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Docetaxel and Bortezomib in Treating Patients With Progressive or Recurrent Non-Small Cell Lung Cancer

Primary Purpose

Non-small Cell Lung Cancer, Recurrent Non-small Cell Lung Cancer, Stage IV Non-small Cell Lung Cancer

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
docetaxel
bortezomib
laboratory biomarker analysis
immunoenzyme technique
immunohistochemistry staining method
pharmacological study
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-small Cell Lung Cancer

Eligibility Criteria

18 Years - 120 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Criteria: No other prior malignancy except adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated stage I or II cancer for which the patient is currently in complete remission, or any other cancer for which the patient has been disease-free for 5 years. Histologically or cytologically confirmed non-small cell lung cancer (NSCLC). Progressive or recurrent NSCLC after treatment with 1 prior platinum-based chemotherapy regimen for metastatic disease. Prior neoadjuvant/adjuvant chemotherapy and/or concurrent chemoradiation for early-stage disease allowed. At least 4 weeks since prior chemotherapy (6 weeks for mitomycin C or nitrosoureas) and recovered. No prior docetaxel or bortezomib Prior epidermal growth factor receptor inhibitor therapy allowed. Prior paclitaxel allowed At least 4 weeks since prior major surgery and recovered. At least 2 weeks since prior and no concurrent enzyme-inducing anticonvulsants. No concurrent hormonal therapy, biologic therapy, or radiotherapy to measurable lesions. Concurrent palliative radiotherapy to small-field nonindicator lesions (e.g., painful bony metastases) allowed. Measurable disease* with >= 1 unidimensionally objectively measurable lesion, including any of the following: Lung mass (measurable on chest x-ray, tomograms, or CT scan) Enlarged lymph nodes Liver metastasis (measurable as a discrete focal lesion on radionuclide or CT scan, or ultrasound) Metastatic abdominal mass (measurable on CT scan with >= 1 perpendicular diameter ≥ the distance between cuts) Measurable disease must be outside the previous radiation field or a new lesion must be present. Life expectancy >= 12 weeks Progressive disease within a previously radiated field allowed. [Note: *Measurable disease DOES NOT include bone metastases or non-focal liver metastases]. No symptomatic or untreated brain metastasis requiring steroids. Asymptomatic, previously treated (surgical resection or radiotherapy) brain metastasis allowed provided they are neurologically stable and >= 4 weeks since prior steroids. Creatinine clearance >= 50 mL/min Creatinine =< 1.6 mg/dL Bilirubin normal AST =< 2 times upper limit of normal Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No peripheral neuropathy >= grade 2 Absolute granulocyte count >= 1,500/mm³ Platelet count >= 100,000/mm³ Cutaneous nodule ECOG performance status 0-1 At least 4 weeks since prior radiotherapy and recovered.

Sites / Locations

  • City of Hope Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Arm 1

Arm 2

Arm Description

Patients receive docetaxel IV over 60 minutes on day 1 and bortezomib IV over 3-5 seconds on days 1 and 8.

Patients receive docetaxel as in arm I and bortezomib IV over 3-5 seconds on days 2 and 8.

Outcomes

Primary Outcome Measures

Overall Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT, MRI or X-ray: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Secondary Outcome Measures

Overall Survival
Will be estimated using the product-limit method of Kaplan and Meier.
Disease Control Rate
Disease control rate was defined as the rate of partial response (PR) plus stable disease (SD; for at least 2 cycles).
Progression-free Survival @ 6 Months
Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Full Information

First Posted
August 10, 2006
Last Updated
October 31, 2017
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00362882
Brief Title
Docetaxel and Bortezomib in Treating Patients With Progressive or Recurrent Non-Small Cell Lung Cancer
Official Title
Randomized Phase II Trial of Sequential Versus Concurrent Docetaxel and PS-341 (NSC 681239) in Previously Treated Non-Small Cell Lung Cancer (NSCLC)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
July 2006 (undefined)
Primary Completion Date
July 2010 (Actual)
Study Completion Date
July 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Cancer Institute (NCI)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This trial is studying two different schedules of docetaxel and bortezomib to compare how well they work in treating patients with progressive or recurrent non-small cell lung cancer. Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Bortezomib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving docetaxel together with bortezomib may kill more tumor cells
Detailed Description
PRIMARY OBJECTIVE: I. To compare the efficacy and tolerability of sequential vs concurrent docetaxel and bortezomib in patients with previously treated, progressive or recurrent, advanced non-small cell lung cancer (NSCLC). SECOND OBJECTIVES: I. To compare time to progression in patients with previously treated NSCLC treated with these regimens. II. To compare 1-year and overall survival of patients treated with these regimens. III. To compare the toxicity of these regimens in these patients. IV. To determine the pharmacokinetics of docetaxel in the context of this study. TERTIARY OBJECTIVE: I. To determine levels of expression of molecular markers regulated by docetaxel and bortezomib and correlate with clinical response and overall survival of these patients. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to ECOG performance status (0 vs 1) and number of prior chemotherapy treatments (1 vs >1). Patients are randomized to 1 of 2 treatment arms. ARM I: Patients receive docetaxel IV over 60 minutes on day 1 and bortezomib IV over 3-5 seconds on days 1 and 8. Treatment repeats every 21 days for up to 8 courses in the absence of disease progression or unacceptable toxicity. ARM II: Patients receive docetaxel as in arm I and bortezomib IV over 3-5 seconds on days 2 and 8. Treatment repeats every 21 days for up to 8 courses in the absence of disease progression or unacceptable toxicity. After completion of study therapy, patients are followed periodically.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-small Cell Lung Cancer, Recurrent Non-small Cell Lung Cancer, Stage IV Non-small Cell Lung Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
81 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm 1
Arm Type
Experimental
Arm Description
Patients receive docetaxel IV over 60 minutes on day 1 and bortezomib IV over 3-5 seconds on days 1 and 8.
Arm Title
Arm 2
Arm Type
Experimental
Arm Description
Patients receive docetaxel as in arm I and bortezomib IV over 3-5 seconds on days 2 and 8.
Intervention Type
Drug
Intervention Name(s)
docetaxel
Other Intervention Name(s)
RP 56976, Taxotere, TXT
Intervention Description
Given IV
Intervention Type
Drug
Intervention Name(s)
bortezomib
Other Intervention Name(s)
LDP 341, MLN341, VELCADE
Intervention Description
Given IV
Intervention Type
Other
Intervention Name(s)
laboratory biomarker analysis
Intervention Description
correlative study
Intervention Type
Other
Intervention Name(s)
immunoenzyme technique
Other Intervention Name(s)
immunoenzyme techniques
Intervention Description
correlative study
Intervention Type
Other
Intervention Name(s)
immunohistochemistry staining method
Other Intervention Name(s)
immunohistochemistry
Intervention Description
correlative study
Intervention Type
Other
Intervention Name(s)
pharmacological study
Other Intervention Name(s)
pharmacological studies
Intervention Description
correlative study
Primary Outcome Measure Information:
Title
Overall Response Rate
Description
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT, MRI or X-ray: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR
Time Frame
Up to 4 years
Secondary Outcome Measure Information:
Title
Overall Survival
Description
Will be estimated using the product-limit method of Kaplan and Meier.
Time Frame
From first day of treatment to time of death due to any cause, up to 4 years
Title
Disease Control Rate
Description
Disease control rate was defined as the rate of partial response (PR) plus stable disease (SD; for at least 2 cycles).
Time Frame
Up to 4 years
Title
Progression-free Survival @ 6 Months
Description
Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
120 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Criteria: No other prior malignancy except adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated stage I or II cancer for which the patient is currently in complete remission, or any other cancer for which the patient has been disease-free for 5 years. Histologically or cytologically confirmed non-small cell lung cancer (NSCLC). Progressive or recurrent NSCLC after treatment with 1 prior platinum-based chemotherapy regimen for metastatic disease. Prior neoadjuvant/adjuvant chemotherapy and/or concurrent chemoradiation for early-stage disease allowed. At least 4 weeks since prior chemotherapy (6 weeks for mitomycin C or nitrosoureas) and recovered. No prior docetaxel or bortezomib Prior epidermal growth factor receptor inhibitor therapy allowed. Prior paclitaxel allowed At least 4 weeks since prior major surgery and recovered. At least 2 weeks since prior and no concurrent enzyme-inducing anticonvulsants. No concurrent hormonal therapy, biologic therapy, or radiotherapy to measurable lesions. Concurrent palliative radiotherapy to small-field nonindicator lesions (e.g., painful bony metastases) allowed. Measurable disease* with >= 1 unidimensionally objectively measurable lesion, including any of the following: Lung mass (measurable on chest x-ray, tomograms, or CT scan) Enlarged lymph nodes Liver metastasis (measurable as a discrete focal lesion on radionuclide or CT scan, or ultrasound) Metastatic abdominal mass (measurable on CT scan with >= 1 perpendicular diameter ≥ the distance between cuts) Measurable disease must be outside the previous radiation field or a new lesion must be present. Life expectancy >= 12 weeks Progressive disease within a previously radiated field allowed. [Note: *Measurable disease DOES NOT include bone metastases or non-focal liver metastases]. No symptomatic or untreated brain metastasis requiring steroids. Asymptomatic, previously treated (surgical resection or radiotherapy) brain metastasis allowed provided they are neurologically stable and >= 4 weeks since prior steroids. Creatinine clearance >= 50 mL/min Creatinine =< 1.6 mg/dL Bilirubin normal AST =< 2 times upper limit of normal Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No peripheral neuropathy >= grade 2 Absolute granulocyte count >= 1,500/mm³ Platelet count >= 100,000/mm³ Cutaneous nodule ECOG performance status 0-1 At least 4 weeks since prior radiotherapy and recovered.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Primo Lara
Organizational Affiliation
University of California, Davis
Official's Role
Principal Investigator
Facility Information:
Facility Name
City of Hope Medical Center
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States

12. IPD Sharing Statement

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Docetaxel and Bortezomib in Treating Patients With Progressive or Recurrent Non-Small Cell Lung Cancer

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