- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01502202
Intercalated Administration of PamCis With Gefitinib or Placebo as First Line Lung Adenocarcinoma in Never Smokers
A Randomized Placebo-controlled Phase II Study of Intercalated Administration of Pemetrexed/Cisplatin With Iressa® (Gefitinib) or Placebo as First-line Treatment of Stage IIIB/IV Lung Adenocarcinoma in Never-smokers
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Investigators believe this PFS curve crossing-over in both IPASS and First-SIGNAL study is mainly due to early progression of EGFR mutation-negative tumors after gefitinib alone. Taken together with the FASTACT trial results, this PFS curve crossing-over may well be averted if effective chemotherapy is given together with gefitinib in a most optimum timing and sequence. Apparently, timing of EGFR-TKI administration within chemotherapy cycles is very critical, as shown in OSI 9774 trial.
In this placebo-controlled randomized phase II, Investigators propose to give gefitinib on days 5-18 of a 3-weekly chemotherapy cycle of pemetrexed/cisplatin to avoid any potential overlap of EGFR-TKI effects on chemotherapy or vice versa. Investigators would like to generate promising pilot data, which warrants a large phase III trial. Investigators hope to show that intercalated administration of Iressa® (gefitinib) and Pemetrexed/platinum regimen improves the outcome of never-smokers with advanced (stage IIIB/IV) lung adenocarcinoma.
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Jin Soo Lee, M.D. PhD.
- Phone Number: +82-31-920-1501
- Email: jslee@ncc.re.kr
Study Locations
-
-
Gyenggido
-
Goyang-si, Gyenggido, Korea, Republic of, 410-769
- Recruiting
- National Cancer Center
-
Contact:
- Jin Soo Lee, MD. Ph.D.
- Phone Number: +82-31-920-1501
- Email: jslee@ncc.re.kr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Histologically or cytologically confirmed diagnosis of adenocarcinoma of lung with or without BAC features; however, adenocarcinoma combined with other histology, such as small cell carcinoma or squamous carcinoma, is not allowed.
- Stage IIIB (not amenable for radical loco-regional therapy) or stage IV (metastatic) patients according to the 7th TNM staging system
- Age 18-75
- Never-smoking defined as not more than 100 cigarettes during the lifetime
- ECOG performance status of 0-2
- Good organ function
- The presence of CNS metastases is not considered as an exclusion criterion, provided that there is good control of the symptoms with corticosteroids
- Patients must sign an informed consent indicating that they are aware of the investigational nature of the study in keeping with the policy of the hospital. The only approved consent form is attached to this protocol
Exclusion Criteria:
- Patients with prior exposure to agents directed at the HER
- Patients with prior chemotherapy or therapy with systemic anti-tumour therapy for advanced disease.
- Lack of physical integrity of the upper gastrointestinal tract, or malabsorption syndrome, or inability to take oral medication, or have active peptic ulcer disease.
- Known severe hypersensitivity to gefitinib or to any of the study drugs.
- Any evidence of clinically active interstitial lung disease
- Concomitant use of phenytoin, carbamazepine, rifampicin, barbiturates, or St John's Wort
- Prior invasive malignancies 3 years prior to study entry except adequately treated cutaneous basal cell carcinoma or uterine cervix in situ cancer
- As judged by the investigator, any evidence of severe or uncontrolled systemic disease
- Evidence of any other significant clinical disorder or laboratory finding that makes it undesirable for the subject to participate in the study
- Treatment with a non-approved or investigational drug within 30 days before Day 1 of study treatment.
- Pregnancy or breast-feeding (women of child-bearing potential).
- Sexually active males and females (of childbearing potential) unwilling to practice acceptable methods of birth control
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Study arm
Pemetrexed plus Cisplatin plus Gefitinib
|
Gefitinib 250mg, per PO.
daily, D 5-18 (during 14 days)
Other Names:
Pemetrexed 500mg/m2 on D1 plus Cisplatin 75mg/m2 on D1 every 3 weeks maximum 9 cycles
Other Names:
|
Placebo Comparator: Placebo arm
Pemetrexed plus Cisplatin plus Placebo
|
Pemetrexed 500mg/m2 on D1 plus Cisplatin 75mg/m2 on D1 every 3 weeks maximum 9 cycles
Other Names:
Placebo 1 tablet, per PO, Daily on D 5-18 (during 14 days)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To compare progression-free survival
Time Frame: minimum 1-year follow-up
|
from date of randomization until the date of first documented progression or death from any case. Assessed minimum 1 years. |
minimum 1-year follow-up
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To compare objective response rate (CR+PR)
Time Frame: minimum 1-year follow-up
|
every 9 weeks until PD
|
minimum 1-year follow-up
|
To compare duration of response.
Time Frame: minimum 1-year follow-up
|
minimum 1-year follow-up
|
|
To compare non progression rate (CR+PR+SD) at 16 weeks.
Time Frame: at 16 weeks
|
at 16 weeks
|
|
To compare overall survival.
Time Frame: minimum 1-year follow-up
|
minimum 1-year follow-up
|
|
To compare number of Grade 3/4 Adverse Events
Time Frame: average up to 1 year
|
Participants will be followed for the duration of chemotherapy.
CTCAE version 4.0
|
average up to 1 year
|
To assess biomarker
Time Frame: minimum 1-year follow-up
|
minimum 1-year follow-up
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Jin Soo Lee, M.D. PhD., National Cancer Center
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Lung Neoplasms
- Adenocarcinoma
- Adenocarcinoma of Lung
- Molecular Mechanisms of Pharmacological Action
- Nucleic Acid Synthesis Inhibitors
- Enzyme Inhibitors
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Folic Acid Antagonists
- Gefitinib
- Pemetrexed
Other Study ID Numbers
- NCCCTS-11-581
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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