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A phase II trial of docetaxel in the treatment of elderly patients (aged 70 or over) with non-small cell lung cancer
ISRCTN ISRCTN27242710
ClinicalTrials.gov identifier
Public title A phase II trial of docetaxel in the treatment of elderly patients (aged 70 or over) with non-small cell lung cancer
Scientific title
Acronym ELTAX
Serial number at source NSCLC-DOCET_L_02602
Study hypothesis To assess the efficacy of docetaxel (60 mg/m^2, on day one of every 21-day cycle [d1, q21]) as first line chemotherapy in elderly patients with advanced non-small cell lung cancer (NSCLC).
Ethics approval In progress through NRES, pending as of 14/01/2008.
Study design Simon 2 stage MiniMax: this is a single arm (non-randomised) phase II trial with 2 stages
Countries of recruitment United Kingdom
Disease/condition/study domain Advanced stage non small cell lung cancer
Participants - inclusion criteria 1. Aged greater than or equal to 70 on the day of first treatment
2. Histologically or cytologically confirmed NSCLC
3. Any stage not suitable for surgery or radical radiotherapy
4. Radiologically evaluable disease (by Response Evaluation Criteria In Solid Tumours [RECIST] criteria) of at least one measurable lesion on chest X-ray (CXR) or computed tomography (CT)
5. Performance status World Health Organization (WHO) of 0, 1 or 2
6. Life expectancy greater than 12 weeks
7. Adequate haematological and biochemical function
Participants - exclusion criteria 1. Prior chemotherapy (previous surgery and palliative radiotherapy are allowed)
2. Uncontrolled non-cancer systemic disease
3. Significant clinical or laboratory abnormalities
4. Concomitant or previous malignancy likely to interfere with treatment outcome
5. WHO performance status of worse than 2
6. Inadequate renal function
7. Inadequate bone marrow function
Anticipated start date 01/01/2008
Anticipated end date 01/01/2009
Status of trial Completed
Patient information material
Target number of participants 55
Interventions This is a single arm (non-randomised) phase II trial with 2 stages. The first stage will involve recruiting 31 patients. If there is evidence of activity then the trial will complete recruitment of a further 24 patients.

Patients will be treated with docetaxel 60 mg/m^2 intravenously (iv) once every 3 weeks for 4 - 6 cycles. Patients will be followed up until death.
Primary outcome measure(s) Response rate, measured by RECIST criteria once all patients have completed protocol defined therapy.
Secondary outcome measure(s) 1. Progression free survival, measured using the Kaplin Meier method
2. Overall survival, measured using the Kaplin Meier method
3. Survival in patients who received less than or equal to 2, greater than 2 but no more than 4 versus more than four 4 cycles of chemotherapy, measured using the Kaplin Meier method
4. Toxicity
5. Quality of life, measured using European Organisation for Research and Treatment of Cancer Quality of Life Questionnaires (EORTC QLQ-C30 and QLQ-LC13). Scoring will be performed using the EORTC QLQ-C30 scoring manual
6. Comparison of the use of second and third line therapies
Sources of funding Sanofi-Aventis Pharma (UK)
Trial website
Publications
Contact name Dr  Riyaz  Shah
  Address Kent Oncology Centre
Maidstone Hospital
Hermitage Lane
  City/town Maidstone
  Zip/Postcode ME16 9QQ
  Country United Kingdom
Sponsor Maidstone and Tunbridge Wells NHS Trust (UK)
  Address Research Management and Governance Centre
Kent and Medway Primary Care Trust
Ward Block, Preston Hall
Aylesford, Kent
  City/town Maidstone
  Zip/Postcode ME20 7NJ
  Country United Kingdom
  Sponsor website: http://www.kentandmedway.nhs.uk/
Date applied 09/10/2007
Last edited 14/01/2008
Date ISRCTN assigned 14/01/2008
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