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Keep this study
Lead
SWOG Cancer Research Network
With
National Cancer Institute (NCI)
OBJECTIVES:
* Determine the survival of patients with extensive stage small cell lung cancer treated with gemcitabine and irinotecan.
* Determine the response rates (confirmed and unconfirmed, complete and partial) of patients treated with this regimen.
* Determine the overall toxic effects of this regimen in these patients.
OUTLINE: This is a multicenter study.
Patients receive gemcitabine IV over 30 minutes followed by irinotecan IV over 90 minutes on days 1 and 8. Treatment repeats every 21 days for a total of 6 courses in the absence of disease progression or unacceptable toxicity.
Patients are followed every 6 months for 3 years.
PROJECTED ACCRUAL: A total of 75 patients will be accrued for this study within 12 months.
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
DISEASE CHARACTERISTICS:
Histologically or cytologically confirmed extensive stage small cell lung cancer (SCLC)
Must have disease outside area of prior surgical resection or a new lesion must be present
Controlled brain metastases allowed (asymptomatic and previously treated with surgery and/or radiotherapy)
* Brain metastases must be re-evaluated by CT scan or MRI after completion of radiotherapy or surgery
PATIENT CHARACTERISTICS:
Age:
18 and over
Performance status:
Zubrod 0-2
Life expectancy:
Not specified
Hematopoietic:
Absolute granulocyte count at least 1,500/mm\^3
WBC at least 3,000/mm\^3
Platelet count at least 100,000/mm\^3
Hepatic:
Bilirubin no greater than 1.25 times upper limit of normal (ULN)
SGOT or SGPT no greater than 2.5 times ULN
Renal:
Not specified
Other:
Not pregnant or nursing
Fertile patients must use effective contraception
No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or other adequately treated stage I or II cancer in complete remission
PRIOR CONCURRENT THERAPY:
Biologic therapy:
No prior biologic therapy for SCLC
Chemotherapy:
No prior systemic chemotherapy for SCLC
Endocrine therapy:
Not specified
Radiotherapy:
See Disease Characteristics
No prior radiotherapy for SCLC except for brain metastases
Surgery:
See Disease Characteristics
At least 2 weeks since prior surgery (thoracic or other major surgery) and recovered
Clareo Health | S0119: Combination Chemotherapy in Treating Patients With Extensive-Stage Small Cell Lung Cancer