AzTrials
AzTrials

Lung CancerPhase 3NCT00002823

Combination Chemotherapy Compared With No Treatment Following Surgery in Treating Patients With Non-small Cell Lung Cancer

A Phase 3 study testing cisplatin, etoposide and vinblastine sulfate in people with Lung Cancer, run by Gustave Roussy, Cancer Campus, Grand Paris at 123 sites in 29 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known if combination chemotherapy given after surgery is more effective than surgery alone for non-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
What is being tested?
cisplatin, etoposide and vinblastine sulfate
Type of treatment
Surgery or procedure
How many people
3,300 participants
Where
123 sitesin 29 countries
Study dates
Feb 1995to Jan 2001
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

DISEASE CHARACTERISTICS: Histologically documented non-small cell lung cancer Any non-small cell histology eligible Pathologic stage I/II/III disease that is completely resected with microscopically clear margins within 60 days of entry (30 days preferred)

PATIENT CHARACTERISTICS: Age: 18 to 75 Performance status: Not specified Hematopoietic: Not specified Hepatic: Not specified Renal: Not specified Other: No clear contraindication to chemotherapy No second malignancy except: Nonmelanomatous skin cancer Carcinoma in situ of the cervix

PRIOR CONCURRENT THERAPY: Biologic therapy: No prior immunotherapy Chemotherapy: No prior chemotherapy Endocrine therapy: Not specified Radiotherapy: No prior thoracic radiotherapy Surgery: Complete resection required prior to entry

Trial locations and contacts

123 sites in 29 countries.

123 sites in 29 countries

France45 sites
  • Centre Hospitalier Regional et Universitaire d'Angers

    Angers, 49033

  • Centre Paul Papin

    Angers, 49036

  • C.H. Armentieres

    Armentières, 59427

  • Centre Hospital General Robert Ballanger

    Aulnay-sous-Bois, 93602

  • C.H. Henri Mondor

    Aurillac, 15002

  • Clinique Hauts De Seine Bagneux

    Bagneux, 92220

  • C.H.G. Beauvais

    Beauvais, 60021

  • Hopital Avicenne

    Bobigny, 93009

  • C.M.C. Du Cedre

    Bois Guillaume (Rouen), 76235

  • Institut Bergonie

    Bordeaux, 33076

  • CHU de Caen

    Caen, 14033

  • Centre Regional Francois Baclesse

    Caen, 14076

  • Centre Du Meridien

    Cannes, 06400

  • Hopital Fontenoy

    Chartres, 28018

  • Hopital Antoine Beclere

    Clamart, 92141

  • Centre Hospitalier General

    Compiègne, 60321

  • Hopital Intercommunal De Creteil

    Créteil, 94010

  • Centre de Lute Contre le Cancer,Georges-Francois Leclerc

    Dijon, 21079

  • Hopital D'Etampes

    Étampes, 91150

  • C.H. De Grasse

    Grasse, 06130

  • Centre Hospitalier de Lagny

    Lagny, 77405

  • C.H.G. Du Havre-Hopital J. Monod

    Le Havre, 76083

  • Centre Oscar Lambret

    Lille, 59020

  • Centre Leon Berard

    Lyon, 69373

  • Assistance Publique Hopitaux de Marseille Hopitaux Sud

    Marseille, 13274

  • C.H. Nord Mayenne

    Mayenne, 53013

  • Hopital Clinique Claude Bernard

    Metz, 57070

  • Centre de Radiologie et de Traitement des Tumeurs

    Meudon-la-Forêt, 92360

  • Hopital Arnaud de Villeneuve

    Montpellier, 34295

  • Clinique Hartmann

    Neuilly-sur-Seine, 92200

  • Centre Antoine Lacassagne

    Nice, 06189

  • Institut Mutualiste Montsouris

    Paris, 75013

  • Hospital Saint-Joseph

    Paris, 75014

  • Institut Curie - Section Medicale

    Paris, 75248

  • Hopital Tenon

    Paris, 75970

  • C.H.G. De Pau

    Pau, 64000

  • Hopital Jean Bernard

    Poitiers, 86021

  • CHU De Pontchaillou

    Rennes, 35033

  • Centre Hospitalier de Saint-Brieuc

    Saint-Brieuc, 22023

  • Centre du Rouget

    Sarcelles, 95250

  • C.H. De Sens

    Sens, 89106

  • Hopitaux Universitaire de Strasbourg

    Strasbourg, 67091

  • C.H.G. Troyes

    Troyes, 10003

  • Centre Alexis Vautrin

    Vandœuvre-lès-Nancy, 54511

  • Institut Gustave Roussy

    Villejuif, F-94805

Other trials in France

Italy11 sites
  • Istituto Europeo Di Oncologia

    Milan, 20141

  • Federico II University Medical School

    Naples, 80131

  • Ospedale Cervello

    Palermo, 90146

  • Ospedale Oncologico M. Ascoli

    Palermo

  • Ospedale Civile Rimini

    Rimini, 47037

  • Ospedale San Filippo Neri

    Rome, 00135

  • Clinica Ars Medica

    Rome, 00191

  • Istituto Di Clinica Chirurgica

    Torino, 10126

  • Ospedale Molinette

    Turin, 10126

  • Universita Degli Studi di Udine

    Udine, 33100

  • Ospedale Di Borgo Trento

    Verona, 37126

Other trials in Italy

Greece8 sites
  • Evangelismos Hospital

    Athens, 10676

  • Athens University-Laikon General Hospital

    Athens, 11527

  • Sismanoglio Hospital

    Athens, 15126

  • Sotiria Hospital Chest Diseases

    Athens

  • University Hospital of Heraklion

    Iraklion (Heraklion), Crete, 71110

  • Metaxa's Memorial Cancer Hospital

    Piraeus, 18537

  • University of Patras Medical School

    Rio Patras, GR-26500

  • George Papanicolaou General Hospital

    Thessaloniki, 57010

Other trials in Greece

Switzerland7 sites
  • University Hospital

    Basel, CH-4031

  • Ospedale San Giovanni

    Bellinzona, CH-6500

  • Ratisches Kantons und Regionalspital

    Chur, CH-7000

  • Hopital Cantonal Universitaire de Geneva

    Geneva, CH-1211

  • Kantonsspital, Luzern

    Luzern (Lucerne), CH-6000

  • City Hospital Triemli

    Zurich, 8063

  • Universitaetsspital

    Zurich, CH-8091

Other trials in Switzerland

Australia6 sites
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

  • Peter MacCallum Cancer Institute

    East Melbourne, Victoria, 8006

  • Western Hospital

    Melbourne, Victoria, 3011

  • Alfred Hospital

    Melbourne, Victoria, 3181

  • Royal Melbourne Hospital

    Parkville, Victoria, 3050

  • South Eastern Sydney Area Health Service

    Randwick, New South Wales, 2031

Other trials in Australia

Belgium5 sites
  • A.Z. St. Jan

    Bruges, 8000

  • Universitair Ziekenhuis Antwerpen

    Edegem, B-2650

  • U.Z. Gasthuisberg

    Leuven, B-3000

  • AZ Zusters Van Barmhartigheid

    Ronse, B-9600

  • Sint Elizabeth Ziekenhuis

    Zottegem, 9620

Other trials in Belgium

Poland5 sites
  • Bialystok Medical School

    Bialystok, 15276

  • Institute of Oncology

    Lodz, 93509

  • Department of Children Hematology/Oncology University of Medicine Wroclaw

    Wroclaw, 50345

  • K. Dluski Hospital-Medical Academy

    Wroclaw, 53 439

  • Regional Hospital for Lung Disease

    Zdunowo, 20

Other trials in Poland

Sweden5 sites
  • Sahlgrenska University Hospital

    Gothenburg (Goteborg), S-413 45

  • University Hospital of Linkoping

    Linköping, S-581 85

  • Lund University Hospital

    Lund, S-22185

  • Karolinska Hospital

    Stockholm, S-171 76

  • University Hospital - Uppsala

    Uppsala, S-751 85

Other trials in Sweden

Brazil4 sites
  • Porto Alegre Hospital

    Porto Alegre, Rio Grande do Sul, 90035--003

  • Instituto Nacional de Cancer

    Rio de Janeiro, Rio de Janeiro, Cep 2-0230

  • University of Clementino Fraga

    Rio de Janeiro

  • Hospital A.C. Camargo

    São Paulo, São Paulo, 01509--010

Other trials in Brazil

South Africa3 sites
  • Groote Schuur Hospital, Cape Town

    Cape Town, 7925

  • Sandton Oncology Centre

    Johannesburg, 2121

  • Park Lane Oncology Practice

    Johannesburg

Other trials in South Africa

Spain3 sites
  • Institut Catala d'Oncologia - Hospital Duran i Reynals

    Barcelona, 08907

  • Hospital Virgen de las Nieves

    Granada, 18014

  • Hospital Arnau Vilanova

    Valencia, 46015

Other trials in Spain

United States2 sites
  • Comprehensive Cancer Center at JFK Medical Center

    Atlantis, Florida, 33462

  • Massachusetts General Hospital Cancer Center

    Boston, Massachusetts, 02114

Other trials in United States

Colombia2 sites
  • Hospital Militar Central

    Bogotá

  • Instituto Nacional De Cancerologia

    Bogotá

Other trials in Colombia

Israel2 sites
  • Kaplan Hospital

    Rehovot, 76100

  • Tel-Aviv Medical Center

    Tel Aviv, 62995

Other trials in Israel

Argentina1 site
  • Getlac

    Buenos Aires, 1638

Other trials in Argentina

Austria1 site
  • AKH Vienna

    Vienna, A-1090

Other trials in Austria

Chile1 site
  • Clinica Las Nieves

    Santiago

Other trials in Chile

Czechia1 site
  • Chest Disease Clinic, Charles University

    Prague (Praha), 162 00

Other trials in Czechia

Egypt1 site
  • National Cancer Institute of Egypt

    Cairo

Other trials in Egypt

Federal Republic of Yugoslavia1 site
  • Institute for Lung Diseases

    Belgrade, 11000

Japan1 site
  • National Kinki Central Hospital

    Osaka, 591

Other trials in Japan

Lithuania1 site
  • Lithuanian Oncology Center

    Vilnius, 2600

Other trials in Lithuania

Morocco1 site
  • Institut National D'Oncologie

    Rabat

Other trials in Morocco

North Macedonia1 site
  • Institute of Radiotherapy and Oncology

    Skopje, 91000

Other trials in North Macedonia

Norway1 site
  • University of Tromso

    Tromsø, N-9037

Other trials in Norway

Philippines1 site
  • Lung Centre of the Philippines

    Quezon City Diliman, 1100

Other trials in Philippines

Portugal1 site
  • Hospital Santa Maria

    Lisbon (Lisboa), 1699

Other trials in Portugal

Slovenia1 site
  • University of Ljubljana

    Ljubljana, 61105

Other trials in Slovenia

Tunisia1 site
  • Hopital Universitaire F. Bourguiba

    Monastir, 5000

Other trials in Tunisia

About this study

Official title: A LARGE-SCALE TRIAL EVALUATING ADJUVANT CHEMOTHERAPY AFTER CURATIVE RESECTION OF NON-SMALL CELL LUNG CANCER

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known if combination chemotherapy given after surgery is more effective than surgery alone for non-small cell lung cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of combination chemotherapy following surgery with that of surgery alone in treating patients who have stage I, stage II, or stage IIIA non-small cell lung cancer.

Read the detailed description

OBJECTIVES: I. Compare the impact on overall survival of adjuvant cisplatin and either a vinca alkaloid or etoposide (with or without radiotherapy) vs. no adjuvant chemotherapy in patients with completely resected stage I/II/III non-small cell lung cancer. II. Assess the frequency of treatment-related deaths and severe toxic effects. III. Describe the patterns of failure, second malignancies, and toxic effects associated with each treatment regimen.

OUTLINE: This is a randomized, multicenter study. Patients are stratified by participating institution, type of prior surgery, and pathologic stage. Each participating center will determine which combination chemotherapy regimen and which of three cisplatin doses will be given to all patients treated at that center. The treatment group receives cisplatin combined with either vindesine, vinblastine, vinorelbine, or etoposide every 3-4 weeks for 3-4 courses, depending on the dose of cisplatin. The second group receives no adjuvant chemotherapy. Treating institutions determine prior to entering the trial which patients receive adjuvant radiotherapy: none; those with node-positive disease; those with N1 disease only; those with N2 disease only; or those eligible for a randomized radiotherapy trial. For patients in the treatment group, radiotherapy begins 3-4 weeks after the last course. Patients are followed at 6 months, then annually.

PROJECTED ACCRUAL: A maximum of 3,300 patients will be accrued for this study.

Conditions
Lung Cancer
Being tested
cisplatin, etoposide, vinblastine sulfate, vindesine, vinorelbine tartrate
Keywords
stage I non-small cell lung cancer, stage II non-small cell lung cancer, stage III non-small cell lung cancer, squamous cell lung cancer, large cell lung cancer, adenocarcinoma of the lung, adenosquamous cell lung cancer
Medical subject headings
Lung Neoplasms, Carcinoma, Non-Small-Cell Lung, Adenocarcinoma of Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • cisplatinDrug

  • etoposideDrug

  • vinblastine sulfateDrug

  • vindesineDrug

  • vinorelbine tartrateDrug

  • radiation therapyRadiation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Mar 2004 (estimated)
  2. Study startFeb 1995
  3. Primary completionJan 2001

Resources

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
Enrolment
3,300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00002823
Sponsor's protocol ID
CDR0000065002
Other IDs
FRE-IALT, EU-96010
Status last verified
Apr 2011
First submitted
1 Nov 1999
Last updated
28 Mar 2013
Results posted
No

Publications

  • Reiman T, Lai R, Veillard AS, Paris E, Soria JC, Rosell R, Taron M, Graziano S, Kratzke R, Seymour L, Shepherd FA, Pignon JP, Seve P. Cross-validation study of class III beta-tubulin as a predictive marker for benefit from adjuvant chemotherapy in resected non-small-cell lung cancer: analysis of four randomized trials. Ann Oncol. 2012 Jan;23(1):86-93. doi: 10.1093/annonc/mdr033. Epub 2011 Apr 6.

    PubMed 21471564
  • Hotta K, Matsuo K, Kiura K, Ueoka H, Tanimoto M. Advances in our understanding of postoperative adjuvant chemotherapy in resectable non-small-cell lung cancer. Curr Opin Oncol. 2006 Mar;18(2):144-50. doi: 10.1097/01.cco.0000208787.91947.a2.

    PubMed 16462183
  • Pignon JP, Tribodet H, Scagliotti GV, et al.: Lung Adjuvant Cisplatin Evaluation (LACE): a pooled analysis of five randomized clinical trials including 4,584 patients. [Abstract] J Clin Oncol 24 (Suppl 18): A-7008, 2006.

  • Wakelee HA, Schiller JH, Gandara DR. Current status of adjuvant chemotherapy for stage IB non-small-cell lung cancer: implications for the New Intergroup Trial. Clin Lung Cancer. 2006 Jul;8(1):18-21. doi: 10.3816/CLC.2006.n.028.

    PubMed 16870041
  • Bepler G, Olaussen KA, Vataire AL, Soria JC, Zheng Z, Dunant A, Pignon JP, Schell MJ, Fouret P, Pirker R, Filipits M, Brambilla E. ERCC1 and RRM1 in the international adjuvant lung trial by automated quantitative in situ analysis. Am J Pathol. 2011 Jan;178(1):69-78. doi: 10.1016/j.ajpath.2010.11.029. Epub 2010 Dec 23.

    PubMed 21224045
  • Arriagada R, Dunant A, Pignon JP, Bergman B, Chabowski M, Grunenwald D, Kozlowski M, Le Pechoux C, Pirker R, Pinel MI, Tarayre M, Le Chevalier T. Long-term results of the international adjuvant lung cancer trial evaluating adjuvant Cisplatin-based chemotherapy in resected lung cancer. J Clin Oncol. 2010 Jan 1;28(1):35-42. doi: 10.1200/JCO.2009.23.2272. Epub 2009 Nov 23.

    PubMed 19933916
  • Voortman J, Goto A, Mendiboure J, Sohn JJ, Schetter AJ, Saito M, Dunant A, Pham TC, Petrini I, Lee A, Khan MA, Hainaut P, Pignon JP, Brambilla E, Popper HH, Filipits M, Harris CC, Giaccone G. MicroRNA expression and clinical outcomes in patients treated with adjuvant chemotherapy after complete resection of non-small cell lung carcinoma. Cancer Res. 2010 Nov 1;70(21):8288-98. doi: 10.1158/0008-5472.CAN-10-1348. Epub 2010 Oct 26.

    PubMed 20978195
  • Filipits M, Pirker R, Dunant A, Lantuejoul S, Schmid K, Huynh A, Haddad V, Andre F, Stahel R, Pignon JP, Soria JC, Popper HH, Le Chevalier T, Brambilla E. Cell cycle regulators and outcome of adjuvant cisplatin-based chemotherapy in completely resected non-small-cell lung cancer: the International Adjuvant Lung Cancer Trial Biologic Program. J Clin Oncol. 2007 Jul 1;25(19):2735-40. doi: 10.1200/JCO.2006.08.2867.

    PubMed 17602078
  • Olaussen KA, Dunant A, Fouret P, Brambilla E, Andre F, Haddad V, Taranchon E, Filipits M, Pirker R, Popper HH, Stahel R, Sabatier L, Pignon JP, Tursz T, Le Chevalier T, Soria JC; IALT Bio Investigators. DNA repair by ERCC1 in non-small-cell lung cancer and cisplatin-based adjuvant chemotherapy. N Engl J Med. 2006 Sep 7;355(10):983-91. doi: 10.1056/NEJMoa060570.

    PubMed 16957145
  • Brambilla E, Dunant A, Filipits M, et al.: Prognostic and predictive role of alterations of the P53-bax-bcl2 pathway of apoptosis in the IALT (International Adjuvant Lung Cancer Trial). [Abstract] Lung Cancer 50 (Suppl 2): A-O-021, S10, 2005.

  • Arriagada R, Bergman B, Dunant A, Le Chevalier T, Pignon JP, Vansteenkiste J; International Adjuvant Lung Cancer Trial Collaborative Group. Cisplatin-based adjuvant chemotherapy in patients with completely resected non-small-cell lung cancer. N Engl J Med. 2004 Jan 22;350(4):351-60. doi: 10.1056/NEJMoa031644.

    PubMed 14736927
  • Le Chevalier T: Results of the Randomized International Adjuvant Lung Cancer Trial (IALT): cisplatin-based chemotherapy (CT) vs no CT in 1867 patients (pts) with resected non-small cell lung cancer (NSCLC). [Abstract] Proceedings of the American Society of Clinical Oncology 22: A-6, 2, 2003.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing cisplatin, etoposide and vinblastine sulfate in people with Lung Cancer, run by Gustave Roussy, Cancer Campus, Grand Paris at 123 sites in 29 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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 28 Mar 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 123 sites in France, Italy, Greece, Switzerland, Australia and 24 more countries. 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.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00002823, which also lists 12 linked publications.

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 28 Mar 2013.

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