An Exploratory Study of OCZ103-OS in Combination With Standard of Care in Stage IV Non-Small Cell Lung Cancer (NSCLC) Patients

Non-small Cell Lung Cancer Clinical Trial

Official title:

A Phase IIa Exploratory Study of OCZ103-OS in Combination With Platinum-Gemcitabine Based Doublet First Line Therapy in Stage IV Non-Small Cell Lung Cancer (NSCLC) Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01844791
• Other study ID #: OCZ103-206
• Status: Completed
• Phase: Phase 2
• First received: April 29, 2013
• Last updated: October 20, 2014
• Start date: September 2012
• Est. completion date: January 2014

Study information

• Verified date: October 2014
• Source: Oncozyme Pharma Inc.
• Contact: n/a
• Is FDA regulated: No
• Health authority: Poland: Office for Registration of Medicinal Products, Medical devices, and Biological Products
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to investigate the safety and efficacy of the use of OCZ103-OS in combination with Platinum-Gemcitabine based doublet first line therapy in stage IV non-small cell lung cancer (NSCLC) patients.

Description:

This is a single arm, open label study to investigate the safety and efficacy of the use of OCZ103-OS in combination with Platinum-gemcitabine base doublet first line therapy in stage IV non-small cell lung cancer (NSCLC) patients.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 25
• Est. completion date: January 2014
• Est. primary completion date: January 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Written Informed Consent;

• Males or females;

• 18-75 years;

• Histologically or cytologically confirmed stage IV NSCLC patients that are eligible to platinum-gemcitabine based doublet therapy (M1a and M1b, seventh edition descriptor of the Revised International System for Staging Lung Cancer, adopted by the AJCC.) Patients with a prior diagnosis of stage IIIa or IIIb NSCLC who have progressed to stage IV are also eligible;

• ECOG performance 0 or 1;

• One or more tumor lesions measurable by RECIST criteria version 1.1, on CT scan or MRI;

• Patients with previous radiotherapy as definitive therapy for locally advanced non-small cell lung cancer are eligible, as long as the selected measurable lesions are outside the original radiation therapy port unless there has been demonstrated progression in the lesion. Radiation therapy must have been completed > 4 weeks prior to study entry;

• Palliative radiotherapy must have been completed > 2 weeks prior to study entry. Concomitant palliative radiotherapy to an existing bone lesion for pain control is allowed;

• Life expectancy of at least 3 months

Exclusion Criteria:

• Any prior systemic therapy for recurrent or metastatic NSCLC, except prior neoadjuvant or adjuvant systemic chemotherapy for NSCLC if administered at least 6 months prior to enrolment;

• Any of the following conditions: Ongoing cardiac dysrhythmias of NCI CTCAE grade = 2; atrial fibrillation of any grade; QTc interval > 450 msec for males or > 470 msec for females or uncontrolled intercurrent illness, e.g. unstable angina; severe coronary disease, ventricular arrhythmias, bradycardia < 50 bpm; a history of additional risk factors for torsades de pointes (e.g., heart failure, hypokalemia or family history of Long QT Syndrome);

• Systolic Blood Pressure < 100 mmHg (if deemed clinically significant by the treating physician);

• Uncontrolled diabetes. Patients with well controlled diabetes, with a HbA1C of less than 7%, on stable hypoglycaemic therapy and diet, are eligible;

• Clinically significant renal impairment or chronic pancreatitis;

• History of clinically significant hypoglycemia, with fasting blood glucose < 3 mmol/L;

• Inadequate baseline organ function as shown by following laboratory values:

• Hemoglobin < 100 g/L

• Absolute neutrophil count <1.5 x 10e9/L

• Platelet count < 100 x 10e9/L

• Total bilirubin > 1.5 x ULN

• AST and ALT > 2.5 x ULN or > 5 ULN in the presence of liver metastases

• Serum creatinine > 1.5 x ULN or calculated creatinine clearance < 60 ml/min

• To be dependent of oxygen treatment;

• Active infections requiring antibiotics;

• A major surgical procedure, open biopsy, or significant traumatic injury within 28 days of beginning treatment, or anticipation of the need for major surgery during the course of the study;

• Pregnancy or breastfeeding. All women of child-bearing potential must have a negative pregnancy test prior to first receiving protocol therapy;

• Active alcohol or drug abuse;

• Known or suspected allergy/hypersensitivity to any agent given in the course of this trial;

• Any co-morbid condition that in the judgment of the investigator renders the subject at high risk of treatment complication or reduces the probability of assessing clinical effect;

• Other malignancies diagnosed within the last 5 years with the exception of Basal Cell Carcinoma of the skin;

• Patients unable to comply with the study protocol and follow-up schedule for any psychological, familial, sociological or geographical reason.

Study Design

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Carcinoma, Non-Small-Cell Lung
• Lung Neoplasms
• Non-small Cell Lung Cancer

Intervention

Drug:
• OCZ103-OS
OCZ103-OS is given in combination with chemotherapy each cycle
• Platinum
Platinum is given as standard chemotherapy each cycle
• Gemcitabine
Gemcitabine is given as standard chemotherapy each cycle

Locations

Country	Name	City	State
Poland	Ewa Kalinka-Warzocha	Lodz

Sponsors (1)

Lead Sponsor	Collaborator
Oncozyme Pharma Inc.

Country where clinical trial is conducted

Poland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Overall Response	To assess the effect of OCZ103-OS on overall objective response in subjects with stage IV non-small cell lung cancer.	one year four months	No