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A randomized study of three platinum-based chemotherapies with concurrent thoracic radiotherapy in patients with unresectable stage III non-small cell lung cancer

Research Project

Project/Area Number 13557055
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section展開研究
Research Field Respiratory organ internal medicine
Research InstitutionKinki University

Principal Investigator

FUKUOKA Masahiro  Kinki University, Department of Medical Oncology, Professor, 医学部, 教授 (20047202)

Co-Investigator(Kenkyū-buntansha) NISHIMURA Yasumasa  Kinki University, Department of Radiology, Professor, 医学部, 教授 (00218207)
ARIYOSHI Yutaka  Prefectural Aichih Hospital, Honorary director, 名誉院長
TAKADA Yoshiki  Hyogo Prefectural Medical Center for Adult disease, Chief, 部長
NEGORO Syunichi  Osaka City General Hospital, Chief, 部長
NAKANISHI Youich  Chest of Department of Medicine Professor at Kyushu University Pulmonary Disease Research facilities, Professor, 医学部・胸部疾患研究施設, 助教授 (20172356)
植島 久雄  近畿大学, 医学部, 講師 (90232743)
原 信之  九州大学, 医学部・胸部疾患研究施設内科顧問, 教授 (90038802)
Project Period (FY) 2001 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥6,800,000 (Direct Cost: ¥6,800,000)
Fiscal Year 2004: ¥2,400,000 (Direct Cost: ¥2,400,000)
Fiscal Year 2003: ¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 2002: ¥2,200,000 (Direct Cost: ¥2,200,000)
KeywordsLung Cancer / non-small cell cancer / Chemoradiotherapy method / stage III / Irinotecan / Pacritaxsel / Carboplatin / Cisplatin / イリテカン
Research Abstract

This study is a randomized trial of weekly irinotecan/carboplatin (IC) plus concurrent thoracic radiotherapy (TRT) versus weekly taxol/carboplatin (TC) plus concurrent TRT versus 4-weekly mitomycin/vindesine/cisplatin (MVP) plus concurrent TRT in patients with unresectable stage III non-small cell lung cancer (NSCLC). In this trial, standard dose chemotherapy of irinotecan and carboplatin taxol and carboplatin or mitomycin, vindesine and cisplatin are given after the completion of each chemoradiotherapy. Between September 2001 and December 2004,284 patients, 128 for IC arm, 128 for TC arm and 128 for MVP arm, were enrolled into the trial. Characteristics of patient are as follows : median age 65 years old (31-74 y.o.), male 109, female 19, stage IIIA 39, IIIB 89 in MVP arm, median age 65 y.o. (30-75 y.o.), male 110, female 18, stage IIIA 39, IIIB 89in IC arm, and median age 63 y.o. (38-74 y.o.), male 109, female 19, stage IIIA 39, stage IIIB 89 in TC arm. These patient characteristics are well balanced among the three arms. This trial is still ongoing, and will be continued until the total number of patients is 450. Primary endpoint of this trial is the overall survival, and secondary endpoints are response rate, progression-free survival and toxicities of each treatment.

Report

(5 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • 2001 Annual Research Report
  • Research Products

    (30 results)

All 2004 Other

All Journal Article (12 results) Publications (18 results)

  • [Journal Article] Gefitinib-a novel targated approach to treating cance2004

    • Author(s)
      Herbst RS, Fukuoka M, Baselga J, Timeline
    • Journal Title

      Nat Rev Cancer 4

      Pages: 956-965

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Retrospective analysis of the predictive factors associated with the response and survival benefit of gefitinib in patients with advanced non-small-cell lung cancer2004

    • Author(s)
      Kaneda, H., Tamura, K., Kurata, T., Uejima, H., Nakagawa, K., Fukuoka, M.
    • Journal Title

      Lung Cancer 46

      Pages: 247-254

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] Combination phase I study of nedaplatin and gemcitabine for advanced non-small-cell lung cancer2004

    • Author(s)
      Kurata, T., Tamura, K., Yamamoto, N., Nogami, T., Satoh, T., Kaneda, H., Nakagawa, K., Fukuoka, M.
    • Journal Title

      Br J Cancer 90

      Pages: 2092-2096

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Effect of re-treatment with gefitinib ('Iressa', ZD1839) after acquisition of resistance2004

    • Author(s)
      Kurata, T., Tamura, K., Kaneda, H., Nogami, T., Uejima, H., Asai, G., Nakagawa, K., Fukuoka, M.
    • Journal Title

      Ann Oncol 15

      Pages: 173-174

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] Randomized phase II study of docetaxel/cisplatin versus docetaxel/irinotecan in advanced non-small cell lung cancer : a West Japan Thoracic Oncology Study(WJTOG9803)2004

    • Author(s)
      Yamamoto, N., Fukuoka, M., Negoro, S., Nakagawa, K., Saito, H., Matsui, K., Kawahara, M., Senba, H., Takada, Y., Kudoh, S., Nakano, T., Katakami, N., Sugiura, T., Hoso, T., Ariyoshi, Y.for the West Japan Thoracic Oncology Group.
    • Journal Title

      Br J Cancer 90

      Pages: 87-92

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Prediction of sensitivity of advanced non-small cell lung cancers to gefitinib(Iressa, ZD1839)2004

    • Author(s)
      Kakiuchi, S., Daigo, Y., Ishikawa, N., Furukawa, C., Tsunoda, T., Yano, S., Nakagawa, K., Tsuruo, T., Kohno, N., Fukuoka, M., Sone, S., Nakamura, Y.
    • Journal Title

      Hum Mol Genet 13

      Pages: 3029-3043

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Gefitinib-a novel targated approach to treating cance2004

    • Author(s)
      Herbst RS, Fukuoka M, Baselga J.Timeline
    • Journal Title

      Nat Rev Cancer 4

      Pages: 956-965

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] Randomized phase II study of docetaxe1/cisplatin versus docetaxe1/ irinotecan in advanced non-small cell lung cancer : a West Japan Thoracic Oncology Study (WJTOG9803)2004

    • Author(s)
      Yamamoto, N., Fukuoka, M., Negoro, S., Nakagawa, K., Saito, H., Matsui, K., Kawahara, M., Senba, H., Takada, Y., Kudoh, S., Nakano, T., Katakami, N., Sugiura, T., Hoso, T., Ariyoshi, Y.for the West Japan Thoracic Oncology Group.
    • Journal Title

      Br J Cancer 90

      Pages: 87-92

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Prediction of sensitivity of advanced non-small cell lung cancers to gefitinib (Iressa, ZD1839)2004

    • Author(s)
      Kakiuchi S, Daigo Y, Ishikawa N, Furukawa C, Tsunoda T, Yano S, Nakagawa K, Tsuruo T, Kohno N, Fukuoka M, Sone S, Nakamura Y.
    • Journal Title

      Hum Mol Genet 13

      Pages: 3029-3043

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Combination phase I study of nedaplatin and gemcitabine for advanced non-small-cell lung cancer2004

    • Author(s)
      Kurata, T., Tamura, K., Yamamoto, N., Nogami, T., Satoh, T., Kaneda, H., Nakagawa.K, Fukuoka.M
    • Journal Title

      Br J Cancer 90

      Pages: 2092-2096

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Randomized phase II study of docetaxel/ cisplatin versus docetaxel/ irinotecan in advanced non-small cell lung cancer : a West Japan Thoracic Oncology Study (WJTOG9803)2004

    • Author(s)
      Yamamoto, N., Fukuoka, M., Negoro, S., Nakagawa, K., Saito, H., Matsui, K., Kawahara M., Senba, H., Takada, Y., Kudoh, S., Nakano, T., Katakami, N., Sugiura, T., Hoso, T., Ariyoshi, Y.for the West Japan Thoracic Oncology Group.
    • Journal Title

      Br J Cancer 90

      Pages: 87-92

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Prediction of sensitivity of advanced non-small cell lung cancers to gefitinib (Iressa, ZD1839)2004

    • Author(s)
      Kakiuchi, S., Daigo, Y., Ishikawa, N., Furukawa, C., Tsunoda, T., Yano, S., Nakagawa, K., Tsuruo, T., Kohno, N., Fukuoka, M., Sone, S., Nakamura, Y.
    • Journal Title

      Hum Mol Genet 13

      Pages: 3029-3043

    • Related Report
      2004 Annual Research Report
  • [Publications] Fukuoka, M.: "Multi-institutional randomized phase II trial of gefitinib for previously treated patients with advanced non-small-cell lung cancer."J.Clin.Oncol.. 21. 2237-2246 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kato, H.: "Phase II clinical study of photodynamic therapy using mono-L-aspartyl chlorin e6 and diode laser for early superficial squamous cell carcinoma of the lung."Lung Cancer. 42. 103-111 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Nakagawa, K.: "Phase I pharmacokinetic trial of the selective oral epidermal growth factor receptor tyrosine kinase inhibitor gefitinib ('Iressa', ZD1839) in Japanese patients with solid malignant tumors."Ann Oncol.. 14. 922-930 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Negoro, S.: "Randomised phase III trial of irinotecan combined with cisplatin for advanced non-small-cell lung Cancer."Br J.Cancer. 88. 335-341 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Takeda, K.: "Phase II Study of Topotecan in Patients with Relapsed Small-Cell Lung cancer."Clin Lung Cancer. 4. 709-714 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kurata, T.: "Effect of re-treatment with gefitinib ('Iressa', ZD1839) after acquisition of resistance."Ann Oncol.. 15. 173-174 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Noda K.: "Irinotecan plus cisplatin compared with etoposide plus cisplatin for extensive small-cell lung cancer"N Engl. J. Med.. 346. 85-91 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Takada M.: "Phase III study of concurrent versus sequential thoracic radiotherapy in combination with cisplatin and etoposide for limited-stage small-cell lung cancer : results of the Japan Clinical Oncology Group Study 9104"J. Clin. Oncol.. 20. 3054-3060 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Tsurutani J.: "Mutational analysis of the beta-tubulin gene in lung cancer.Dose-escalation study of weekly irinotecan and daily carboplatin with concurrent thoracic radiotherapy for unresectable stage III non-small cell lung cancer"Lung Cancer. 35. 11-16 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Yamada M.: "Phase I pharmacokinetic trial of the selective oral edipermal growth factor receptor trysine kinase inhabitor gefitinib (ZD1839, Iressa) in Japanese patients with solid malignant tumors"Br. J. Cancer. 87. 258-263 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Nakagawa K.: "A new cytotoxic natural compound, indruces apoptosis on cancer cell"Ann. Clin. Oncol.. (in press).

    • Related Report
      2002 Annual Research Report
  • [Publications] Komiya T.: Cancer Chemother. Pharmacol.. (in press).

    • Related Report
      2002 Annual Research Report
  • [Publications] Takeda, K.: "Dose escalation study of irinotecan combined with carboplatin for advanced non-small-cell lung cancer"Cancer Chemother Pharmacol.. 48. 104-108 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Fukuoka, M.: "State of the art of non-small-cell lung cancer in the new millennium"Oncology (Huntingt). 15. 9-11 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Fukuoka, M.: "Current status of irinotecan in lung cancer"Oncology (Huntingt). 15. 6-7 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Masuda, N.: "Phase I and pharmacologic study of docetaxel and irinotecan in advanced non-small-cell lung cancer"J.Clin.Oncol.. 18. 2996-3003 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Furuse, K.: "Phase III study of concurrent versus sequential thoracic radiotherapy in combination with mitomycin, vindesine, and cisplatin in unresectable stage III non-small-cell lung cancer"J.Clin.Oncol.. 17. 2692-2699 (1999)

    • Related Report
      2001 Annual Research Report
  • [Publications] Takeda, K.: "Phase I/II study of weekly irinotecan and concurrent radiation therapy for locally advanced non-small cell lung cancer"Br.J.Cancer. 79. 1462-1467 (1999)

    • Related Report
      2001 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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