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Status unknownNCT00004100Updated Dec 18, 2013

Chemotherapy in Treating Patients With Stage IIIB or Stage IV Non-small Cell Lung Cancer

A Phase 3 interventional study of cisplatin and gemcitabine hydrochloride in Lung Cancer, sponsored by Istituto Nazionale per lo Studio e la Cura dei Tumori. Status unknown at 29 sites in Italy. Open to participants aged Up to 69 Years. Per ClinicalTrials.gov, last updated 2013-12-18.

Sponsored by Istituto Nazionale per lo Studio e la Cura dei Tumori · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jun 2008), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Allocation
Randomized
Ages
Up to 69 Years
Sex
All
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Study summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known which regimen of chemotherapy is more effective for non-small cell lung cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of two regimens of chemotherapy in treating patients who have stage IIIB or stage IV non-small cell lung cancer.

Read the detailed description

OBJECTIVES: I. Compare gemcitabine plus vinorelbine vs standard chemotherapy containing cisplatin in terms of the effect on the quality of life of patients with stage IIIB or IV non-small cell lung cancer. II. Compare the effect of these regimens on the overall survival of these patients. III. Compare the toxic effects of these regimens in these patients. IV. Compare the effect of these regimens on the rate of objective response in these patients.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to center, stage of disease (IIIB vs IV), and performance status (0 vs 1 vs 2). Patients are randomized to one of two treatment arms. Arm I: Patients receive cisplatin IV on day 1 and either gemcitabine IV or vinorelbine IV on days 1 and 8. Arm II: Patients receive gemcitabine IV and vinorelbine IV on days 1 and 8. Treatment repeats every 21 days for up to 6 courses. Quality of life is assessed prior to therapy and before each course of chemotherapy to the fourth course.

PROJECTED ACCRUAL: A total of 500 patients will be accrued for this study.

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Conditions studied

  • Lung Cancer

Keywords

  • stage IIIB non-small cell lung cancer
  • stage IV non-small cell lung cancer
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In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,558 are open to participants now.

Browse Lung Neoplasms studies →

Lead sponsor

Istituto Nazionale per lo Studio e la Cura dei Tumori is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Up to 69 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS: Histologically or cytologically proven non-small cell lung cancer Stage IV OR Stage IIIB with supraclavicular lymph node metastases and/or pleural effusion that is not curable with radiotherapy Measurable or evaluable disease No CNS metastases

PATIENT CHARACTERISTICS: Age: Under 70 Performance status: ECOG 0-2 Life expectancy: Not specified Hematopoietic: Neutrophil count at least 2000/mm3 Platelet count at least 100,000/mm3 Hemoglobin at least 10 g/dL Hepatic: (Unless caused by liver metastases) Bilirubin no greater than 1.25 times upper limit of normal (ULN) SGOT or SGPT no greater than 1.25 times ULN Renal: Creatinine no greater than 1.25 times ULN Other: No prior or concurrent malignancy except basal or squamous cell skin cancer or carcinoma in situ of the cervix

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior chemotherapy Endocrine therapy: Not specified Radiotherapy: See Disease Characteristics Concurrent palliative radiotherapy allowed Surgery: Not specified

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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized

Interventions

  • Drugcisplatin
  • Druggemcitabine hydrochloride
  • Drugvinorelbine tartrate
06

Study locations

29 sites
  • Ospedale San Lazzaro
    Alba, 12051, Italy
  • Ospedale Civile Avellino
    Avellino, Italy
  • Ospedale G. Di Maria - Avola (SR)
    Avola (SR), Italy
  • Azienda Ospedaliena G. Rummo
    Benevento, 82100, Italy
  • Ospedale Cardarelli - Campobasso
    Campobasso, Italy
  • Ospedale Civile Cosenza
    Cosenza, 87100, Italy
  • Ospedale San Martino/Cliniche Universitarie Convenzionate
    Genoa, 16132, Italy
  • Ospedale Gen. Provinciale Santa Maria Goretti
    Latina, 04100, Italy
  • Ospedale di Legnano
    Legnano, 20025, Italy
  • Ospedale Maggiore Lodi
    Lodi, I-20075, Italy
  • Istituto Di Science Biomediche San Paolo
    Milano, 20142, Italy
  • Ospedale Di Gabargnate Milanese
    Milan, 20024, Italy
  • Ospedale San Carlo Borromeo
    Milan, 20153, Italy
  • Federico II University Medical School
    Naples, 80131, Italy
  • Istituto Nazionale per lo Studio e la Cura dei Tumori
    Naples, 80131, Italy
  • Ospedale S. Gennora USL 42
    Naples, 80136, Italy
  • Ospedale Vincenzo Monaldi
    Napoli, 80131, Italy
  • ASL 2 - Napoli
    Napoli, Italy
  • Universita di Palermo
    Palermo, 90141, Italy
  • Ospedale La Maddalena - Palermo
    Palermo, Italy
  • Ospedale S. Francesco - Paola
    Paola (CS), Italy
  • Ospedale Agnelli
    Pinerolo, 10064, Italy
  • Ospedale San Carlo
    Potenza, 85100, Italy
  • Ospedali Riuniti
    Reggio Calabria, 89100, Italy
  • U.S.S.L. 33
    Rho, Italy
  • Ospedale Oncologieo G. Fortunato
    Rionero, Italy
  • Istituti Fisioterapici Ospitalieri - Roma
    Rome, 00161, Italy
  • Ospedale Civile - Rovereto
    Rovereto, Italy
  • Ospedale San Bortolo
    Vicenza, 36100, Italy
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References and documents

Publications

  • Wheatley-Price P, Le Maître A, Ding K, et al.: The influence of sex on efficacy, toxicity and delivery of treatment in National Cancer Institute of Canada Clinical Trials Group (NCIC CTG) non-small cell lung cancer (NSCLC) chemotherapy trials. [Abstract] J Clin Oncol 26 (Suppl 15): A-8054, 2008.
  • Gridelli C, Gallo C, Shepherd FA, Illiano A, Piantedosi F, Robbiati SF, Manzione L, Barbera S, Frontini L, Veltri E, Findlay B, Cigolari S, Myers R, Ianniello GP, Gebbia V, Gasparini G, Fava S, Hirsh V, Bezjak A, Seymour L, Perrone F. Gemcitabine plus vinorelbine compared with cisplatin plus vinorelbine or cisplatin plus gemcitabine for advanced non-small-cell lung cancer: a phase III trial of the Italian GEMVIN Investigators and the National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol. 2003 Aug 15;21(16):3025-34. doi: 10.1200/JCO.2003.06.099. Epub 2003 Jul 1. PubMed 12837810 ↗
  • Gridelli C, Shepherd F, Perrone F, et al.: Gemvin III: a phase III study of gemcitabine plus vinorelbine (GV) compared to cisplatin plus vinorelbine or gemcitabine chemotherapy (PCT) for stage IIIb or IV non-small cell lung cancer (NSCLC): an Italo-Canadian study. [Abstract] Proceedings of the American Society of Clinical Oncology 21: A-1165, 2002.
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 18, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00004100
Lead sponsor
Istituto Nazionale per lo Studio e la Cura dei Tumori
Collaborators
NCIC Clinical Trials Group
First posted
Apr 16, 2004
Start date
Nov 1998
Last update
Dec 18, 2013

Study contacts

Cesare Gridelli, MD
study chair · Istituto Nazionale per lo Studio e la Cura dei Tumori
Vera Hirsh, MD, FRCPC
study chair · Royal Victoria Hospital - Montreal
View the source record on ClinicalTrials.gov ↗

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