RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die. Drugs such as amifostine may protect normal cells from the side
effects of chemotherapy and radiation therapy.
PURPOSE: Phase II trial to study the effectiveness of amifostine to prevent side effects in
patients who are receiving chemotherapy and radiation therapy for limited-stage small cell
OBJECTIVES: I. Evaluate the reduction in toxicities by combining amifostine with cisplatin,
etoposide, and radiotherapy in patients with limited stage small cell lung cancer. II.
Evaluate the response rate to this combination by these patients. III. Evaluate the overall
survival of patients treated with this regimen.
OUTLINE: This is a multicenter study. Patients receive cisplatin IV on day 1 and etoposide
IV daily on days 1-3. This course is repeated every 3 weeks for a total for 4 courses.
Patients also receive concurrent radiotherapy 5 days per week for 5.5 weeks starting with
the first course of chemotherapy. Patients receive amifostine IV over 15 minutes 15-30
minutes prior to each dose of chemotherapy on days 1-3. Patients are followed at 6 and 12
weeks, then every 3 months for 9 months, every 6 months for 1 year, and then until death.
PROJECTED ACCRUAL: There will be 20 patients accrued into this study.
DISEASE CHARACTERISTICS: Histologically confirmed limited stage small cell lung cancer
Primary tumor must be evaluable radiographically
PATIENT CHARACTERISTICS: Age: Over 18 Performance status: ECOG 0-1 Life expectancy: At
least 3 months Hematopoietic: WBC greater than 4,000/mm3 Platelet count greater than
100,000/mm3 Hepatic: Bilirubin less than 1.5 mg/dL SGOT and SGPT less than 2 times normal
Renal: Creatinine less than 1.5 mg/dL Other: No concurrent active infection No prior
malignancy except squamous or basal cell carcinoma of the skin or carcinoma in situ of the
cervix Not pregnant or nursing Effective contraception required of all fertile patients
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior
chemotherapy Endocrine therapy: Not specified Radiotherapy: No prior radiotherapy Surgery: