeks)).

At 3 to 6 weeks after completion of induction therapy, patients undergo surgical resection (lobectomy or pneumonectomy with mediastinal lymph node dissection combined with chest wall resection).

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

70 years-old >=

Gender

Male and Female

Key inclusion criteria

1.Histologically and/or cytologically confirmed non-small cell lung cancer
2.Resectable T3N0-1M0 lung cancer with chest wall invasion including superior sulcus tumor
Criteria for chest wall invasion:
# The tumor obviously invades the soft tissue of the chest wall or ribs at CT.
# The tumor is contiguous to the chest wall at CT, and chest pain and/or positive findings of bone scintigraphy is present at the primary site.
3.No prior therapy
4.Measurable lesions
5.Performance status (ECOG): 0-1
6.Hematopoietic: WBC >3500/ mm3, ANC >1500/ mm3, Hb >=10.0g/dl, Plt >=100000/ mm3
7.Hepatic: T-Bil <=1.5 mg/dl, AST/ALT <80 IU/L
8.Renal: Serum Cr <1.5 mg/dl, CCr >=60 ml/min
9.Pulmonary function: PaO2 >=70 Torr (room air), Predictive postoperative FEV1.0 >=800 ml
10.Written informed consent

Key exclusion criteria

1.N2 disease: Obvious N2 disease at CT/PET, or histologically and/or cytologically confirmed N2 disease by mediastinoscopy and/or EBUS.
2.Active double cancer
3.Prior chemotherapy or radiotherapy
4.Patients with serious comobidities; serious cardiac complications such as uncontrollable angina, myocardial infarction within 3 months, heart failure, arrhythmia required treatment, uncontrollable diabetes mellitus and hypertion, definite interstitial pneumonina, lung fibrosis, and severe emphysema at CT, and infectious diseases.
5.Pregnant or nursing woman
6.V20 more than 30% of normal lung

Target sample size

53


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kohei Yokoi

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Thoracic Surgery

Zip code


Address

65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan

TEL

052-744-2376

Email

k-yokoi@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kohei Yokoi

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Thoracic Surgery

Zip code


Address

65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan

TEL

052-744-2376

Homepage URL


Email

k-yokoi@med.nagoya-u.ac.jp


Sponsor or person

Institute

Central Japan Lung Study Group

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

名古屋大学病院(愛知県)、愛知医科大学病院(愛知県)、豊橋市民病院(愛知県)、栃木県立がんセンター(栃木県)、名古屋医療センター(愛知県)、癌研有明病院(東京都)、公立陶生病院(愛知県)、神奈川県立がんセンター(神奈川県)、小牧市民病院(愛知県)、三重大学病院(三重県)、名古屋第1赤十字病院(愛知県)、名古屋市立大学病院(愛知県)、名古屋第2赤十字病院(愛知県)、長野市民病院(長野県)、豊田厚生病院(愛知県)、三重中央医療センター(三重県)、大垣市民病院(岐阜県)、岐阜大学病院(岐阜県)、愛知県がんセンター中央病院(愛知県)、刈谷豊田総合病院(愛知県)、市立四日市病院(三重県)、藤田保健衛生大学(愛知県)、県立多治見病院(岐阜県)、静岡がんセンター(静岡県)、山形県立中央病院(山形県)、聖隷三方原病院(静岡県)、千葉県がんセンター(千葉県)、大阪府立成人病センター(大阪府)、四国がんセンター(愛媛県)、中京病院(愛知県)


Other administrative information

Date of disclosure of the study information

2009 Year 04 Month 01 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Kawaguchi K, et al. A prospective, multi-institutional phase II study of induction chemoradiotherapy followed by surgery in patients with non-small cell lung cancer involving the chest wall (CJLSG0801). Lung Cancer 2017;104:79-84.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2008 Year 11 Month 15 Day

Date of IRB


Anticipated trial start date

2009 Year 03 Month 01 Day

Last follow-up date

2017 Year 12 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2009 Year 03 Month 29 Day

Last modified on

2018 Year 10 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002185


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name