Carcinoma, Non Small Cell Lung Clinical Trial
Official title:
Phase I Trial of Vandetanib (ZD6474, Zactima) and Fulvestrant (Faslodex) as Third-Line Treatment of Advanced Non-Small Cell Lung Cancer
The purpose of this study is to evaluate the safety and tolerability of vandetanib and fulvestrant; to find the maximum tolerated dose of these two drugs; and to evaluate response rate and assess toxicity of this combination.
Current treatment for metastatic non-small cell lung cancer (NSCLC) is inadequate, with a
median survival of 8-12 months. Second-line therapy options include cytotoxic agents or
molecularly-targeted agents such as erlotinib. Nevertheless, only 7-9% of patients will
respond to standard second-line treatment. Treatment-related side effects from cytotoxic
drugs and declining performance status in patients with progressing disease are significant
issues in this patient population. Novel approaches with molecularly-targeted agents are
clearly needed.
The combination of vandetanib and fulvestrant addresses the potential to interfere with
multiple interdependent growth-stimulatory pathways simultaneously. Recent work has revealed
cross-talk between epidermal growth factor receptor (EGFR) and estrogen receptor (ER)
pathways. This clinical trial will evaluate the clinical interaction of the EGFR inhibitor,
vandetanib, in combination with the ER down-regulator, fulvestrant.
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Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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