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Survival in a Randomized Phase III Trial in Patients With Limited Disease (LD) Small Cell Lung Cancer Vaccinated With Adjuvant BEC2 and BCG

Primary Purpose

Carcinoma, Small Cell Lung

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
BEC2 Vaccine
Sponsored by
Eli Lilly and Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Carcinoma, Small Cell Lung focused on measuring LD Small Cell Lung Cancer, BEC2, vaccine, adjuvant, monoclonal antibody, LD Small Cell Lung Cancer (VA Classification, Zelen, 1973)

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Histo-cytologically proven SCLC Limited disease at diagnosis Age greater than or equal to 18 Patients with a clinical response of CR or PR to first line combined modality therapy KPS greater than or equal to 60 Adequate bone marrow, liver and heart functions Written informed Consent Exclusion Criteria: Prior surgical treatment for SCLC History of tuberculosis NCIC CTG grade 3 local skin toxicity reaction (ulceration) to > IU PPD test > 5 IU HIV positive Splenectomy or spleen radiation therapy in medical history Prior therapy to proteins of murine origin Any second line therapy for SCLC Investigational agent or immune therapy within 4 weeks prior to study randomization Severe active infections Active infections requiring systemic antibiotics, antiviral, or antifungal treatments Serious unstable chronic illness The use of systemic anti-histamines, NSAID or systemic corticosteroids Any previous malignancy except adequately treated CIS of the cervix or non melanoma skin cancer or if previous malignancy was more than 5 years prior and there are no signs of recurrence Pregnancy or breast feeding or absence of adequate contraception for fertile patients Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be assessed with the patient before randomization in the trial.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    No Intervention

    Experimental

    Arm Label

    1

    2

    Arm Description

    Best supportive care, but no cancer specific therapy (cytotoxic, radiation or other tumor reductive therapy) can be given until documented progression of disease.

    Treatment will consist of 5 vaccinations (each consisting of 8 single intradermal injections) over a period of 10 to 12 weeks unless one of the following occur: intolerable toxicity precluding further treatment progression of disease patient refusal occurrence of pregnancy

    Outcomes

    Primary Outcome Measures

    Overall survival

    Secondary Outcome Measures

    Progression-free survival
    Safety
    Quality of Life
    Health Economics Aspects

    Full Information

    First Posted
    May 20, 2002
    Last Updated
    April 7, 2010
    Sponsor
    Eli Lilly and Company
    Collaborators
    Merck KGaA, Darmstadt, Germany, EORTC Lung Cancer Cooperative Group, Spanish Lung Cancer Group, Schweizerische Arbeitsgruppe fuer angewandte Krebsforschung (SAKK), US Department of Veterans Affairs, Groupe Francais De Pneumo-Cancerologie, Memorial Sloan Kettering Cancer Center, Independent centers (Australia, New Zealand, Europe, USA)
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00037713
    Brief Title
    Survival in a Randomized Phase III Trial in Patients With Limited Disease (LD) Small Cell Lung Cancer Vaccinated With Adjuvant BEC2 and BCG
    Official Title
    The SILVA Study: Survival in an International Phase III Prospective Randomized LD Small Cell Lung Cancer Vaccination Study With Adjuvant BEC2 and BCG
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2010
    Overall Recruitment Status
    Completed
    Study Start Date
    September 1998 (undefined)
    Primary Completion Date
    October 2002 (Actual)
    Study Completion Date
    October 2002 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Eli Lilly and Company
    Collaborators
    Merck KGaA, Darmstadt, Germany, EORTC Lung Cancer Cooperative Group, Spanish Lung Cancer Group, Schweizerische Arbeitsgruppe fuer angewandte Krebsforschung (SAKK), US Department of Veterans Affairs, Groupe Francais De Pneumo-Cancerologie, Memorial Sloan Kettering Cancer Center, Independent centers (Australia, New Zealand, Europe, USA)

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This trial is designed to test the impact of adjuvant BEC2 (2.5 mg)/BCG vaccination on survival in patients with LD Small Cell Lung Cancer (SCLC). Patients will be stratified by institution, KPS (60 - 70% vs 80 - 100%), and response to first line combined modality therapy (CR vs PR) that consisted of at least a 2 drug regimen (4 - 6 cycles) and a chest radiotherapy regimen. Patients will be randomized to one of two treatment arms: standard arm (Observational cohort) or best supportive care, or the treatment arm (5 intradermal vaccinations of BEC2 (2.5 mg) + BCG given on day 1 of weeks 0, 2, 4, 6, and 10.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Carcinoma, Small Cell Lung
    Keywords
    LD Small Cell Lung Cancer, BEC2, vaccine, adjuvant, monoclonal antibody, LD Small Cell Lung Cancer (VA Classification, Zelen, 1973)

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    515 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    No Intervention
    Arm Description
    Best supportive care, but no cancer specific therapy (cytotoxic, radiation or other tumor reductive therapy) can be given until documented progression of disease.
    Arm Title
    2
    Arm Type
    Experimental
    Arm Description
    Treatment will consist of 5 vaccinations (each consisting of 8 single intradermal injections) over a period of 10 to 12 weeks unless one of the following occur: intolerable toxicity precluding further treatment progression of disease patient refusal occurrence of pregnancy
    Intervention Type
    Biological
    Intervention Name(s)
    BEC2 Vaccine
    Intervention Description
    5 vaccinations of BEC2 (2.5 mg) + BCG given day 1 of weeks 0,2,4,6 & 10.
    Primary Outcome Measure Information:
    Title
    Overall survival
    Time Frame
    6 monthly basis until progression of disease
    Secondary Outcome Measure Information:
    Title
    Progression-free survival
    Time Frame
    6 monthly basis until progression of disease
    Title
    Safety
    Time Frame
    6 monthly basis until progression of disease
    Title
    Quality of Life
    Time Frame
    6 monthly basis until progression of disease
    Title
    Health Economics Aspects
    Time Frame
    6 monthly basis until progression of disease

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Histo-cytologically proven SCLC Limited disease at diagnosis Age greater than or equal to 18 Patients with a clinical response of CR or PR to first line combined modality therapy KPS greater than or equal to 60 Adequate bone marrow, liver and heart functions Written informed Consent Exclusion Criteria: Prior surgical treatment for SCLC History of tuberculosis NCIC CTG grade 3 local skin toxicity reaction (ulceration) to > IU PPD test > 5 IU HIV positive Splenectomy or spleen radiation therapy in medical history Prior therapy to proteins of murine origin Any second line therapy for SCLC Investigational agent or immune therapy within 4 weeks prior to study randomization Severe active infections Active infections requiring systemic antibiotics, antiviral, or antifungal treatments Serious unstable chronic illness The use of systemic anti-histamines, NSAID or systemic corticosteroids Any previous malignancy except adequately treated CIS of the cervix or non melanoma skin cancer or if previous malignancy was more than 5 years prior and there are no signs of recurrence Pregnancy or breast feeding or absence of adequate contraception for fertile patients Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be assessed with the patient before randomization in the trial.

    12. IPD Sharing Statement

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    Survival in a Randomized Phase III Trial in Patients With Limited Disease (LD) Small Cell Lung Cancer Vaccinated With Adjuvant BEC2 and BCG

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