Completed

A Phase II Study Of Cetuximab (C225) In Combination With Chemoradiation In Patients With Stage IIIA/B Non-Small Cell Lung Cancer (NSCLC)

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What is being tested

Data Collection

Who is being recruted

Bronchial Neoplasms
+7

+ Carcinoma, Bronchogenic
+ Carcinoma, Non-Small-Cell Lung
Over 18 Years
See all eligibility criteria
How is the trial designed

Treatment Study

Phase 2
Interventional
Study Start: March 2004
See protocol details

Summary

Principal SponsorRadiation Therapy Oncology Group
Last updated: January 18, 2026
Sourced from a government-validated database.Claim as a partner
Study start date: March 1, 2004Actual date on which the first participant was enrolled.

OBJECTIVES: Primary * Determine the feasibility of cetuximab when administered concurrently with paclitaxel, carboplatin, and radiotherapy, in terms of safety and compliance, in patients with unresectable stage IIIA or IIIB non-small cell lung cancer. Secondary * Determine the response rate (complete and partial) in patients treated with this regimen. * Determine the overall survival (1- and 2-year survival rate and median survival) of patients treated with this regimen. * Determine the time to disease progression (at 1 and 2 years) in patients treated with this regimen. * Correlate epidermal growth factor receptor expression with the toxicity of this regimen and response, overall survival, and progression in these patients. OUTLINE: This is a multicenter study. * Cetuximab loading dose (week 1): Patients receive a loading dose of cetuximab IV over 2 hours on day 1. * Concurrent cetuximab and chemoradiotherapy (weeks 2-8): Patients receive cetuximab IV over 1 hour, paclitaxel IV over 1 hour, and carboplatin IV over 30 minutes on days 8, 15, 22, 29, 36, 43, and 50. Patients undergo radiotherapy once daily on days 8-12, 15-19, 22-26, 29-33, 36-40, 43-47, and 50-53. * Consolidation therapy (weeks 9-17): Patients receive cetuximab IV over 1 hour on days 57, 64, 71, 78, 85, 92, 99, 106, and 113. Patients also receive paclitaxel IV over 3 hours and carboplatin IV over 30 minutes on days 78 and 99. Treatment continues in the absence of disease progression or unacceptable toxicity. Patients are followed at 30 days, every 3 months for 2 years, every 4 months for 2 years, and then annually thereafter. PROJECTED ACCRUAL: A total of 84 patients will be accrued for this study within 1 year.

Official TitleA Phase II Study Of Cetuximab (C225) In Combination With Chemoradiation In Patients With Stage IIIA/B Non-Small Cell Lung Cancer (NSCLC) 
NCT00081302
Principal SponsorRadiation Therapy Oncology Group
Last updated: January 18, 2026
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.
Treatment Study
These studies test new ways to treat a disease, condition, or health issue. The goal is to see if a new drug, therapy, or approach works better or has fewer side effects than existing options.

How the interventions assigned to participants is kept confidential
Everyone involved in the study knows which treatment is being given. This is typically used when it's not possible or necessary to hide the treatment details from participants or researchers.

Other Ways to Mask Information
Single-blind
: Participants do not know which treatment they are receiving, but researchers do.

Double-blind
: Neither participants nor researchers know which treatment is given.

Triple-blind
: Participants, researchers, and outcome assessors do not know which treatment is given.

Quadruple-blind
: Participants, researchers, outcome assessors, and care providers all do not know which treatment is given.

Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria
Any sexBiological sex of participants that are eligible to enroll.
Over 18 YearsRange of ages for which participants are eligible to join.
Healthy volunteers not allowedIf individuals who are healthy and do not have the condition being studied can participate.
Conditions
Pathology
Bronchial Neoplasms
Carcinoma, Bronchogenic
Carcinoma, Non-Small-Cell Lung
Lung Diseases
Lung Neoplasms
Neoplasms
Neoplasms by Site
Respiratory Tract Diseases
Respiratory Tract Neoplasms
Thoracic Neoplasms
Criteria

DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed non-small cell lung cancer (NSCLC) of 1 of the following subtypes: * Squamous cell carcinoma * Adenocarcinoma (including bronchoalveolar cell) * Large cell anaplastic carcinoma (including giant and clear cell carcinomas) * Poorly differentiated/not otherwise specified NSCLC * Stage IIIA (T1-2, N2, M0 or T3, N1-2, M0) or IIIB (T4, any N, M0 or any T, N2-3, M0) * If the largest mediastinal node is \< 2.0 cm in diameter and this is the basis for stage III disease, then at least 1 of the nodes must be cytologically or histologically positive * Unresectable disease * No totally resected tumors * Tumors adjacent to a vertebral body allowed provided all gross disease can be encompassed in the radiation boost field and the boost volume is limited to \< 50% of the ipsilateral lung volume * Measurable disease * Transudate, cytologically negative, non-bloody pleural effusions allowed provided the tumor can be encompassed within a reasonable field of radiotherapy * Pleural effusions seen on a chest CT scan are allowed provided they are not visible on a chest x-ray and are too small to tap * No asymptomatic or symptomatic brain metastases PATIENT CHARACTERISTICS: Age * 18 and over Performance status * Zubrod 0-1 Life expectancy * Not specified Hematopoietic * Absolute neutrophil count ≥ 1,500/mm\^3 * Platelet count ≥ 100,000/mm\^3 * Hemoglobin ≥ 9 g/dL (transfusion independent) Hepatic * Bilirubin ≤ 1.5 mg/dL * SGOT (serum glutamic oxaloacetic transaminase) or SGPT (serum glutamate pyruvate transaminase) ≤ 3 times upper limit of normal (ULN) * Alkaline phosphatase ≤ 2.5 times ULN Renal * Creatinine ≤ 2.0 mg/dL Cardiovascular * No significant history of cardiac disease * No uncontrolled hypertension * No unstable angina * No uncompensated congestive heart failure * No myocardial infarction within the past year * No cardiac ventricular arrhythmias requiring medication * LVEF (left ventricular ejection fraction) normal by MUGA (multi-gated acquisition) scan or echocardiogram Pulmonary * No history of interstitial pneumonitis * No history of severe chronic obstructive pulmonary disease requiring 3 or more hospitalizations within the past year * FEV_1 ≥ 1,200 cc * No active pulmonary infection unresponsive to conventional antibiotics Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception during and for 4 weeks after study therapy * Glucose ≤ 2 times ULN * No more than 5% weight loss within the past 3 months * No known allergy to murine proteins or Cremophor EL * No neuropathy grade 2 or greater * No other malignancy within the past 2 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or other in situ cancers PRIOR CONCURRENT THERAPY: Biologic therapy * No prior drugs that target the epidermal growth factor receptor pathway * No prior chimerized monoclonal antibody therapy * No other concurrent immunotherapy * No concurrent colony-stimulating factors (i.e., filgrastim \[G-CSF\] and sargramostim \[GM-CSF\]) * Concurrent epoetin alfa allowed Chemotherapy * No prior systemic chemotherapy * No other concurrent chemotherapy Endocrine therapy * No concurrent hormonal therapy except hormones for non-disease-related conditions (e.g., insulin for diabetes) or steroids for acute symptom management, adrenal failure, septic shock, or as antiemetics Radiotherapy * No prior thoracic or neck radiotherapy * No concurrent intensity-modulated radiotherapy Surgery * Recovered from prior exploratory thoracotomy * No prior surgical resection of the present cancer Other * More than 30 days since prior participation in another clinical trial * No concurrent participation in another clinical trial * No other concurrent anticancer therapy * No amifostine during or for 3 months after study radiotherapy

Study Centers

These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.
This study has 1 location
Suspended
Arlington Cancer Center - ArlingtonArlington, United StatesSee the location
CompletedOne Study Center