Lung Cancer, Small CellPhase 3NCT00320359
Topotecan Plus Cisplatin Versus Etoposide Plus Cisplatin In 1st Line Extensive Disease Small Cell Lung Cancer
A Phase 3 study testing Intravenous topotecan/cisplatin and Intravenous etoposide/cisplatin in people with Lung Cancer, Small Cell, run by GlaxoSmithKline at 79 sites in 2 countries.
Trial summary
Evaluation of intravenous Topotecan + Cisplatin as a potential new standard of care in 1st line Small Cell Lung Cancer Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Lung Cancer, Small Cell
- What is being tested?
- Intravenous topotecan/cisplatin and Intravenous etoposide/cisplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 700 participants
- Where
- 79 sitesin 2 countries
- Study dates
- Aug 2002to Feb 2007
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Evaluable extensive small cell lung cancer, extensive disease.
- Eastern Cooperative Oncology Group (ECOG) performance status < 2.
- Life expectancy > 3 months.
- Fit to receive any of the treatments.
- No prior chemotherapy.
- Written informed consent.
Who cannot join
- Extensive disease treatable with radiotherapy.
- Past or current history of other malignant disease.
- Prior chemotherapy.
- Pregnancy, lactating or lack of effective contraception.
- Concurrent severe medical problems other than small cell lung cancer.
- Patients with central nervous system metastases receiving more than 12 mg /day dexamethasone or equivalent to control symptoms.
Trial locations and contacts
79 sites in 2 countries.
79 sites in 2 countries
Germany75 sites
GSK Investigational Site
Bayreuth, Bavaria, 95445
GSK Investigational Site
Berlin, State of Berlin, 10117
GSK Investigational Site
Berlin, State of Berlin, 12200
GSK Investigational Site
Berlin, State of Berlin, 12559
GSK Investigational Site
Berlin, State of Berlin, 13125
GSK Investigational Site
Berlin, State of Berlin, 13353
GSK Investigational Site
Berlin, State of Berlin, 13585
GSK Investigational Site
Berlin, State of Berlin, 14089
GSK Investigational Site
Berlin, State of Berlin, 14109
GSK Investigational Site
Bielefeld, North Rhine-Westphalia, 33604
GSK Investigational Site
Bochum, North Rhine-Westphalia, 44791
GSK Investigational Site
Bonn, North Rhine-Westphalia, 53111
GSK Investigational Site
Bonn, North Rhine-Westphalia, 53113
GSK Investigational Site
Bonn, North Rhine-Westphalia, 53177
GSK Investigational Site
Borstel, Schleswig-Holstein, 23845
GSK Investigational Site
Bremen, Free Hanseatic City of Bremen, 28325
GSK Investigational Site
Chemnitz, Saxony, 09113
GSK Investigational Site
Coesfeld, North Rhine-Westphalia, 48653
GSK Investigational Site
Cologne, North Rhine-Westphalia, 50924
GSK Investigational Site
Cologne, North Rhine-Westphalia, 50931
GSK Investigational Site
Cottbus, Brandenburg, 03048
GSK Investigational Site
Dorsten, North Rhine-Westphalia, 46282
GSK Investigational Site
Duisburg, North Rhine-Westphalia, 47166
GSK Investigational Site
Duisburg, North Rhine-Westphalia, 47228
GSK Investigational Site
Erfurt, Thuringia, 99089
GSK Investigational Site
Flensburg, Schleswig-Holstein, 24939
GSK Investigational Site
Frankfurt (Oder), Brandenburg, 15236
GSK Investigational Site
Frankfurt am Main, Hesse, 60431
GSK Investigational Site
Frankfurt am Main, Hesse, 65929
GSK Investigational Site
Freiburg im Breisgau, Baden-Wurttemberg, 79106
GSK Investigational Site
Giessen, Hesse, 35392
GSK Investigational Site
Göttingen, Lower Saxony, 37075
GSK Investigational Site
Greifenstein, Hesse, 35753
GSK Investigational Site
Greifswald, Mecklenburg-Vorpommern, 17487
GSK Investigational Site
Großhansdorf, Schleswig-Holstein, 22927
GSK Investigational Site
Halle, Saxony-Anhalt, 06114
GSK Investigational Site
Hamburg, Free and Hanseatic City of Hamburg, 20246
GSK Investigational Site
Hamburg, Free and Hanseatic City of Hamburg, 21075
GSK Investigational Site
Hamburg, Free and Hanseatic City of Hamburg, 22043
GSK Investigational Site
Hamm, North Rhine-Westphalia, 59071
GSK Investigational Site
Hemer, North Rhine-Westphalia, 58675
GSK Investigational Site
Herne, North Rhine-Westphalia, 44625
GSK Investigational Site
Jena, Thuringia, 07747
GSK Investigational Site
Karlsruhe, Baden-Wurttemberg, 76137
GSK Investigational Site
Kassel, Hesse, 34125
GSK Investigational Site
Koblenz, Rhineland-Palatinate, 56073
GSK Investigational Site
Krefeld, North Rhine-Westphalia, 47798
GSK Investigational Site
Leer, Lower Saxony, 26789
GSK Investigational Site
Leipzig, Saxony, 04207
GSK Investigational Site
Limburg an der Lahn, Hesse, 65549
GSK Investigational Site
Löwenstein, Baden-Wurttemberg, 74245
GSK Investigational Site
Ludwigshafen am Rhein, Rhineland-Palatinate, 67063
GSK Investigational Site
Magdeburg, Saxony-Anhalt, 39120
GSK Investigational Site
Mainz, Rhineland-Palatinate, 55131
GSK Investigational Site
Mannheim, Baden-Wurttemberg, 68167
GSK Investigational Site
Marburg, Hesse, 35043
GSK Investigational Site
Munich, Bavaria, 80336
GSK Investigational Site
Neubrandenburg, Mecklenburg-Vorpommern, 17036
GSK Investigational Site
Nuremberg, Bavaria, 90340
GSK Investigational Site
Oberhausen, North Rhine-Westphalia, 46145
GSK Investigational Site
Offenbach, Hesse, 63069
GSK Investigational Site
Passau, Bavaria, 94032
GSK Investigational Site
Plauen, Saxony, 08529
GSK Investigational Site
Regensburg, Bavaria, 93049
GSK Investigational Site
Rosenheim, Bavaria, 83022
GSK Investigational Site
Rostock, Mecklenburg-Vorpommern, 18057
GSK Investigational Site
Rostock, Mecklenburg-Vorpommern, 18059
GSK Investigational Site
Stade, Lower Saxony, 21680
GSK Investigational Site
Stralsund, Mecklenburg-Vorpommern, 18437
GSK Investigational Site
Trier, Rhineland-Palatinate, 54290
GSK Investigational Site
Velbert, North Rhine-Westphalia, 42551
GSK Investigational Site
Wangen, Baden-Wurttemberg, 88239
GSK Investigational Site
Waren, Mecklenburg-Vorpommern, 17192
GSK Investigational Site
Wiesbaden, Hesse, 65199
GSK Investigational Site
Wuppertal, North Rhine-Westphalia, 42283
Austria4 sites
GSK Investigational Site
Bludesch, A-6719
GSK Investigational Site
Klagenfurt, A-9020
GSK Investigational Site
Linz, A-4020
GSK Investigational Site
Vienna, A-1140
About this study
Official title: An Open-Label, Multicentre, Randomised, Phase III Study Comparing Topotecan/Cisplatin and Topotecan/Etoposide Versus Etoposide/Cisplatin as Treatment for Chemotherapy-naive Patients With Extensive Disease-Small Cell Lung Cancer
Evaluation of intravenous Topotecan + Cisplatin as a potential new standard of care in 1st line Small Cell Lung Cancer
- Conditions
- Lung Cancer, Small Cell
- Being tested
- Intravenous topotecan/cisplatin, Intravenous etoposide/cisplatin
- Keywords
- First-line Cisplatin, Small Cell Lung Cancer, topotecan, etoposide, Extensive Disease
- Medical subject headings
- Small Cell Lung Carcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Intravenous topotecan/cisplatinDrug
Topotecan 1 mg/m2 should be administered intravenously over a period of 30 minutes on days 1-5. Then a 30 minute saline flush should be administered followed by the cisplatin on day 5.
Cisplatin 75 mg/m2 given as an intravenous infusion at the rate of 1 mg/min on day 5 after topotecan.
Intravenous etoposide/cisplatinDrug
Cisplatin 75 mg/m2 given as an intravenous infusion at the rate of 1 mg/min on day 1. Cisplatin should be given simultaneously to post-hydration to ensure a high volume fluid.
Etoposide 100 mg/m2 should be administered after cisplatin intravenously over a period not less than 30 minutes on days 1 -3.
| Study group | Role | What they receive |
|---|---|---|
| Arm A | Active comparator | Cisplatin 75 mg/m2 i.v., day 1, Etoposide 100 mg/m2 i.v., days 1-3 Receives: Drug: Intravenous etoposide/cisplatin |
| Arm B | Experimental | Topotecan 1 mg/ m2, i.v., days 1-5 Cisplatin 75 mg/m2 i.v., days 5 Receives: Drug: Intravenous topotecan/cisplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Median overall survival time of participants
Measured: Up to 1 year after randomization of the last patient
Secondary outcomes (20)
Number of participants with one year survival rate of the participants
Measured: Up to 1 year after randomization of the last patient
Median time of disease progression
Measured: up to 1 year after randomization of the last patient
Median time to event (progressive disease or death) of participants
Measured: Up to 1 year after randomization of the last patient
Median time to response to chemotherapy
Measured: Up to 1 year after randomization of the last patient
Median response duration
Measured: Up to 1 year after randomization of the last patient
Number of participants with objective response
Measured: Up to 1 year after randomization of the last patient
Mean lung cancer symptom score (LCSS)
Measured: Up to 18 weeks
Mean eastern cooperative oncology group (ECOG) score
Measured: Up to 18 weeks
Number of participants with adverse events (AEs) and serious adverse events (SAEs)
Measured: Up to 1 year after randomization of the last patient
Mean change from Baseline in hemoglobin value
Measured: Baseline and up to 18 weeks
Mean change from Baseline in leukocytes, neutrophils and platelets count
Measured: Baseline and up to 18 weeks
Mean change from Baseline in red blood cells (RBCs)
Measured: Baseline and up to 18 weeks
Mean change from Baseline in Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), Alkaline phosphatase and Lactate dehydrogenase (LDH)
Measured: Baseline and up to 18 weeks
Mean change from Baseline in Blood urea nitrogen (BUN), Potassium, Sodium and urea
Measured: Baseline and up to 18 weeks
Mean change from Baseline in Creatinine and Total bilirubin
Measured: Baseline and up to 18 weeks
Mean change from Baseline in Creatinine clearance
Mean change from Baseline in total protein
Measured: Baseline and up to 18 weeks
Number of participants with abnormal urinalysis results
Mean change from Baseline in weight
Measured: Baseline and up to 18 weeks
Mean change from Baseline in Body surface area
Measured: Baseline and up to 18 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 May 2006 (estimated)
- Study startAug 2002
- Primary completionFeb 2007
- Study completionFeb 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Lung Cancer, Small CellStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 700 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00320359
- Sponsor's protocol ID
- 104864-A/479
- Status last verified
- Feb 2017
- First submitted
- 1 May 2006
- Last updated
- 1 Mar 2017
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Mar 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label, Multicentre, Randomised, Phase III Study Comparing Topotecan/Cisplatin and Topotecan/Etoposide Versus Etoposide/Cisplatin as Treatment for Chemotherapy-naive Patients With Extensive Disease-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT00320359
- Acronym / sponsor ID
- 104864-A/479
- Conditions
- Lung Cancer, Small Cell
- Keywords
- First-line Cisplatin, Small Cell Lung Cancer, topotecan, etoposide, Extensive Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 700 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- Aug 2002
- Primary completion
- Feb 2007 (actual)
- Study completion
- Feb 2007 (actual)
- First posted
- 3 May 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Evaluation of intravenous Topotecan + Cisplatin as a potential new standard of care in 1st line Small Cell Lung Cancer
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A | Active comparator | Drug: Intravenous etoposide/cisplatinCisplatin 75 mg/m2 i.v., day 1, Etoposide 100 mg/m2 i.v., days 1-3 |
| Arm B | Experimental | Drug: Intravenous topotecan/cisplatinTopotecan 1 mg/ m2, i.v., days 1-5 Cisplatin 75 mg/m2 i.v., days 5 |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Evaluable extensive small cell lung cancer, extensive disease.
- Eastern Cooperative Oncology Group (ECOG) performance status < 2.
- Life expectancy > 3 months.
- Fit to receive any of the treatments.
- No prior chemotherapy.
Key exclusion criteria (6 listed)
- Extensive disease treatable with radiotherapy.
- Past or current history of other malignant disease.
- Prior chemotherapy.
- Pregnancy, lactating or lack of effective contraception.
- Concurrent severe medical problems other than small cell lung cancer.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Intravenous topotecan/cisplatinTopotecan 1 mg/m2 should be administered intravenously over a period of 30 minutes on days 1-5. Then a 30 minute saline flush should be administered followed by the cisplatin on day 5. Cisplatin 75 mg/m2 given as an intravenous infusion at the rate of 1 mg/min on day 5 after topotecan. | Drug | Arm B |
| Intravenous etoposide/cisplatinCisplatin 75 mg/m2 given as an intravenous infusion at the rate of 1 mg/min on day 1. Cisplatin should be given simultaneously to post-hydration to ensure a high volume fluid. Etoposide 100 mg/m2 should be administered after cisplatin intravenously over a period not less than 30 minutes on days 1 -3. | Drug | Arm A |
Primary outcome
Median overall survival time of participants
Time frame: Up to 1 year after randomization of the last patient
20 secondary outcomes
Number of participants with one year survival rate of the participants
Time frame: Up to 1 year after randomization of the last patient
Median time of disease progression
Time frame: up to 1 year after randomization of the last patient
Median time to event (progressive disease or death) of participants
Time frame: Up to 1 year after randomization of the last patient
Median time to response to chemotherapy
Time frame: Up to 1 year after randomization of the last patient
Median response duration
Time frame: Up to 1 year after randomization of the last patient
Number of participants with objective response
Time frame: Up to 1 year after randomization of the last patient
Mean lung cancer symptom score (LCSS)
Time frame: Up to 18 weeks
Mean eastern cooperative oncology group (ECOG) score
Time frame: Up to 18 weeks
Number of participants with adverse events (AEs) and serious adverse events (SAEs)
Time frame: Up to 1 year after randomization of the last patient
Mean change from Baseline in hemoglobin value
Time frame: Baseline and up to 18 weeks
Mean change from Baseline in leukocytes, neutrophils and platelets count
Time frame: Baseline and up to 18 weeks
Mean change from Baseline in red blood cells (RBCs)
Time frame: Baseline and up to 18 weeks
Mean change from Baseline in Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), Alkaline phosphatase and Lactate dehydrogenase (LDH)
Time frame: Baseline and up to 18 weeks
Mean change from Baseline in Blood urea nitrogen (BUN), Potassium, Sodium and urea
Time frame: Baseline and up to 18 weeks
Mean change from Baseline in Creatinine and Total bilirubin
Time frame: Baseline and up to 18 weeks
Mean change from Baseline in Creatinine clearance
Mean change from Baseline in total protein
Time frame: Baseline and up to 18 weeks
Number of participants with abnormal urinalysis results
Mean change from Baseline in weight
Time frame: Baseline and up to 18 weeks
Mean change from Baseline in Body surface area
Time frame: Baseline and up to 18 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Mar 2017.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
79 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Intravenous topotecan/cisplatin and Intravenous etoposide/cisplatin in people with Lung Cancer, Small Cell, run by GlaxoSmithKline at 79 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 79 sites in Germany, Austria. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Median overall survival time of participants (time frame: Up to 1 year after randomization of the last patient). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Mar 2017.