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A randomised controlled dose intensification clinical trial of chemotherapy with or without recombinant human granulocyte colony stimulating factor (G-CSF) in small cell lung cancer (SCLC)
ISRCTN ISRCTN15921116
DOI 10.1186/ISRCTN15921116
ClinicalTrials.gov identifier
EudraCT number
Public title A randomised controlled dose intensification clinical trial of chemotherapy with or without recombinant human granulocyte colony stimulating factor (G-CSF) in small cell lung cancer (SCLC)
Scientific title
Acronym N/A
Serial number at source LU19
Study hypothesis The aim of the trial is to investigate in patients with limited or extensive SCLC and good performance status, whether the addition of haemopoeitic growth factor (G-CSF) to chemotherapy:
1. Improves survival
2. Permits shortening of the interval between cycles
3. Reduces toxic myelosuppression
4. Affects the quality of life during the first 6 months from randomisation
Lay summary
Ethics approval Not provided at time of registration.
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Lung cancer
Participants - inclusion criteria 1. Untreated, microscopically proven SCLC
2. World Health Organisation (WHO) performance status 0-2
3. Alkaline phosphatase (AP) and Alanine amino transferase (ALT) less than or equal to 2.5 x upper normal limit and serum creatine/urea less than or equal to 1.25 x upper normal limit
4. Not receiving any other investigational drugs
5. Female patients must not be pregnant
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 01/12/1993
Anticipated end date 01/03/1996
Status of trial Completed
Patient information material
Target number of participants 400
Interventions The trial is designed to determine whether dose intensification with G-CSF is associated with a significant improvement in outcome compared with SCLC patients not receiving G-CSF. Patients with limited or extensive SCLC and a performance status of WHO 0-2 are randomised to receive ACE chemotherapy with or without G-CSF.
Primary outcome measure(s) Principle end-point is survival from randomisation
Secondary outcome measure(s) Secondary end-points are:
1. Interval between cycles of chemotherapy
2. Clinical septicaemic myelosuppression
3. WHO grade 3 or 4 neutropenia (less than 1000/mm3 cubed) 2 weeks after the first 3 cycles of chemotherapy
4. Quality of life
5. Days spent in hospital
Sources of funding Medical Research Council (MRC) (UK)
Trial website
Publications Analysis of messy longitudinal data from a randomized clinical trial. MRC Lung Cancer Working Party (2000) in http://www.ncbi.nlm.nih.gov/pubmed/10986540
Contact name Dr  Danielle  Andrews
  Address MRC Clinical Trials Unit
222 Euston Road
  City/town London
  Zip/Postcode NW1 2DA
  Country United Kingdom
  Email
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 13/03/2001
Last edited 14/09/2009
Date ISRCTN assigned 13/03/2001
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