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CompletedNCT02175381Updated May 15, 2015

Carboplatin Plus Gemcitabine for Elderly Patients With Stage IV NSCLC

A Phase 1/2 interventional study of Carboplatin and Gemcitabine in NSCLC, sponsored by Hellenic Oncology Research Group. Completed at 5 sites in Greece. Open to participants aged 70 Years and older. Per ClinicalTrials.gov, last updated 2015-05-15.

Sponsored by Hellenic Oncology Research Group · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
69
Allocation
Non-randomized
Ages
70 Years and older
Sex
All
01

Study summary

The investigators propose to study the safety and efficacy of the combination of Carboplatin plus Gemcitabine in a Phase I/II trial of elderly subjects with non-small cell lung cancer.

Read the detailed description

About 50% of newly diagnosed cases of NSCLC concern patients older than 65 years, while 30-40% of cases are diagnosed in patients older than 70 years. Furthermore, recent data suggest that during the last decade, the incidence and mortality of NSCLC has decreased in younger patients, while it has increased among older patients. Based on these observations, it becomes clear that NSCLC represents a significant health problem in elderly patients. However, elderly patients are frequently underrepresented in clinical trials evaluating new treatments in NSCLC. Indeed, more than 75% of patients older than 65 years with metastatic NSCLC never receive any kind of chemotherapy in the daily clinical practice.

In elderly patients there is lack of prospective data regarding the role of platinum-based doublets. It is not clear whether elderly patients gain any survival benefit or not from platinum-based doublets and whether these chemotherapeutic regimens result in a significant increase in toxicity.

There is a clear need to prospectively evaluate the tolerability and efficacy of platinum-based doublets as first-line chemotherapy for older NSCLC patients.

On this basis it would be very interesting to initiate a phase I/II study with gemcitabine/carboplatin combination as first line treatment in older NSCLC patients.

02

Conditions studied

  • NSCLC

Keywords

  • Metastatic NSCLC
  • Elderly
  • 1st Line
  • Platinum-based treatment
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 69 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

Hellenic Oncology Research Group is the lead sponsor of 57 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
70 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥70 years old
  • Cytologically or histologically documented NSCLC
  • Measurable disease according to Response Evaluation Criteria in Solid Tumors (at least one measurable lesion)
  • World Health Organisation (WHO) performance status 0-2
  • Non-frail patients according to Comprehensive Geriatric Assessment
  • Previously treated NSCLC (or patients for whom the combination is considered adequate treatment) (for phase I part)
  • No prior chemotherapy (for phase II part)
  • Life expectancy of at least 12 weeks
  • Serum bilirubin less than 1.5 times the upper normal limit
  • Aspartate Aminotransferase and Alanine Aminotransferase less than 2.5 times the upper normal limit in the absence of demonstrable liver metastases, or less than 5 times the upper normal limit in the presence of liver metastases
  • Serum creatinine less than 1.5 times the upper normal limit and Creatinine Clearance >60 ml/min
  • Neutrophil count more than 1.5x 109 /L
  • Platelet count more than 100x 109 /L
  • Before patient enrollment, written informed consent must be given according to Good Clinical Practice guidelines and national/local regulations.

Exclusion criteria

Exclusion Criteria:

  • Hemoptysis
  • Central nervous system metastases
  • Clinically significant cardiovascular disease
  • Medically uncontrolled hypertension
  • Other co-existing malignancies or malignancies diagnosed within the last 5 years (with the exception of basal cell carcinoma or cervical cancer in situ)
  • Any evidence of severe uncontrolled concomitant disease (in the opinion of the investigator)
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
69 participants (actual)

Study arms

  • Experimental
    Carbo/GEM

    Drug: Carboplatin · Drug: Gemcitabine

Interventions

  • DrugCarboplatin

    Carboplatin: 2.5 AUC i.v on day 1. Cycle repeated ever 2 weeks

  • DrugGemcitabine

    Gemcitabine: 1100 mg/m2, iv on day 1. Cycle repeated every 2 weeks

06

What researchers measure

Primary outcomes

  1. Overall Response Rate

    Time frame: Disease evaluation at Week 8

Secondary outcomes

  1. Disease control rate

    Disease control rate is defined as the proportion of patients with complete response or partial response or stable disease for at least 16 weeks

    Time frame: Disease evaluation at Week 8

  2. Progression Free Survival

    Time frame: 1 year

  3. Overall Survival

    Time frame: 1 year

  4. Safety Profile

    Patients will be evaluated for Adverse Events (related or unrelated to the treatment) on Day 1 of each cycle (cycle repeated every 2 weeks) up to 12 weeks from the date of first dose administration

    Time frame: Every two weeks up to 12 weeks

07

Study locations

5 sites
  • University Hospital of Crete, Dep of Medical Oncology Heraklion, Greece
    Heraklion, Crete, Greece
  • "Laikon" General Hospital, Medical Oncology Unit, Propedeutic Dep of Internal Medicine
    Athens, Greece
  • 401 Military Hospital of Athens
    Athens, Greece
  • Air Forces Military Hospital of Athens Athens, Greece
    Athens, Greece
  • Medical Oncology Unit NIMTS (Veterans Hospital)
    Athens, Greece
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 15, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02175381
Lead sponsor
Hellenic Oncology Research Group
Responsible party
Sponsor
First posted
Jun 26, 2014
Start date
Feb 2011
Primary completion
Apr 2014
Completion
Apr 2014
Last update
May 15, 2015

Study contacts

Lambros Vamvakas, MD
principal investigator · University Hospital of Herklion
Athanasios Karambeazis, MD
principal investigator · Medical Oncology Unit NIMTS (Veterans Hospital)

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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