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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)
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN80153848
Date ISRCTN assigned09/09/2005
Local reference number(s)LU 3005
Public titleA 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
AcronymBTOG-2
Disease/condition/study domainNon-small cell lung cancer
Study hypothesisTo establish the optimal cisplatin dose and whether carboplatin can be effectively substituted for the cisplatin at this dose
Design/methodologyRandomised controlled trial
Research ethics reviewNot provided at time of registration.
Countries of trialUnited Kingdom
Participants - inclusion criteria1. 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 criteria1. 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
Patient information material
Anticipated start date01/04/2005
Anticipated end date01/04/2008
Status of trialCompleted
Target number of participants1350
InterventionsChemotherapy - 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 fundingCancer Research UK (CRUK)
Sponsor nameUniversity of Birmingham (UK)
Sponsor detailsFinance Office
Institute for Cancer Studies
Edgbaston
Birmingham
United Kingdom
B15 2TT
Sponsor telephone+44 (0)121 414 7618
Sponsor emailb.w.laverty@bham.ac.uk
Contact nameProf David Ferry
Contact detailsRoyal Wolverhampton Hospitals NHS Trust
Wednesfield Road
Wolverhampton
United Kingdom
WV10 0QP
Contact telephone+44 (0)1902 695204
Contact emaildrf@ferryd.freeserve.co.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN80153848
Date last extracted from ISRCTN register17/04/2008
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