ASA404 or Placebo in Combination With Paclitaxel and Carboplatin as First-Line Treatment for Stage IIIb/IV Non-Small Cell Lung Cancer (ATRACT-1)
Non-Small Cell Lung Cancer

About this trial
This is an interventional treatment trial for Non-Small Cell Lung Cancer focused on measuring Tumor vascular disrupting agent, VDA, ASA404, non-small cell lung cancer, NSCLC
Eligibility Criteria
Inclusion Criteria:
- Histologically confirmed non-small cell carcinoma of the lung. (Histological or cytological specimens must be collected via surgical biopsy, brushing, washing or core needle aspiration of a defined lesion. Sputum cytology is not acceptable.)
- Newly diagnosed Stage IIIb disease (malignant pleural effusion or pericardial effusion that have been confirmed cytologically) or Stage IV disease
- No prior systemic antineoplastic treatment for Stage IIIb/IV non-small cell carcinoma of the lung (Prior neoadjuvant or adjuvant chemotherapy for earlier stage I/II NSCLC is allowed if 12 months or more prior to Baseline visit.)
- Age ≥ 18 years old
- WHO Performance Status of 0-1
- Measurable or non-measurable disease per RECIST criteria (Post-text supplement 1)
Lab values within the range, as defined below, within 2 weeks of randomization:
- Absolute neutrophils count (ANC) > 2.0 x 109/L
- Platelets ≥ 100 x109/L
- Hemoglobin ≥ 10 g/dL
- Serum creatinine ≤ 1.5 x ULN (≤ 120 micro mol/L)
- Serum bilirubin ≤ 1.5 x ULN (≤ 25 micro mol/L)
- Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 2.5 x ULN (≤ 5 x ULN if liver metastases)
- International Normalized Ratio (INR) or Prothrombin Time (PT) ≤ 1.5 x IULN (Sections 6.9.1 and 7.3.4.2)
- Electrolyte values (potassium, calcium, magnesium) within > 1 x LLN and < 1 x ULN. Patients with corrected electrolyte values are eligible. See Sections 6.8.1 and 7.3.4.3.
- Females of child-bearing potential must have negative serum pregnancy test (confirmation of negative urine pregnancy test within 72 hours prior to initial dosing).
- Life expectancy ≥ 12 weeks
- Written informed consent obtained according to local guidelines
Exclusion Criteria:
- Patients having CNS metastases (Patients having any clinical signs of CNS metastases must have a CT or MRI of the brain performed to rule out CNS metastases in order to be eligible for study participation. Patients who have had brain metastases surgically removed or irradiated with no residual disease confirmed by imaging are allowed.).
- Patients with a history of another primary malignancy ≤ 5 years, with the exception of non-melanoma skin cancer or cervical cancer in situ.
- Radiotherapy ≤ 2 weeks prior to randomization. Patients must have recovered from all radiotherapy-related toxicities.
- Major surgery ≤ 4 weeks prior to randomization or minor surgery ≤ 2 weeks prior to randomization.(Major surgery is defined by the use of general anesthesia however, endoscopic examinations with diagnostic intent are not considered major surgery. Insertion of a vascular access device is exempt from this exclusion criteria. Patients must have recovered from all surgery-related complications.
- Concurrent use of other investigational agents and patients who have received investigational agents ≤ 4 weeks prior to randomization
- Prior exposure to Tumor-VDAs or other vascular targeting agents (anti-VEGF, anti-VEGF receptor agents, anti-EGFR agents [bevacizumab, cetuximab, etc.])
- Pleural effusion that causes ≥ CTC grade 2 dyspnea
- Patients with systolic BP > 160 mm Hg and/or diastolic BP >90 mm Hg
- Patients with recent hemoptysis associated with NSCLC (> 1 teaspoon in a single episode within 4 weeks)
Patients with any one of the following:
- Patients with long QT syndrome
- Patients with a Baseline 12-lead ECG QTc of > 450 msec per central evaluation
- Congestive heart failure (NY Heart Association class III or IV)
- Patients with a myocardial infarction within 12 months of study entry
- Unstable or poorly controlled angina pectoris, including Prinzmetal variant angina pectoris
- History of labile hypertension or poor compliance with anti-hypertensive regimen
- History of a sustained ventricular tachycardia
- Any history of ventricular fibrillation or Torsades de Pointes
- Right bundle branch block and left anterior hemiblock (bifasicular block)
- Bradycardia defined as heart rate < 50 beats per minute
- Concomitant use of drugs with a risk of causing Torsades de Pointes (See Table 6-3)
- Known allergy or hypersensitivity to platinum-containing drugs, taxanes, other drugs formulated in Cremophor EL (polyoxyethylated castor oil) or any known excipients of these drugs.
- Peripheral sensory neuropathy with functional impairment (CTC grade 2 neuropathy, regardless of causality)
Pregnant or breast feeding females
• Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test (> 5 mIU/ml)
Women of child bearing potential or sexually active males, unwilling or unable to use the required highly effective method(s) of contraception for both sexes while receiving treatment and for at least 6 months after the discontinuation of study treatment. (Adequate forms of contraception include IUD, oral or depot contraceptive or the barrier method plus spermicide.)
• Oral, implantable, or injectable contraceptives may be affected by cytochrome P450 interactions while taking paclitaxel and therefore are not considered effective contraceptive methods for this study when used as a single agent. Therefore, it is highly recommended that a concomitant barrier method be used with oral, implantable, or injectable contraceptives. The investigator shall counsel the patient accordingly. Women of childbearing potential must have a negative pregnancy test (serum or urine) 72 hours prior to administration of study treatment. For a list of substrates of human liver microsomal P450 enzymes, visit website (http://medicine.iupui.edu/flockhart/)
- Concurrent severe and/or uncontrolled medical disease (i.e. uncontrolled diabetes, chronic renal disease, chronic liver disease, confirmed diagnosis of HIV infection or active uncontrolled infection).
- Significant neurologic or psychiatric disorder which could compromise participation in the study Patient unwilling or unable to comply with the protocol
Other protocol-defined inclusion/exclusion criteria may apply
Sites / Locations
- University of South Alabama/Mitchell Cancer Institute
- Arizona Oncology Associates
- University of Arizona Cancer Center
- Highlands Oncology Group
- Genesis Cancer Center
- Alta Bates Summit Medical Center
- Pacific Oncology and Hematology Association
- Cancer Care Associates
- Ronald Yanagihara - Private Practice
- California Cancer Care
- Moores UCSD Cancer Center
- Loma Linda University Cancer Center
- Cedars Sinai Medical Center
- University of California Irvine Comprhensive Center
- Loma Linda Oncology Medical Group, Inc.
- UC Davis Comprehensive Cancer Center
- California Pacific Medical Research Institute
- Redwood Regional Cancer Center
- Georgetown University Hospital
- Palm Beach Institute of Hematology & Oncology
- Florida Cancer Specialists
- Cancer Centers of Central Florida, PA
- Advanced Medical Specialties (ACORN)
- Northwest Georgia Oncology Centers
- Cancer Research Center of Hawaii
- Kootenai Cancer Center (ACORN)
- Advocate Illinois Masonic Medical Center
- Illinois Oncology/Warren Billhartz Cancer Ctr.
- Loyola University Medical Center
- Hematology/Oncology of North Shore
- Loyola Cancer Care & Research Ctr. at Central Dupage Hospital
- Ft. Wayne Oncology and Hematology
- Siouxland Hematology-Oncology Assoc., LLC
- Kansas City Cancer Center, Southwest
- University of Louisville - James Graham Brown Cancer Center
- Hematology Oncology Specialists
- Louisiana State University Health Sciences Center - Feist-Weiller Cancer Center
- St. Agnes Cancer Center
- Sinai Hospital of Baltimore - The Alvin & Lois Lapidus Cancer Institute
- The Harry and Jeanette Weinberg Cancer Institute at Franklin Square/MedStar Health
- Peninsula Regional Oncology and Hematology
- Boston VA Healthcare System
- Fallon Clinic
- Breslin Cancer Center
- Osteopathic Medical Oncology and Hematology PC
- St. Luke's Hospital - St Luke's Cancer Center
- Kansas City Veterans Affair Medical Center
- St. Louis University Cancer Center
- Center for Cancer Care and Research (US Oncology)
- St. John's Mercy Medical Center
- St. Louis Cancer and Breast Institute
- Billings Clinic
- Sletten Cancer Institute
- University of Nebraska Medical Center
- Eastchester Center for Cancer Care
- Arena Oncology Associates
- New York Oncology Hematology
- Hematology Oncology Associates of Rockland
- Rochester General Hospital - Lipson Cancer Center
- Syracuse VA Medical Center
- Alamance Regional Medical Center-Cancer Ctr.
- Carolina Cancer Mgmt/Cape Fear Valley Health System/Med Onc
- Akron City Hospital
- Oncology Hematology Care Research
- University Hospitals of Cleveland
- Medical Oncology Hematology Associates, Inc. - Dayton Clinical Oncology Program
- Medical Oncology Hematology Associates, Inc.
- Cleo Craig Memorial Cancer Ctr. & Research Clinic
- University of Oklahoma Health Science Center
- Kaiser Permanente, Northwest Region
- Allegheny General Hospital/Allegheny Cancer Center
- South Carolina Oncology Associate
- Lowcountry Hematology & Oncology PA
- Chattanooga Oncology Hematology Associates
- The West Clinic
- Tennessee Oncology
- Texas Oncology Cancer Center of the High Plains
- Arlington Cancer Center
- Patient's Comprehensive Cancer Center
- South Texas Cancer Institute
- Cancer Care Centers of South Texas
- Texas Oncology at Presbyterian Hospital
- University of Texas Southwestern Medical Center/Simmons Comprehensive Cancer Center
- Texas Oncology at Garland
- HOPE Oncology
- Tyler Cancer Center
- UT Health Center
- Deke Slayton Cancer Center
- Texoma Cancer Center
- Northern Utah Associates
- Danville Hematology & Oncology
- Medical Oncology & Hematology Associates of Northern Virginia
- Virginia Oncology Associates
- Virginia Cancer Institute
- Highline Medical Oncology
- Providence Everett Medical Center/Providence regional Cancer Partnership
- Northwest Cancer Specialists
- University of Wisconsin
- Medical Consultants
- Medical College of Wisconsin/Division of Neoplastic & Related Disorders
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Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
ASA404
ASA40 Placebo