Study of Participants With Advanced Non-Small Cell Lung Cancer
A Study of Pemetrexed Plus Carboplatin Followed by Maintenance Pemetrexed vs Paclitaxel Plus Carboplatin and Bevacizumab Followed by Maintenance Bevacizumab in Patients With Advanced NCSLC of Nonsquamous Histology
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Descripción detallada
Tipo de estudio
Tipo de estudio
Inscripción (Actual)
Inscripción
Fase
Fase
- Fase 3
Contactos y Ubicaciones
Ubicaciones de estudio
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Arizona
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Scottsdale, Arizona, Estados Unidos, 85259
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Tucson, Arizona, Estados Unidos, 85715
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California
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Mission Hills, California, Estados Unidos, 91345
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Florida
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Aventura, Florida, Estados Unidos, 33180
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Daytona Beach, Florida, Estados Unidos, 32114
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Fort Myers, Florida, Estados Unidos, 33916
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Gainesville, Florida, Estados Unidos, 32610
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Jacksonville, Florida, Estados Unidos, 32256
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Port Saint Lucie, Florida, Estados Unidos, 34952
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Georgia
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Athens, Georgia, Estados Unidos, 30607
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Augusta, Georgia, Estados Unidos, 30901
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Macon, Georgia, Estados Unidos, 31201
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Marietta, Georgia, Estados Unidos, 30060
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Idaho
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Post Falls, Idaho, Estados Unidos, 83854
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Illinois
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Gurnee, Illinois, Estados Unidos, 60031
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Joliet, Illinois, Estados Unidos, 60435
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Indiana
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Goshen, Indiana, Estados Unidos, 46526
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New Albany, Indiana, Estados Unidos, 47150
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Iowa
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Sioux City, Iowa, Estados Unidos, 51101
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Kentucky
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Mount Sterling, Kentucky, Estados Unidos, 40353
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Michigan
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Ann Arbor, Michigan, Estados Unidos, 48106
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Lansing, Michigan, Estados Unidos, 48910
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Southfield, Michigan, Estados Unidos, 48075
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Minnesota
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Rochester, Minnesota, Estados Unidos, 55905
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Missouri
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Branson, Missouri, Estados Unidos, 65616
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Montana
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Billings, Montana, Estados Unidos, 59107
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Great Falls, Montana, Estados Unidos, 59405
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New Mexico
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Albuquerque, New Mexico, Estados Unidos, 87106
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North Carolina
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Burlington, North Carolina, Estados Unidos, 27215
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High Point, North Carolina, Estados Unidos, 27262
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North Dakota
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Bismarck, North Dakota, Estados Unidos, 58501
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Fargo, North Dakota, Estados Unidos, 58122
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Ohio
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Cincinnati, Ohio, Estados Unidos, 45242
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Oklahoma
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Tulsa, Oklahoma, Estados Unidos, 74136
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Pennsylvania
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DuBois, Pennsylvania, Estados Unidos, 15801
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Philadelphia, Pennsylvania, Estados Unidos, 19107
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South Carolina
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Columbia, South Carolina, Estados Unidos, 29210
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Tennessee
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Chattanooga, Tennessee, Estados Unidos, 37404
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Memphis, Tennessee, Estados Unidos, 38119
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Nashville, Tennessee, Estados Unidos, 37203
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Texas
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Fort Worth, Texas, Estados Unidos, 76104
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Houston, Texas, Estados Unidos, 77030
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Utah
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Salt Lake City, Utah, Estados Unidos, 84106
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Virginia
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Richmond, Virginia, Estados Unidos, 23230
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Washington
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Kennewick, Washington, Estados Unidos, 99336
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- a histologic or cytologic diagnosis of advanced non-small cell lung cancer (NSCLC) [Stage IV from the American Joint Committee on Cancer Staging Criteria (AJCC) staging system, version 7.0, including both M1a and M1b], other than predominantly squamous cell histology, that is not amenable to curative therapy. Participants may not have received any prior systemic chemotherapy, immunotherapy, targeted therapy, or biological therapy, including adjuvant therapy, for any stage of NSCLC.
- prior radiation therapy is allowed to < 25% of the bone marrow; however, prior radiation to the whole pelvis not allowed.
- good performance status.
- adequate organ function.
- estimated life expectancy of at least 12 weeks.
Exclusion Criteria:
- known central nervous system (CNS) disease, other than treated brain metastasis.
- major surgical procedure, open biopsy, open pleurodesis, or significant traumatic injury within 28 days prior to study or have an anticipated need for major surgery during the study.
- core biopsy or other minor surgical procedure, excluding placement of vascular access device, closed pleurodesis, thoracentesis, and mediastinoscopy, within 7 days prior to study.
- history of gastrointestinal fistula, perforation, or abscess, inflammatory bowel disease, or diverticulitis.
- currently receiving ongoing treatment with full-dose warfarin or equivalent
- significant vascular disease within 6 months prior to Day 1 of Cycle 1.
- evidence of bleeding diathesis or coagulopathy.
- serious concomitant systemic disorder that, in the opinion of the investigator, would compromise the participant's ability to adhere to the protocol.
- serious cardiac condition, such as myocardial infarction, angina, or heart disease.
- inadequately controlled hypertension.
- any prior history of hypertensive crisis or hypertensive encephalopathy.
- serious, nonhealing wound, active ulcer, or untreated bone fracture.
- another active malignancy, other than superficial basal cell and superficial squamous (skin) cell, or carcinoma in situ of the cervix within the last 5 years.
- previously received treatment with paclitaxel, carboplatin, pemetrexed, or bevacizumab (prior intravitreal administration of bevacizumab does not preclude study participation).
- pregnant or breast-feeding.
- history of stroke or transient ischemic attack within 6 months prior to study.
- known sensitivity to any component of paclitaxel, carboplatin, pemetrexed, or bevacizumab.
- history of hemoptysis within 3 months prior to randomization.
- unable to interrupt aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs).
- unwilling to take folic acid or vitamin B12 supplementation.
- clinically significant third-space fluid collections, for example, ascites or pleural effusions that cannot be controlled by drainage. Participants with M1a disease with pleural effusions are eligible if the effusions can be adequately controlled.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
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Experimental: Pemetrexed + Carboplatin + Pemetrexed
Pemetrexed and Carboplatin followed by Pemetrexed
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Induction therapy: 500 milligrams/square meter (mg/m²) given intravenously every 21 days for 4 cycles.
Maintenance therapy: 500 mg/m² given intravenously every 21 days until disease progression or treatment discontinuation.
Otros nombres:
Induction Therapy (every 21 days for 4 cycles): Area Under the Curve (AUC) 6 [maximum possible dose of 900 milligrams (mg)] intravenously infused over 30 minutes.
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Comparador activo: Paclitaxel + Carboplatin + Bevacizumab
Paclitaxel, Carboplatin, and Bevacizumab followed by Bevacizumab
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Induction Therapy (every 21 days for 4 cycles): Area Under the Curve (AUC) 6 [maximum possible dose of 900 milligrams (mg)] intravenously infused over 30 minutes.
Induction Therapy (every 21 days for 4 cycles): 200 mg/m² intravenously infused over 3 hours
Induction therapy: 15 milligrams/kilogram (mg/kg) given intravenously every 21 days for 4 cycles.
Maintenance therapy: 15 mg/kg given intravenously every 21 days until disease progression or treatment discontinuation.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Progression Free Survival Without Grade 4 Toxicity (G4PFS) as Measured by the Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0
Periodo de tiempo: Randomization to measured progressive disease or treatment discontinuation up to 39.49 months
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G4PFS was defined as the duration from the date of randomization to the earliest occurrence date of one of the following three events: Common Terminology Criteria (CTC) grade 4 adverse events (G4AEs), or progressive disease (PD) or death from any cause, whichever occurred earlier.
PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0.
PD is ≥20% increase in sum of longest diameter of target lesions or the appearance of new lesions.
For participants who had no G4AEs, or PD, or death at the time of the data inclusion cutoff, PFS was censored at their last objective progression-free disease assessment prior to the cutoff date or the date of initiation of subsequent systemic anticancer therapy.
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Randomization to measured progressive disease or treatment discontinuation up to 39.49 months
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Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Progression Free Survival (PFS)
Periodo de tiempo: Randomization to measured progressive disease up to 39.49 months
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PFS was defined as the duration from the date of randomization to the date of progressive disease (PD) or death from any cause.
PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0.
PD was ≥20% increase in sum of longest diameter of target lesions or the appearance of new lesions.
For participants who had no PD or death at the time of the data inclusion cutoff, PFS was censored at their last objective progression-free disease assessment prior to the cutoff date or the date of initiation of subsequent systemic anticancer therapy.
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Randomization to measured progressive disease up to 39.49 months
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Overall Survival (OS)
Periodo de tiempo: Randomization to date of death from any cause up to 39.49 months
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OS was defined as the duration from the date of randomization to the date of death from any cause.
For participants who were alive at the time of the data inclusion cutoff, OS was censored at the last date the participant was known to be alive.
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Randomization to date of death from any cause up to 39.49 months
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Percentage of Participants With Complete Response or Partial Response (Overall Tumor Response Rate)
Periodo de tiempo: Baseline to date of objective progressive disease up to 39.49 months
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Overall Response rate (ORR) was the percentage of participants with a confirmed complete response (CR) or partial response (PR), as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0.
CR was the disappearance of all target and non-target lesions; PR was a ≥30% decrease in sum of longest diameter of target lesions without new lesion and progression of non-target lesions.
ORR was calculated as a total number of participants with CR or PR from the start of study treatment until disease progression or recurrence divided by the total number of participants treated, then multiplied by 100.
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Baseline to date of objective progressive disease up to 39.49 months
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Disease Control Rates Defined as Complete Response (CR), Partial Response (PR), and Stable Disease (SD)
Periodo de tiempo: Baseline to date of objective progressive disease up to 39.49 months
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Disease control rate was the percentage of participants with a confirmed CR, PR or SD, as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0.
CR was the disappearance of all target and non-target lesions; PR was a ≥30% decrease in sum of longest diameter of target lesions without new lesion and progression of non-target lesion; SD was neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease.
Disease control rate was calculated as a total number of participants with CR or PR or SD divided by the total number of participants treated, then multiplied by 100.
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Baseline to date of objective progressive disease up to 39.49 months
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Colaboradores e Investigadores
Patrocinador
Patrocinador
Publicaciones y enlaces útiles
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Inicio del estudio
Finalización primaria (Actual)
Finalización primaria
Finalización del estudio (Actual)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Enfermedades de las vías respiratorias
- Neoplasias
- Enfermedades pulmonares
- Neoplasias por sitio
- Neoplasias de las vías respiratorias
- Neoplasias torácicas
- Carcinoma Broncogénico
- Neoplasias Bronquiales
- Neoplasias Pulmonares
- Carcinoma de pulmón de células no pequeñas
- Efectos fisiológicos de las drogas
- Mecanismos moleculares de acción farmacológica
- Inhibidores de la síntesis de ácidos nucleicos
- Inhibidores de enzimas
- Agentes antineoplásicos
- Moduladores de tubulina
- Agentes antimitóticos
- Moduladores de mitosis
- Agentes antineoplásicos, fitogénicos
- Agentes antineoplásicos inmunológicos
- Inhibidores de la angiogénesis
- Agentes moduladores de la angiogénesis
- Sustancias de crecimiento
- Inhibidores del crecimiento
- Antagonistas del ácido fólico
- Carboplatino
- Paclitaxel
- Bevacizumab
- Pemetrexed
Otros números de identificación del estudio
Otros números de identificación del estudio
- 13258
- H3E-US-S130 (Otro identificador: Eli Lilly and Company)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Marco de tiempo para compartir IPD
Criterios de acceso compartido de IPD
Tipo de información de apoyo para compartir IPD
- PROTOCOLO DE ESTUDIO
- SAVIA
- RSC
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