Video-Assisted Surgery in Treating Patients With Non-small Cell Lung Cancer

Sponsor
Alliance for Clinical Trials in Oncology (Other)
Overall Status
Completed
CT.gov ID
NCT00003692
Collaborator
National Cancer Institute (NCI) (NIH), Eastern Cooperative Oncology Group (Other)
128
115
1
87
1.1
0

Study Details

Study Description

Brief Summary

RATIONALE: Video-assisted surgery may be an effective treatment and have fewer side effects than conventional surgery in patients with non-small cell lung cancer.

PURPOSE: Phase II trial to study the effectiveness of video-assisted surgery in treating patients who have non-small cell lung cancer.

Condition or Disease Intervention/Treatment Phase
  • Procedure: therapeutic thoracoscopy
  • Procedure: video-assisted surgery
Phase 2

Detailed Description

OBJECTIVES: I. Determine the feasibility of performing video-assisted thoracic surgery (VATS) lobectomy, without significant morbidity or perioperative mortality, in patients with small (no greater than 3.0 cm), peripheral, non-small cell lung cancer. II. Determine the rate at which a thoracotomy must be carried out to complete a VATS lobectomy in these patients. III. Describe the complications associated with this procedure. IV. Describe the length of the operative procedure, duration of chest tube stay, and length of hospitalization in this patient population. V. Describe the survival and failure-free survival, over a 5-year period, in this patient population following this procedure.

OUTLINE: Patients undergo video-assisted thoracic surgery (VATS) lobectomy, which requires 3 small incisions on the side of the chest. The entire anatomic pulmonary lobe is removed, as well as all peribronchial lymph nodes and anterior hilar lymph nodes. If it is not possible to remove the lobe using the VATS approach, then 1 of the incisions is converted to a standard thoracotomy. Patients are followed every 4 months for the first 2 years, and then every 6 months for the next 3 years.

PROJECTED ACCRUAL: A total of 135 patients will be accrued for this study within 3 years.

Study Design

Study Type:
Interventional
Actual Enrollment :
128 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Video-Assisted Lobectomy for Peripheral (no Greater Than 3 cm), N0, Non-Small Cell Lung Cancer: A Phase II Feasibility Study
Study Start Date :
Dec 1, 1998
Actual Primary Completion Date :
Mar 1, 2006
Actual Study Completion Date :
Mar 1, 2006

Arms and Interventions

Arm Intervention/Treatment
Experimental: video-assisted surgery

Patients undergo video-assisted thoracic surgery (VATS) lobectomy, which requires 3 small incisions on the side of the chest. The entire anatomic pulmonary lobe is removed, as well as all peribronchial lymph nodes and anterior hilar lymph nodes. If it is not possible to remove the lobe using the VATS approach, then 1 of the incisions is converted to a standard thoracotomy. Patients are followed every 4 months for the first 2 years, and then every 6 months for the next 3 years.

Procedure: therapeutic thoracoscopy

Procedure: video-assisted surgery

Outcome Measures

Primary Outcome Measures

  1. survival [up to 5 years]

  2. failure-free survival [up to 5 years]

Eligibility Criteria

Criteria

Ages Eligible for Study:
N/A and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No

DISEASE CHARACTERISTICS: Suspected or histologically documented non-small cell lung cancer Solitary, peripheral lung lesion that is no greater than 3.0 cm No metastatic disease No positive lymph nodes at mediastinoscopy At least 5 years since diagnosis of non-small cell or small cell lung cancer

PATIENT CHARACTERISTICS: Age: Not specified Performance status: ECOG 0-2 Life expectancy:

Not specified Hematopoietic: Not specified Hepatic: Not specified Renal: Not specified Pulmonary: FEV1 at least 1.0 L or at least 50% of predicted Other: No significant comorbid medical or psychiatric condition No other active malignancy other than nonmelanomatous skin cancer

PRIOR CONCURRENT THERAPY: Not specified

Contacts and Locations

Locations

Site City State Country Postal Code
1 Veterans Affairs Medical Center - Birmingham Birmingham Alabama United States 35233
2 CCOP - Scottsdale Oncology Program Scottsdale Arizona United States 85259-5404
3 University of California San Diego Cancer Center La Jolla California United States 92093-0658
4 Beckman Research Institute, City of Hope Los Angeles California United States 91010
5 Veterans Affairs Medical Center - Palo Alto Palo Alto California United States 94304
6 UCSF Cancer Center and Cancer Research Institute San Francisco California United States 94115-0128
7 Veterans Affairs Medical Center - San Francisco San Francisco California United States 94121
8 Stanford University Medical Center Stanford California United States 94305-5408
9 CCOP - Colorado Cancer Research Program, Inc. Denver Colorado United States 80209-5031
10 CCOP - Christiana Care Health Services Wilmington Delaware United States 19899
11 Lombardi Cancer Center, Georgetown University Washington District of Columbia United States 20007
12 Walter Reed Army Medical Center Washington District of Columbia United States 20307-5000
13 Veterans Affairs Medical Center - Gainsville Gainesville Florida United States 32608-1197
14 CCOP - Mount Sinai Medical Center Miami Beach Florida United States 33140
15 Veterans Affairs Medical Center - Miami Miami Florida United States 33125
16 H. Lee Moffitt Cancer Center and Research Institute Tampa Florida United States 33612
17 Veterans Affairs Medical Center - Tampa (Haley) Tampa Florida United States 33612
18 Emory University Hospital - Atlanta Atlanta Georgia United States 30322
19 Veterans Affairs Medical Center - Atlanta (Decatur) Decatur Georgia United States 30033
20 Robert H. Lurie Comprehensive Cancer Center, Northwestern University Chicago Illinois United States 60611
21 Veterans Affairs Medical Center - Lakeside Chicago Chicago Illinois United States 60611
22 University of Illinois at Chicago Health Sciences Center Chicago Illinois United States 60612
23 Veterans Affairs Medical Center - Chicago (Westside Hospital) Chicago Illinois United States 60612
24 University of Chicago Cancer Research Center Chicago Illinois United States 60637
25 CCOP - Central Illinois Decatur Illinois United States 62526
26 CCOP - Evanston Evanston Illinois United States 60201
27 CCOP - Illinois Oncology Research Association Peoria Illinois United States 61602
28 CCOP - Carle Cancer Center Urbana Illinois United States 61801
29 Indiana University Cancer Center Indianapolis Indiana United States 46202-5265
30 Veterans Affairs Medical Center - Indianapolis (Roudebush) Indianapolis Indiana United States 46202
31 CCOP - Cedar Rapids Oncology Project Cedar Rapids Iowa United States 52403-1206
32 CCOP - Iowa Oncology Research Association Des Moines Iowa United States 50309-1016
33 University of Iowa Hospitals and Clinics Iowa City Iowa United States 52242
34 Veterans Affairs Medical Center - Wichita Wichita Kansas United States 67218
35 MBCCOP - LSU Health Sciences Center New Orleans Louisiana United States 70112
36 CCOP - Ochsner New Orleans Louisiana United States 70121
37 Veterans Affairs Medical Center - Togus Togus Maine United States 04330
38 Marlene & Stewart Greenebaum Cancer Center, University of Maryland Baltimore Maryland United States 21201
39 Johns Hopkins Oncology Center Baltimore Maryland United States 21231
40 New England Medical Center Hospital Boston Massachusetts United States 02111
41 Brigham and Women's Hospital Boston Massachusetts United States 02115
42 Dana-Farber Cancer Institute Boston Massachusetts United States 02115
43 Beth Israel Deaconess Medical Center Boston Massachusetts United States 02215
44 University of Massachusetts Memorial Medical Center Worcester Massachusetts United States 01655
45 CCOP - Ann Arbor Regional Ann Arbor Michigan United States 48106
46 CCOP - Kalamazoo Kalamazoo Michigan United States 49007-3731
47 CCOP - Duluth Duluth Minnesota United States 55805
48 Veterans Affairs Medical Center - Minneapolis Minneapolis Minnesota United States 55417
49 University of Minnesota Cancer Center Minneapolis Minnesota United States 55455
50 Mayo Clinic Cancer Center Rochester Minnesota United States 55905
51 CCOP - Metro-Minnesota Saint Louis Park Minnesota United States 55416
52 Veterans Affairs Medical Center - Columbia (Truman Memorial) Columbia Missouri United States 65201
53 Ellis Fischel Cancer Center - Columbia Columbia Missouri United States 65203
54 Barnes-Jewish Hospital Saint Louis Missouri United States 63110
55 Veterans Affairs Medical Center - Omaha Omaha Nebraska United States 68105
56 CCOP - Missouri Valley Cancer Consortium Omaha Nebraska United States 68131
57 University of Nebraska Medical Center Omaha Nebraska United States 68198-3330
58 CCOP - Southern Nevada Cancer Research Foundation Las Vegas Nevada United States 89106
59 Norris Cotton Cancer Center Lebanon New Hampshire United States 03756
60 Veterans Affairs Medical Center - East Orange East Orange New Jersey United States 07018-1095
61 CCOP - Northern New Jersey Hackensack New Jersey United States 07601
62 Cancer Institute of New Jersey New Brunswick New Jersey United States 08901
63 Veterans Affairs Medical Center - Albany Albany New York United States 12208
64 Albert Einstein Comprehensive Cancer Center Bronx New York United States 10461
65 Veterans Affairs Medical Center - Brooklyn Brooklyn New York United States 11209
66 Veterans Affairs Medical Center - Buffalo Buffalo New York United States 14215
67 CCOP - North Shore University Hospital Manhasset New York United States 11030
68 North Shore University Hospital Manhasset New York United States 11030
69 Veterans Affairs Medical Center - New York New York New York United States 10010
70 NYU School of Medicine's Kaplan Comprehensive Cancer Center New York New York United States 10016
71 Memorial Sloan-Kettering Cancer Center New York New York United States 10021
72 New York Presbyterian Hospital - Cornell Campus New York New York United States 10021
73 Mount Sinai Medical Center, NY New York New York United States 10029
74 University of Rochester Cancer Center Rochester New York United States 14642
75 State University of New York - Upstate Medical University Syracuse New York United States 13210
76 Veterans Affairs Medical Center - Syracuse Syracuse New York United States 13210
77 CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C. Syracuse New York United States 13217
78 Lineberger Comprehensive Cancer Center, UNC Chapel Hill North Carolina United States 27599-7295
79 Veterans Affairs Medical Center - Durham Durham North Carolina United States 27705
80 Duke Comprehensive Cancer Center Durham North Carolina United States 27710
81 CCOP - Southeast Cancer Control Consortium Winston-Salem North Carolina United States 27104-4241
82 Comprehensive Cancer Center of Wake Forest University Baptist Medical Center Winston-Salem North Carolina United States 27157-1082
83 CCOP - Merit Care Hospital Fargo North Dakota United States 58122
84 Ireland Cancer Center Cleveland Ohio United States 44106-5065
85 Veterans Affairs Medical Center - Cleveland Cleveland Ohio United States 44106
86 Cleveland Clinic Taussig Cancer Center Cleveland Ohio United States 44195
87 CCOP - Columbus Columbus Ohio United States 43206
88 Arthur G. James Cancer Hospital - Ohio State University Columbus Ohio United States 43210
89 CCOP - Toledo Community Hospital Oncology Program Toledo Ohio United States 43623-3456
90 CCOP - Sooner State Tulsa Oklahoma United States 74136
91 CCOP - Geisinger Clinic and Medical Center Danville Pennsylvania United States 17822-2001
92 Hahnemann University Hospital Philadelphia Pennsylvania United States 19102-1192
93 University of Pennsylvania Cancer Center Philadelphia Pennsylvania United States 19104
94 Fox Chase Cancer Center Philadelphia Pennsylvania United States 19111
95 University of Pittsburgh Cancer Institute Pittsburgh Pennsylvania United States 15213
96 Veterans Affairs Medical Center - Pittsburgh Pittsburgh Pennsylvania United States 15240
97 CCOP - MainLine Health Wynnewood Pennsylvania United States 19096
98 Rhode Island Hospital Providence Rhode Island United States 02903
99 Medical University of South Carolina Charleston South Carolina United States 29425-0721
100 CCOP - Sioux Community Cancer Consortium Sioux Falls South Dakota United States 57105-1080
101 University of Tennessee, Memphis Cancer Center Memphis Tennessee United States 38103
102 Veterans Affairs Medical Center - Memphis Memphis Tennessee United States 38104
103 Veterans Affairs Medical Center - Nashville Nashville Tennessee United States 37212
104 Vanderbilt-Ingram Cancer Center Nashville Tennessee United States 37232-6838
105 Veterans Affairs Medical Center - White River Junction White River Junction Vermont United States 05009
106 Veterans Affairs Medical Center - Richmond Richmond Virginia United States 23249
107 MBCCOP - Massey Cancer Center Richmond Virginia United States 23298-0037
108 Veterans Affairs Medical Center - Madison Madison Wisconsin United States 53705
109 University of Wisconsin Comprehensive Cancer Center Madison Wisconsin United States 53792
110 CCOP - Marshfield Medical Research and Education Foundation Marshfield Wisconsin United States 54449
111 Medical College of Wisconsin Milwaukee Wisconsin United States 53226
112 Veterans Affairs Medical Center - Milwaukee (Zablocki) Milwaukee Wisconsin United States 53295
113 MBCCOP - San Juan San Juan Puerto Rico 00927-5800
114 Veterans Affairs Medical Center - San Juan San Juan Puerto Rico 00927-5800
115 Pretoria Academic Hospitals Pretoria South Africa 0001

Sponsors and Collaborators

  • Alliance for Clinical Trials in Oncology
  • National Cancer Institute (NCI)
  • Eastern Cooperative Oncology Group

Investigators

  • Study Chair: Scott J. Swanson, MD, Dana-Farber/Brigham and Women's Cancer Center
  • Study Chair: John R. Roberts, MD, MBA, Vanderbilt-Ingram Cancer Center

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Alliance for Clinical Trials in Oncology
ClinicalTrials.gov Identifier:
NCT00003692
Other Study ID Numbers:
  • CALGB-39802
  • U10CA031946
  • CLB-39802
  • E-C39802
  • CDR0000066795
First Posted:
Apr 9, 2004
Last Update Posted:
Jul 20, 2016
Last Verified:
Jul 1, 2016
Keywords provided by Alliance for Clinical Trials in Oncology
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jul 20, 2016