Pemetrexed Disodium and Cisplatin Before or After Surgery in Treating Patients With Stage IB or Stage II Non-Small Cell Lung Cancer That Can be Removed by Surgery

• Status: Terminated
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: All

Summary

RATIONALE: Drugs used in chemotherapy, such as pemetrexed disodium and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. Giving combination chemotherapy after surgery may kill any tumor cells that remain after surgery. It is not yet known whether combination chemotherapy is more effective before or after surgery in treating non-small cell lung cancer.

PURPOSE: This randomized phase II trial is studying the side effects of pemetrexed disodium and cisplatin and comparing how well they work when given before or after surgery in treating patients with stage IB or stage II non-small cell lung cancer that can be removed by surgery.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: European Organisation for Research and Treatment of Cancer - EORTC
• Treatments: Cisplatin; Pemetrexed

Criteria

DISEASE CHARACTERISTICS:

• Pathologically confirmed non-small cell lung cancer (NSCLC)

• Stage IB or II disease

• Resectable disease

• At least 1 measurable lesion

• No mediastinal involvement by mediastinoscopy and/or positron emission tomography with fludeoxyglucose F 18 scan

• No evidence of metastatic disease

PATIENT CHARACTERISTICS:

• WHO performance status 0-2

• Absolute neutrophil count > 1,500/mm³

• Platelet count > 100,000/mm³

• Hemoglobin > 10 g/dL

• Creatinine clearance ≥ 60 mL/min

• Bilirubin ≤ 1.5 times upper limit of normal (ULN)

• Alkaline phosphatase ≤ 3.0 times ULN

• AST and ALT ≤ 3.0 times ULN

• Not pregnant or nursing

• Negative pregnancy test

• Fertile patients must use effective contraception

• No other malignant disease, except for the following:

• Basocellular carcinoma of the skin

• Adequately treated carcinoma in situ of the cervix

• Low-grade prostate cancer

• Other cancer for which the patient has been disease-free for ≥ 5 years

• No congestive heart failure or angina pectoris unless medically controlled

• No myocardial infarction within the past 6 months

• No uncontrolled hypertension or arrhythmia

• No active uncontrolled infection requiring antibiotics

• No illness or medical condition that would preclude study participation

• No pre-existing motor or sensory neurotoxicity ≥ grade 2

PRIOR CONCURRENT THERAPY:

• No prior surgery for NSCLC

• No prior or other concurrent chemotherapy for NSCLC

• No prior or concurrent radiotherapy for NSCLC

• No concurrent immunotherapy

• No concurrent targeted agents

• No concurrent hormonal cancer therapy

• No concurrent routine colony-stimulating factor (e.g., prophylactic filgrastim [G-CSF])

• No aspirin or nonsteroidal anti-inflammatory drugs within 5 days before or after chemotherapy

• No other concurrent experimental treatments

• No other concurrent anticancer treatments