The aim of this study is to evaluate if the multi modality treatment pemetrexed combined with cisplatin and radiotherapy can lead to a better tumor control and/or a better side-effect profile in patients with locally advanced NSCLC. Patients will be randomized between 3 cycles of induction chemotherapy followed by concurrent chemoradiotherapy or concurrent chemoradiotherapy followed by 3 cycles of adjuvant combination chemotherapy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
pemetrexed 500 mg/m2 + cisplatin 75 mg/m2 (q 3 weeks for 3 cycles)
pemetrexed 500 mg/m2 (q 3weeks for 2 cycles), 60 GY (30 fractions of 2 GY)
ZNA Middelheim
Antwerp, Antwerp, Belgium
University Hospital Antwerp
Edegem, Antwerp, Belgium
St Augustinus Ziekenhuis
Wilrijk, Antwerp, Belgium
Response rate
Time frame: after each treatment modality and 5 year follow-up
Toxicity
Time frame: at the end of each cycle and 5 year follow-up
Time to progression
Time frame: 5 year follow-up
Overall survival
Time frame: median survival and 2-year survival
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