Lung Cancer Clinical Trial
Official title:
(NJ 1508) Modulation of Autophagy With Hydroxychloroquine in Combination With Carboplatin, Paclitaxel and Bevacizumab in Patients With Advanced/Recurrent Non-Small Cell Lung Cancer - A Phase I/II Study
RATIONALE: Drugs used in chemotherapy, such as hydroxychloroquine, carboplatin, and
paclitaxel and work in different ways to stop the growth of tumor cells, either by killing
the cells or by stopping them from dividing. Monoclonal antibodies, such as bevacizumab, can
block tumor growth in different ways. Some block the ability of tumor cells to grow and
spread. Others find tumor cells and help kill them or carry tumor-killing substances to
them. Bevacizumab may also stop the growth of tumor cells by blocking blood flow to the
tumor. Giving hydroxychloroquine together with carboplatin, paclitaxel and bevacizumab may
kill more tumor cells.
PURPOSE: This phase I/II trial is studying the side effects and best dose of
hydroxychloroquine when given together with carboplatin, paclitaxel, and bevacizumab and to
see how well they work in treating patients with recurrent advanced non-small cell lung
cancer.
Status | Terminated |
Enrollment | 8 |
Est. completion date | December 2016 |
Est. primary completion date | July 2011 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed advanced non-small cell lung cancer, meeting the following criteria: - Recurrent disease - No component of squamous cell carcinoma - Mixed tumors will be categorized by predominant cell type - No mixed histology with small cell component - Diagnosis established on metastatic tumor aspirate or biopsy (not sputum cytology alone) and meets 1 of the following staging criteria: - Stage IIIB disease with malignant pleural effusion - Stage IV disease - Measurable disease - More than 1 year since post-operative adjuvant therapy for previously resected non-small cell lung cancer with evidence of disease progression - No known CNS metastases by CT scan or brain MRI within the past 28 days PATIENT CHARACTERISTICS: - ECOG performance status 0-1 - ANC = 1,500/mm³ - Platelet count = 100,000/mm³ - Hemoglobin = 9 g/dL - Total bilirubin = 1.5 times upper limit of normal (ULN) (= 2 times ULN and no other liver function test abnormality in patients with Gilbert disease) - AST/ALT = 2.5 times ULN (= 5 times ULN in the presence of liver metastases) - Alkaline phosphatase = 2.5 times ULN - Creatinine = 1.5 times ULN OR creatinine clearance = 60 mL/min - INR = 1.5 and aPTT normal - Urine protein:creatinine ratio < 1.0 OR urine protein ratio < 1,000 mg by 24-hour urine collection - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No ongoing or active infection - No psoriasis or porphyria - No HIV positivity - No significant traumatic injury within the past 28 days - No serious non-healing wound, ulcer, or bone fracture - No peripheral or sensory neuropathy > grade 1 - No hypertension that cannot be controlled by antihypertensive medication (i.e., blood pressure > 150/100 mm Hg despite optimal medical therapy) - No cardiovascular disease, including any of the following: - Unstable angina - New York Heart Association class II-IV congestive heart failure - History of significant vascular disease (e.g., aortic aneurysm) - Symptomatic peripheral vascular disease within the past 6 months - Myocardial infarction within the past 6 months - Stroke within the past 6 months - No other active malignancy within the past 3 years, except curatively treated basal cell or squamous cell carcinoma of the skin, carcinoma in situ of the cervix, or ductal or lobular carcinoma in situ of the breast, or other curatively treated malignancy with no evidence of disease > 3 years - No retinal or visual field changes from prior 4-aminoquinoline compound therapy - No known hypersensitivity to 4-aminoquinoline compound - No known glucose-6-phosphate (G-6P) deficiency - No known bleeding diathesis or coagulopathy - No known gastrointestinal pathology that would interfere with drug bioavailability - No known prior hypersensitivity to carboplatin, paclitaxel, bevacizumab, hydroxychloroquine, or any of their components - No history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the past 6 months - No history of gross hemoptysis (i.e., bright red blood of a ½ teaspoon or more) within the past 3 months - No history of any social or medical condition that, in the investigator's opinion, might interfere with the patient's ability to comply with the protocol or pose additional or unacceptable risk to the patient PRIOR CONCURRENT THERAPY: - See Disease Characteristics - At least 2 weeks since prior radiation to sites other than the brain, and recovered to = grade 1 - At least 28 days since prior and no concurrent full-dose anticoagulants or thrombolytic agents - At least 28 days since prior major surgical procedure or open biopsy and no anticipated need for such during study therapy - Vascular access device placement with wound recovery allowed before study - No prior cytotoxic chemotherapy or targeted therapy in the advanced or metastatic setting - No concurrent treatment for rheumatoid arthritis or systemic lupus erythematosus - No concurrent combination antiretroviral therapy - No concurrent hydroxychloroquine for treatment or prophylaxis of malaria - No concurrent aurothioglucose - No other concurrent investigational or commercial agent or therapy for this malignancy |
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Cancer Institute of New Jersey at Hamilton | Hamilton | New Jersey |
United States | Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School | New Brunswick | New Jersey |
Lead Sponsor | Collaborator |
---|---|
University of Medicine and Dentistry of New Jersey | National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Recommended Phase II Dose of Hydroxychloroquine and Carboplatin When Administered With Paclitaxel and Bevacizumab (Phase I) | Phase I portion of study | No | |
Primary | Overall Response (Phase II) | Treatment start date to date of best response | No | |
Secondary | Time to Progression (Phase II) | Treatment start date and date of progression | No | |
Secondary | Progression-free Survival at 1 Year (Phase II) | Treatment start date to 1 year | No | |
Secondary | Overall Survival (Phase II) | Treatment start date to date of death | No |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT03918538 -
A Series of Study in Testing Efficacy of Pulmonary Rehabilitation Interventions in Lung Cancer Survivors
|
N/A | |
Recruiting |
NCT05078918 -
Comprehensive Care Program for Their Return to Normal Life Among Lung Cancer Survivors
|
N/A | |
Active, not recruiting |
NCT04548830 -
Safety of Lung Cryobiopsy in People With Cancer
|
Phase 2 | |
Completed |
NCT04633850 -
Implementation of Adjuvants in Intercostal Nerve Blockades for Thoracoscopic Surgery in Pulmonary Cancer Patients
|
||
Recruiting |
NCT06006390 -
CEA Targeting Chimeric Antigen Receptor T Lymphocytes (CAR-T) in the Treatment of CEA Positive Advanced Solid Tumors
|
Phase 1/Phase 2 | |
Recruiting |
NCT06037954 -
A Study of Mental Health Care in People With Cancer
|
N/A | |
Recruiting |
NCT05583916 -
Same Day Discharge for Video-Assisted Thoracoscopic Surgery (VATS) Lung Surgery
|
N/A | |
Completed |
NCT00341939 -
Retrospective Analysis of a Drug-Metabolizing Genotype in Cancer Patients and Correlation With Pharmacokinetic and Pharmacodynamics Data
|
||
Not yet recruiting |
NCT06376253 -
A Phase I Study of [177Lu]Lu-EVS459 in Patients With Ovarian and Lung Cancers
|
Phase 1 | |
Recruiting |
NCT05898594 -
Lung Cancer Screening in High-risk Black Women
|
N/A | |
Active, not recruiting |
NCT05060432 -
Study of EOS-448 With Standard of Care and/or Investigational Therapies in Participants With Advanced Solid Tumors
|
Phase 1/Phase 2 | |
Active, not recruiting |
NCT03667716 -
COM701 (an Inhibitor of PVRIG) in Subjects With Advanced Solid Tumors.
|
Phase 1 | |
Active, not recruiting |
NCT03575793 -
A Phase I/II Study of Nivolumab, Ipilimumab and Plinabulin in Patients With Recurrent Small Cell Lung Cancer
|
Phase 1/Phase 2 | |
Terminated |
NCT01624090 -
Mithramycin for Lung, Esophagus, and Other Chest Cancers
|
Phase 2 | |
Terminated |
NCT03275688 -
NanoSpectrometer Biomarker Discovery and Confirmation Study
|
||
Not yet recruiting |
NCT04931420 -
Study Comparing Standard of Care Chemotherapy With/ Without Sequential Cytoreductive Surgery for Patients With Metastatic Foregut Cancer and Undetectable Circulating Tumor-Deoxyribose Nucleic Acid Levels
|
Phase 2 | |
Recruiting |
NCT06010862 -
Clinical Study of CEA-targeted CAR-T Therapy for CEA-positive Advanced/Metastatic Malignant Solid Tumors
|
Phase 1 | |
Recruiting |
NCT06052449 -
Assessing Social Determinants of Health to Increase Cancer Screening
|
N/A | |
Not yet recruiting |
NCT06017271 -
Predictive Value of Epicardial Adipose Tissue for Pulmonary Embolism and Death in Patients With Lung Cancer
|
||
Recruiting |
NCT05787522 -
Efficacy and Safety of AI-assisted Radiotherapy Contouring Software for Thoracic Organs at Risk
|