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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00723957
Other study ID # CA163-163
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date December 2008
Est. completion date August 2011

Study information

Verified date October 2020
Source R-Pharm
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine whether progression-free survival with ixabepilone is superior to that achieved with paclitaxel plus carboplatin in participants with advanced nonsmall-cell lung cancer and beta III (βIII)-tubulin-positive tumors.


Recruitment information / eligibility

Status Completed
Enrollment 260
Est. completion date August 2011
Est. primary completion date May 2010
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Histologically confirmed non-small cell lung cancer (NSCLC)(squamous cell, adenocarcinoma, large cell, or bronchoalveolar carcinoma) - Stage IIIB NSCLC with pleural effusion, Stage IV NSCLC, or recurrent disease following surgery with or without radiation therapy - Available paraffin-embedded tissue to measure the expression levels of ßIII tubulin - Disease measurable by Response Evaluation Criteria in Solid Tumors, with at least 1 target lesion situated outside any previous radiotherapy field - Karnofsky performance status of 70-100 - Life expectancy of at least 3 months - Men and women, ages 18 years and older Exclusion Criteria: - Uncontrolled brain metastases - Peripheral neuropathy greater than Grade 1 - Fewer than 4 weeks from prior radiation therapy or locoregional surgeries to randomization date (less than 1 week from focal/palliative radiotherapy or minor surgery) - Any concurrent malignancy other than nonmelanoma skin cancer or carcinoma in situ of the cervix - Known HIV-positive status - Absolute neutrophil count lower than 1500 cells mm^3 - Total bilirubin level higher than upper limit of normal (ULN) as defined by the institution (with the exception of elevation due to Gilbert's syndrome) - Aspartate transaminase or alanine transaminase level higher than 2.5*ULN - Serum creatine level of 1.5 mg/dL or higher - Renal function with a creatinine clearance of less than 50 mL/min (as calculated with the Cockcroft and Gault equation) - Any prior antineoplastic systemic regimens.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Ixabepilone, 32 mg/m^2
Intravenous (IV) solutions, ixabepilone, 32 mg/m^2
Paclitaxel, 200 mg/m^2
IV solutions, paclitaxel, 200 mg/m^2
Carboplatin (area under the concentration curve [AUC] 6)
Carboplatin (AUC 6) day 1, every 21 days, 6 cycles

Locations

Country Name City State
Argentina Local Institution Buenos Aires
Argentina Local Institution Capital Federal Buenos Aires
Argentina Local Institution Capital Federal Buenos Aires
Australia Local Institution Bankstown New South Wales
Australia Local Institution Frankston Victoria
Australia Local Institution Nedlands Western Australia
France Local Institution Poitiers
France Local Institution Strasbourg
France Local Institution Strasbourg
Germany Local Institution Bad Berka
Germany Local Institution Grosshansdorf
Germany Local Institution Ulm
Italy Local Institution Genova
Italy Local Institution Milano
Italy Local Institution Sondrio
Italy Local Institution Terni
Korea, Republic of Local Institution Goyang-Si Gyeonggi-Do
Korea, Republic of Local Institution Seoul
Korea, Republic of Local Institution Seoul
Korea, Republic of Local Institution Seoul
Russian Federation Local Institution Chelyabinsk
Russian Federation Local Institution Kazan
Russian Federation Local Institution Moscow
Russian Federation Local Institution Moscow
Russian Federation Local Institution Ryazan
Russian Federation Local Institution St. Petersburg
Russian Federation Local Institution St. Petersburg
Spain Local Institution Baracaldo (Vizcaya)
Taiwan Local Institution Taichung
Taiwan Local Institution Taipei
Taiwan Local Institution Taoyuan Hsien
United States Uof Md,Greenebaum Cancer Ctr. Baltimore Maryland
United States Scripps Cancer Center La Jolla California

Sponsors (1)

Lead Sponsor Collaborator
R-Pharm

Countries where clinical trial is conducted

United States,  Argentina,  Australia,  France,  Germany,  Italy,  Korea, Republic of,  Russian Federation,  Spain,  Taiwan, 

Outcome

Type Measure Description Time frame Safety issue
Primary Progression-free Survival in the Subgroup of Participants With ßIII-tubulin Positive Tumors Progression-free survival is defined as the period from date of randomization to date of disease progression or death. For participants who do not progress or die at the end of the study, progression-free survival was censored at the last tumor assessment date. For those who have no on-study tumor assessment, progression-free survival was censored at the date of randomization. A tumor was considered to be beta III (ßIII)-tubulin positive if 50% or more of the tumor cells had a ßIII-tubulin immunohistochemistry staining intensity equal to or greater than that of the positive control. Randomization to disease progression or death (maximum reached: 14.39 months )
Secondary Progression-free Survival in the Subgroup of Participants With ßIII-tubulin Negative Tumors Progression-free survival is defined as the period from date of randomization to date of disease progression or death. For participants who do not progress or die at the end of the study, progression-free survival was censored at the last tumor assessment date. For those who have no on study tumor assessment, progression-free survival was censored at the date of randomization. Randomization to disease progression or death (maximum reached: 12.29 months)
Secondary Progression-free Survival in the Overall Population Progression-free survival is defined as the period from date of randomization to date of disease progression or death. For participants who do not progress or die at the end of the study, progression-free survival was censored at the last tumor assessment date. For those who have no on study tumor assessment, progression-free survival was censored at the date of randomization. Randomization to disease progression or death, assessed to 12.29 months
Secondary Percentage of Participants With Best Response of Complete Response (CR) or Partial Response (PR) Response evaluated per Response Evaluaton in Solid Tumor (V1.0) guidelines and assessed using magnetic resonance imaging. Percentage of best response=the total number of participants with the best overall response of CR or PR divided by the total number of randomized participants in that treatment arm. CR=disappearance of all target lesions; PR=at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. At randomization and then every 6 weeks to date of CR, PR, or progression for 6 21-day cycles
Secondary Time to Response Time to Response is defined as the time from randomization date until the date of first response (Partial Response [PR] or Complete Response [CR]) Randomization to date of first response (PR or CR)
Secondary Number of Participants With Death as Outcome, Drug-related Adverse Events (AEs), Serious AEs (SAEs), Drug-related SAEs, AEs Leading to Discontinuation, and Drug-related Peripheral Neuropathy An AE is any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not necessarily have a causal relationship with treatment. An SAE is any unfavorable medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency or abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related is defined as possibly, probably, or certainly related to and of unknown relationship to study treatment. Days 1 through 21, continuously
Secondary Number of Participants With Hematology Laboratory Results of Grade 3 or 4 LLN=lower level of normal. Leukocytes (leukopenia) Grade 1: At screening and weekly during 21-day cycle
Secondary Number of Participants With Grade 3 or 4 Abnormalities in Liver Function and Urine Laboratory Test Results ULN=upper level of normal. Alkaline phosphatase (ALP) Gr 1:>ULN to 2.5*ULN, Gr 2: >2.5 to 5.0*ULN, Gr 3: >5.0 to 20.0*ULN, Gr 4: >20.0*ULN; Aspartate aminotransferase (AST) Gr 1: >ULN to 2.5*ULN, Gr 2: >2.5 to 5.0*ULN, Gr 3: >5.0 to 20.0*ULN, Gr 4: >20.0*ULN At screening and within 72 hours of start of 21-day cycle (Cycle 2 and beyond)
Secondary Median Length of Survival in the Overall Population and in the Subgroups of Patients With ßIII-tubulin Positive (ß3T+) and ßIII-tubulin Negative (ß3T-)Tumors Overall Survival was computed for all randomized participants and was defined as the time between randomization and death. Participants who did not die at the end of the study were censored at their last known alive date. Randomization to death or last known alive date, up to 31.34 months
See also
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Completed NCT00428220 - A Continuation Study Using Sunitinib Malate For Patients Leaving Treatment On A Previous Sunitinib Study. N/A

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