Non-small Cell Lung Cancer Clinical Trial
Official title:
An Open-label, Multi-center, Phase II Study to Evaluate the Activity of Patupilone (EPO906), in the Treatment of Recurrent or Progressive Brain Metastases in Patients With Non-small Cell Lung Cancer.
Verified date | February 2021 |
Source | Novartis |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The study objective is to evaluate the safety and efficacy of patupilone with respect to early progression and response of patients with non-small cell lung cancer (NSCLC) metastatic to the brain, who have progressed after chemotherapy, surgery and/or radiation.
Status | Completed |
Enrollment | 50 |
Est. completion date | June 24, 2010 |
Est. primary completion date | June 24, 2010 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - World Health Organization (WHO) performance status of 0, 1 or 2 (corresponding to Karnofsky performance status of 50 or better) - Patients with radiologically proven (by gadolinium-enhanced [Gd-] magnetic resonance imaging [MRI]) parenchymal brain metastases from histologically confirmed non-small cell lung cancer (the primary disease may be quiescent). Gd-MRI must be performed within 2 weeks of study entry. - Patients should have at least one bidimensionally measurable intracranial lesion of a minimum of 2 cm as defined by Gd-MRI. If the patient has had previous radiation to the marker lesion(s), there must be evidence of residual disease > 2 cm or the lesion must have demonstrated progression since the radiation. - Those patients progressing on radiotherapy must have a 25% increase in the size of the previously radiated intracranial lesion based on the Neuro-Oncology Criteria of Tumor Response for Central Nervous System (CNS) Tumors or appearance of new lesions. - Patients must be controlled on medication and neurologically stable: stable on steroids and anticonvulsants for at least 2 weeks prior to obtaining the baseline Gd-MRI of the brain, and/or at least 2 weeks prior to beginning study treatment. - Female patients must have a negative serum pregnancy test at screening. (Not applicable to patients with bilateral oophorectomy and/or hysterectomy or to those patients who are postmenopausal.) - All patients of reproductive potential must agree to use an effective method of contraception during the study and for three months following termination of treatment. - Written informed consent must be obtained. Exclusion Criteria: - Clinical evidence of leptomeningeal disease - Patients with extracranial disease in more than 3 organ sites including the primary tumor. - Patients who have received any investigational compound within the past 28 days or who are planning to receive other investigational drugs while participating in the study - Prior administration of epothilone(s) - Patients with peripheral neuropathy > grade 1 - Patients with unresolved diarrhea within the last 7 days before treatment. - Patients receiving known diarrheogenic agents must stop treatment with these agents prior to enrollment in the study. - Radiotherapy < 3 weeks prior to study entry - Prior intracranial surgery < 3 weeks prior to study entry; patient must have recovered from surgery prior to study entry. - Chemotherapy < 3 weeks prior to study entry; < 6 weeks from prior nitrosoureas. - Severe cardiac insufficiency (New York Heart Association [NYHA] III or IV), with uncontrolled and/or unstable cardiac or coronary artery disease - Radiotherapy not permitted while on study. Exception: palliative radiotherapy of metastasis in extremities is allowed, but such lesions cannot be used as target or non-target lesions. - Patients receiving hematopoietic growth factors except for erythropoietin - Patients taking Coumadin® or other agents containing warfarin, with the exception of low dose Coumadin® (1 mg or less daily) administered prophylactically for maintenance of in-dwelling lines or ports |
Country | Name | City | State |
---|---|---|---|
United States | Dana Farber Cancer Institute SC | Boston | Massachusetts |
United States | Roswell Park Cancer Institute | Buffalo | New York |
United States | Cleveland Clinic Foundation | Cleveland | Ohio |
United States | Wayne State University/Wertz Clinical Cancer Center Div. of Hematology/Oncology | Detroit | Michigan |
United States | Duke University Medical Center Dept. of DUMC (3) | Durham | North Carolina |
United States | Dartmouth Hitchcock Medical Center Oncology | Lebanon | New Hampshire |
United States | University of Wisconsin Hospital and Clinics | Madison | Wisconsin |
United States | Columbia University Medical Center New York Presbyterian | New York | New York |
United States | Memorial Sloan Kettering Cancer Center | New York | New York |
United States | University of California Davis Cancer Center UC Davis Cancer (3) | Sacramento | California |
United States | St Louis University Cancer Center | Saint Louis | Missouri |
United States | Washington University School of Medicine-Siteman Cancer Ctr | Saint Louis | Missouri |
Lead Sponsor | Collaborator |
---|---|
Novartis Pharmaceuticals |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Tumor response as assessed by radiologic techniques and/or physical examination based on Response Evaluation Criteria in Solid Tumors (RECIST) | throughout the study | ||
Secondary | Time to progression of the brain metastases | throughout the study | ||
Secondary | Pharmacokinetics (PK) of patupilone in blood | throughout the study |
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