Lung Cancer Clinical Trial
Official title:
Phase II Study of Vinflunine and Cetuximab in the Second Line Treatment of Stage IIIB/IV Non-Small Cell Lung Cancer
Verified date | February 2017 |
Source | UNC Lineberger Comprehensive Cancer Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
RATIONALE: Drugs used in chemotherapy, such as vinflunine, 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 cetuximab, can block tumor growth in different ways. Some
find tumor cells and help kill them or carry tumor-killing substances to them. Others
interfere with the ability of tumor cells to grow and spread. Giving vinflunine together
with cetuximab may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving vinflunine together with cetuximab
works as second-line therapy in treating patients with stage IIIB or stage IV non-small cell
lung cancer.
Status | Terminated |
Enrollment | 18 |
Est. completion date | November 2009 |
Est. primary completion date | February 2008 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed non-small cell lung cancer (NSCLC) meeting 1 of the following criteria: - Unresectable stage IIIB disease with pleural effusion or pericardial effusion - Stage IIIB disease that was treated with chemotherapy alone as first-line therapy - Stage IV disease - Must have documented progression of disease after receiving one cytotoxic chemotherapy regimen for metastatic disease - At least one lesion that is bidimensionally measurable by CT scan or MRI - Must have evaluable disease outside the radiation field - New lesions that develop within the radiation field are allowed - Measurable disease status as defined by RECIST criteria - Brain metastases allowed provided they have been previously treated and are controlled PATIENT CHARACTERISTICS: Inclusion criteria: - ECOG performance status 0-2 - ANC > 1,000/mm³ - Hemoglobin > 8.0 g/dL - Platelet count > 75,000/mm³ - Creatinine < 2.0 times upper limit of normal (ULN) - AST and ALT < 5 times ULN - Total bilirubin < 2.5 times ULN - Prior malignancy allowed provided the patient's life expectancy is best defined by the diagnosis of NSCLC - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception during and for up to 4 weeks after completion of study therapy Exclusion criteria: - Peripheral neuropathy = 2 - Severe allergic reaction to prior vinca alkaloid treatment - Active or uncontrolled infection - Significant history of uncontrolled cardiac disease, including any of the following: - Uncontrolled hypertension - Unstable angina - Myocardial infarction within the past 6 months - Uncontrolled congestive heart failure - Cardiomyopathy with decreased ejection fraction - Severe reaction to prior monoclonal antibody therapy PRIOR CONCURRENT THERAPY: Inclusion criteria: - See Disease Characteristics - Prior oral tyrosine kinase inhibitor therapy (e.g. gefitinib or erlotinib) allowed - Not considered cytotoxic therapy for study eligibility purposes if given alone as first-line therapy - At least 1 week since prior radiotherapy - At least 21 days since prior and no other concurrent chemotherapy - Prior adjuvant therapy allowed provided patient received one cytotoxic chemotherapy regimen as treatment for metastatic disease - Prior bevacizumab allowed Exclusion criteria: - Two or more cytotoxic chemotherapy regimens as treatment for metastatic disease - Prior therapy with monoclonal antibody directed at the EGFR pathway - Prior therapy with a vinca alkaloid in the metastatic setting - Concurrent bevacizumab - Other concurrent investigational agent(s) - Concurrent colony-stimulating factors as primary prophylaxis for the prevention of febrile neutropenia - Concurrent CYP3A4 inhibitor(s) |
Country | Name | City | State |
---|---|---|---|
United States | Alamance Oncology/Hematology Associates, LLP | Burlington | North Carolina |
United States | Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill | Chapel Hill | North Carolina |
Lead Sponsor | Collaborator |
---|---|
UNC Lineberger Comprehensive Cancer Center | Bristol-Myers Squibb |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Overall tumor response rate as assessed by RECIST criteria | Baseline, after cycle 2, within 2 weeks of completing cycle 4 | ||
Secondary | Duration of response | After cycle 4 | ||
Secondary | Overall survival | Every 30 days | ||
Secondary | Progression-free survival | after cycle 2, within 2 weeks of completing cycle 4 |
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