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A British Thoracic Oncology Group phase III trial of Gemcitabine plus Cisplatin at 80 mg/m^2 versus Gemcitabine plus Cisplatin at 50 mg/m^2 versus Gemcitabine plus Carboplatin area under the concentration-time curve (AUC) 6 in stage IIIB/IV non-small cell lung cancer (NSCLC)
ISRCTN ISRCTN80153848
ClinicalTrials.gov identifier
Public title A British Thoracic Oncology Group phase III trial of Gemcitabine plus Cisplatin at 80 mg/m^2 versus Gemcitabine plus Cisplatin at 50 mg/m^2 versus Gemcitabine plus Carboplatin area under the concentration-time curve (AUC) 6 in stage IIIB/IV non-small cell lung cancer (NSCLC)
Scientific title
Acronym BTOG-2
Serial number at source LU 3005
Study hypothesis To establish the optimal cisplatin dose and whether carboplatin can be effectively substituted for the cisplatin at this dose
Ethics approval Not provided at time of registration.
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Non-small cell lung cancer
Participants - inclusion criteria 1. Histologically or cytologically confirmed NSCLC (excluding mixed SCLC/NSCLC)
2. Radiologically verified stage IIIB (unsuitable for radical radiotherapy) or stage IV disease
3. Presence of one or more clinically or radiological measurable lesions by Response Evaluation Criteria in Solid Tumors (RECIST) criteria
4. World Health Organisation (WHO) Performance status zero, one or two
5. Aged over 18 years
6. Life expectancy more than 12 weeks
7. Adequate haematological function and hepatobiliary function
8. Creatinine clearance: 60 ml/min or 70 ml/min (51Cr-EDTA)
9. Able to participate in the quality of life assessment
10. Written informed consent
Participants - exclusion criteria 1. Prior chemotherapy or radiotherapy (prior surgical resection is allowed)
2. Evidence of severe or uncontrolled systemic diseases
3. Evidence of significant clinical disorder or laboratory finding
4. Concomitant or previous malignancy likely to interfere with protocol treatment or comparisons
5. Pre-existing neuropathy grade more than two
6. Clinically apparent metastatic disease to brain
7. Unresolved toxicity or incomplete recovery from previous surgery
8. Psychiatric disorder making informed consent impossible or preventing completion of treatment or follow-up
9. Previous investigational agent in the last 12 weeks
10. Male and female patients (of childbearing age) not using adequate contraception
11. Female patients who are pregnant or breast-feeding
Anticipated start date 01/04/2005
Anticipated end date 01/04/2008
Status of trial Completed
Patient information material
Target number of participants 1350
Interventions Chemotherapy - Gemcitabine plus Cisplatin at 80 mg/m^2 versus Gemcitabine plus Cisplatin at 50 mg/m^2 versus Gemcitabine plus Carboplatin AUC 6
Primary outcome measure(s) Length of survival
Secondary outcome measure(s) 1. Symptom control and quality of life
2. Response to treatment
3. Dose intensity of chemotherapy
4. Ratio of cycles given as in-patient versus out-patient
5. Intensity, number and duration of toxic episodes (grade two to four)
6. Costs
7. Proteomic and genomic
Sources of funding Cancer Research UK (CRUK)
Trial website
Publications
Contact name Prof  David  Ferry
  Address Royal Wolverhampton Hospitals NHS Trust
Wednesfield Road
  City/town Wolverhampton
  Zip/Postcode WV10 0QP
  Country United Kingdom
  Tel +44 (0)1902 695204
  Email drf@ferryd.freeserve.co.uk
Sponsor University of Birmingham (UK)
  Address Finance Office
Institute for Cancer Studies
Edgbaston
  City/town Birmingham
  Zip/Postcode B15 2TT
  Country United Kingdom
  Tel +44 (0)121 414 7618
  Email b.w.laverty@bham.ac.uk
Date applied 05/08/2005
Last edited 06/08/2007
Date ISRCTN assigned 09/09/2005
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