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| Name | Class |
|---|---|
| Boryung Pharmaceutical Co., Ltd | INDUSTRY |
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The usual response to chemotherapy is decided through the image change by computed tomography (CT), which is taken at least 6-9 weeks.
In order to predict the response to chemotherapy earlier, patients received FDG-PET scan at the first cycle of chemotherapy. Chemotherapy was guided by the metabolic response by FDG-PET scan.
Prospective, Open-label, Randomized phase II, single institution trial that compared chemotherapy guided by traditional evaluation based on RECIST versus chemotherapy guided by FDG-PET (metabolic) response.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FDG-PET guided | Experimental | Chemotherapy regimen will be changed depending on metabolic response. |
|
| CT guided | Active Comparator | Chemotherapy regimen will be changed depending on CT findings (RECIST). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FDR-PET | Device | FDR-PET performed after 1 cycle of chemotherapy |
| |
| Measure | Description | Time Frame |
|---|---|---|
| change in response rate | The usual response rate of GenexolPM/Cisplatin chemotherapy is 30-40%. This trial will assess whether the changing chemotherapy strategy using FDG-PET can increase response rate by 15%. | within 4 cycles |
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Inclusion Criteria:
Histologically confirmed non-small cell carcinoma.
Stage IIIB (wet) or IV advanced NSCLC.
No evidence of prior malignancies for 3 years except treated basal cell or squamous cell carcinoma of skin and carcinoma in situ of uterine cervix.
Measurable disease by RECIST criteria.
Adequate organ function as follows.
ECOG Performance status 0-1 7 Age > 18
8. If previously treated with major surgery, it should be over at least 4 weeks. And if previously treated with radiotherapy, it should be over at least 2 weeks.
9. Written consent
Exclusion Criteria:
Previous chemotherapy.
Symptomatic brain metastasis.
Concurrent severe medical illness.
Pregnancy and lactation.
If there are findings which may increase risk with chemotherapy or inhibit to analyze the result of clinical trial.
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| Name | Affiliation | Role |
|---|---|---|
| Sang-We Kim, MD | Asan Medical Center | Principal Investigator |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| CT |
| Device |
CT performed after 3 cycles of chemotherapy |
|
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |