CClinicalTrials.gg
CompletedNCT00385606Updated Mar 23, 2023

Study of Rofecoxib and Prolonged Constant Infusion of Gemcitabine in the Polychemotherapy Treatment of Advanced NSCLC

A Phase 2/3 interventional study of gemcitabine and prolonged continuous infusion gemcitabine in Advanced Non-small Cell Lung Cancer, sponsored by National Cancer Institute, Naples. Completed at 25 sites in Italy. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-03-23.

Sponsored by National Cancer Institute, Naples · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the tolerability and efficacy of the addition of rofecoxib to first-line chemotherapy, and to evaluate the efficacy of prolonged continuous infusion of gemcitabine in combination with cisplatin in the treatment of patients affected by advanced non-small cell lung cancer.

Read the detailed description

The primary end-points of the GECO study

  • To evaluate the tolerability of three innovative schedules of treatment for advanced NSCLC
  • To evaluate the efficacy of the addition of rofecoxib to first-line chemotherapy in the treatment of patients affected by advanced NSCLC
  • To evaluate the efficacy of prolonged continuous infusion (p.c.i.) of gemcitabine, with the fixed infusion rate of 10 mg/sqm/minute) versus the standard administration in 30 minutes, in combination with cisplatin, in the treatment of patients affected by advanced NSCLC

Four treatment arms are planned.

  • ARM A standard treatment : cisplatin + gemcitabine
  • ARM B cisplatin + gemcitabine + rofecoxib
  • ARM C cisplatin + p.c.i. gemcitabine (10 mg/sqm/minute)
  • ARM D cisplatin + p.c.i gemcitabine (10 mg/sqm/minute) + rofecoxib

The phase II part of the study for experimental arms B, C and D will be conducted to evaluate tolerability in the three treatment arms.

The phase III study for efficacy has been designed according to a factorial 2x2 model with the planned comparison of

  • The efficacy of rofecoxib: A + C (arms without rofecoxib) vs B+D (arms with rofecoxib)
  • The efficacy of p.c.i. gemcitabine: A + B (arms with standard infusion of gemcitabine) vs C+ D (arms with p.c.i gemcitabine)
02

Conditions studied

  • Advanced Non-small Cell Lung Cancer

Keywords

  • prolonged continuous infusion
  • Cox-2 inhibitors
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's enrollment of 400 is above the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

National Cancer Institute, Naples is the lead sponsor of 112 studies on the registry; 39 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Cytologic or histologic diagnosis of non-small cell lung cancer
  • Disease stage IIIB or IV
  • Age less than 70 years
  • ECOG performance status 2 or less
  • Patients with cerebral metastases are permitted if they are asymptomatic and do not require radiation therapy concomitant with chemotherapy
  • Negative history of allergy to non-steroidal anti-inflammatory and/or sulphonamide drugs
  • Patients previously treated with radiation therapy are permitted if at least 4 weeks have passed since last therapy
  • Written informed consent

Exclusion criteria

Exclusion Criteria:

  • Previous chemotherapy
  • Previous or concomitant malignant neoplasm (excluding adequately treated baso or spinocellular skin carcinoma or carcinoma in situ of the cervix)
  • Neutrophil \< 2000/mm3, platelets \< 100,000/mm3, haemoglobin \< 10 g/dl
  • Creatinine > 1.25 x the upper normal limits
  • GOT and/or GPT and/or Bilirubin > 1.25 the upper normal limits in absence of hepatic metastases
  • GOT and/or GPT and/or Bilirubin > 2.5 the upper normal limits in presence of hepatic metastases
  • Any concomitant pathology that would, in the investigator's opinion, contraindicate the use of the drugs in this study
  • Inability to comply with follow-up
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
None (open label)
Enrollment
400 participants (actual)

Study arms

  • Active comparator
    cisplatino plus gemcitabine

    Gemcitabina 1200 mg/m2 infusion of 30 minutes at day 1, 8 + cisplatin 80 mg/m² day 1, every 3 weeks for 6 cycles.

    Drug: gemcitabine · Drug: cisplatin

  • Experimental
    cisplatino plus gemcitabine plus rofecoxib

    Gemcitabina 1200 mg/m2 infusion of 30 minutes at day 1, 8 + cisplatin 80 mg/m² day 1, every 3 weeks + rofecoxib 50 mg/die per os until progression of disease.

    Drug: gemcitabine · Drug: cisplatin · Drug: rofecoxib

  • Experimental
    cisplatino plus gemcitabine 10 mg/m2/min

    Gemcitabina 1200 mg/m2 infusion of 120 minutes at day 1, 8 + cisplatin 80 mg/m² day 1, every 3 weeks for 6 cycles.

    Drug: prolonged continuous infusion gemcitabine · Drug: cisplatin

  • Experimental
    cisplatino plus gemcitabine 10 mg/m2/min plus rofecoxib

    Gemcitabina 1200 mg/m2 infusion of 120 minutes at day 1, 8 + cisplatin 80 mg/m² day 1, every 3 weeks + rofecoxib 50 mg/die per os until progression of disease.

    Drug: prolonged continuous infusion gemcitabine · Drug: cisplatin · Drug: rofecoxib

Interventions

  • Druggemcitabine
  • Drugprolonged continuous infusion gemcitabine
  • Drugcisplatin
  • Drugrofecoxib
06

What researchers measure

Primary outcomes

  1. To evaluate the tolerability of three experimental treatment schedules

    adverse events according to CTCAE criteria

    Time frame: at the end of each cycle of chemotherapy (every 3 weeks) until 21 days after the last treatment administrationministration

  2. To evaluate the efficacy of the addition of rofecoxib to first-line chemotherapy

    response rate according to RECIST criteria

    Time frame: at the end of cycle 3 and cycle 6 until the date of first documented PD (up to 1 year).

  3. To evaluate the efficacy of prolonged continuous infusion (p.c.i.) of gemcitabine vs standard infusion, in combination with cisplatin

    response rate according to RECIST criteria

    Time frame: at the end of cycle 3 and cycle 6 until the date of first documented PD (up to 1 year).

07

Study locations

25 sites
  • Azienda Ospedaliera S. Giuseppe Moscati, U.O. di Oncologia Medica
    Monteforte Irpino, AV 83024, Italy
  • Ospedale Regionale Miulli, Divisione Medicina Interna Sezione Oncologica
    Acquaviva delle Fonti, BA 70021, Italy
  • IRCCS Oncologico Bari, Oncologia Medica
    Bari, BA 70126, Italy
  • Istituto Oncologico di Bari, U.O. di Oncologia Medica e Sperimentale
    Bari, BA 70126, Italy
  • Policlinico Universitario, Oncologia Medica II
    Cagliari, CA 09042, Italy
  • Ospedale A. Cardarelli
    Campobasso, CB 86100, Italy
  • Ospedale Mariano Santo, U.O. di Oncologia Medica
    Cosenza, CS 87100, Italy
  • Ospedale Umberto di Frosinone
    Frosinone, FR 03031, Italy
  • Ospedale Civile di Legnano
    Legnano, MI, Italy
  • Ospedale S. Paolo
    Milano, MI 20142, Italy
  • Policlinico Universitario P. Giaccone
    Palermo, PA 90100, Italy
  • Casa di Cura La Maddalena S.p.A., Dipartimento Oncologico
    Palermo, PA 90146, Italy
  • Istituto Oncologico Veneto
    Padova, PD, Italy
  • Ospedale Civile Umberto I, Day Hospital Oncoematologico
    Nocera Inferiore, SA 84014, Italy
  • Divisione di Oncologia Medica, U.S.L.L. 13
    Noale, VE 30033, Italy
  • Ospedale S. Bortolo ULSS 6, U.O. di Oncologia Medica
    Vicenza, VI 36100, Italy
  • Ospedale L. Sacco
    Milano, Italy
  • Istituto Nazionale dei Tumori , Divisione di Oncologia Medica B
    Napoli, 80131, Italy
  • Istituto Nazionale dei Tumori, Divisione di Oncologia Medica C
    Napoli, 80131, Italy
  • Second University of Naples
    Napoli, Italy
  • Ospedale Santa Corona
    Pietre Ligure, Italy
  • Istituto Regina Elena, Divisione di Oncologia Medica
    Roma, 00144, Italy
  • Ospedale S. Giovanni Calibita Gatebenefratelli
    Roma, 00186, Italy
  • Ospedale San Camillo - Forlanini
    Rome, Italy
  • Azienda Ospedaliera Di Busto Arsizio
    Saronno, Italy
08

References and documents

Publications

  • Gridelli C, Gallo C, Ceribelli A, Gebbia V, Gamucci T, Ciardiello F, Carozza F, Favaretto A, Daniele B, Galetta D, Barbera S, Rosetti F, Rossi A, Maione P, Cognetti F, Testa A, Di Maio M, Morabito A, Perrone F; GECO investigators. Factorial phase III randomised trial of rofecoxib and prolonged constant infusion of gemcitabine in advanced non-small-cell lung cancer: the GEmcitabine-COxib in NSCLC (GECO) study. Lancet Oncol. 2007 Jun;8(6):500-12. doi: 10.1016/S1470-2045(07)70146-8. PubMed 17513173 ↗
  • Di Maio M, Gallo C, Leighl NB, Piccirillo MC, Daniele G, Nuzzo F, Gridelli C, Gebbia V, Ciardiello F, De Placido S, Ceribelli A, Favaretto AG, de Matteis A, Feld R, Butts C, Bryce J, Signoriello S, Morabito A, Rocco G, Perrone F. Symptomatic toxicities experienced during anticancer treatment: agreement between patient and physician reporting in three randomized trials. J Clin Oncol. 2015 Mar 10;33(8):910-5. doi: 10.1200/JCO.2014.57.9334. Epub 2015 Jan 26. PubMed 25624439 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 23, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00385606
Lead sponsor
National Cancer Institute, Naples
Responsible party
Sponsor
First posted
Oct 11, 2006
Start date
Jan 2003
Primary completion
Dec 2005
Completion
Jul 2006
Last update
Mar 23, 2023

Study contacts

Cesare Gridelli, M.D.
principal investigator · San Giuseppe Moscati Hospital, Avellino, Italy
Francesco Perrone, M.D., Ph.D.
principal investigator · National Cancer Institute Naples, Italy
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2015. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion