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An Open-label, Phase II Trial of ZD1839 (IRESSA) in Patients With Malignant Mesothelioma

Primary Purpose

Mesothelioma

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
ZD1839
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mesothelioma focused on measuring malignant mesothelioma, IRESSA, ZD1839

Eligibility Criteria

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

Inclusion Criteria:

  • Histologically-confirmed malignant mesothelioma (based on pleural biopsy); eligibility for first line therapy for malignant mesothelioma
  • Uni or bi- dimensionally measurable disease
  • No prior radiotherapy within 3 weeks of enrolment into the trial
  • No significant comorbid disease

Exclusion Criteria:

  • Other malignancies, either co-existing or diagnosed within the last 5 years, with the exception of basal cell carcinoma or cervical cancer in situ
  • Brian metastasis or leptomeningeal carcinomatosis
  • Any unresolved chronic toxicity greater than CTC grade 2 from previous anticancer therapy
  • Concomitant use of phenytoin, carbamazepine, barbiturates, rifampicin, or St. John's Wort

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    1

    Arm Description

    Outcomes

    Primary Outcome Measures

    To assess the activity of ZD1839 in patients with malignant mesothelioma by estimating the objective response rate (CR and PR) at trial closure
    To further characterize the safety profile of ZD1839 at a 250mg daily dose

    Secondary Outcome Measures

    To estimate PFS (progression free survival)
    To estimate overall survival
    To estimate duration of response

    Full Information

    First Posted
    November 6, 2008
    Last Updated
    June 5, 2012
    Sponsor
    AstraZeneca
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00787410
    Brief Title
    An Open-label, Phase II Trial of ZD1839 (IRESSA) in Patients With Malignant Mesothelioma
    Official Title
    An Open-label, Phase II Trial of ZD1839 (IRESSA) in Patients With Malignant Mesothelioma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2012
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2003 (undefined)
    Primary Completion Date
    April 2008 (Actual)
    Study Completion Date
    April 2008 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    AstraZeneca

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study is a multicentre, open label, non-comparative, two stage phase II trial to assess the activity of ZD1839 (IRESSA) in patients with malignant mesothelioma. Patients will receive trial treatment as first-line therapy, administered continuously once daily until the completion of six 4-week cycles of treatment, disease progression, unacceptable toxicity or withdrawal of consent. Patients continuing to show evidence of response, disease stabilization or clinical benefit from ZD1839 may continue to receive therapy beyond completion of the trail.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Mesothelioma
    Keywords
    malignant mesothelioma, IRESSA, ZD1839

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    23 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    ZD1839
    Other Intervention Name(s)
    IRESSA
    Intervention Description
    250mg tablet, once daily, orally administered
    Primary Outcome Measure Information:
    Title
    To assess the activity of ZD1839 in patients with malignant mesothelioma by estimating the objective response rate (CR and PR) at trial closure
    Time Frame
    Proportion of patients responding at trial closure, ITT population
    Title
    To further characterize the safety profile of ZD1839 at a 250mg daily dose
    Time Frame
    Proportion of patients responding at trial closure, ITT population
    Secondary Outcome Measure Information:
    Title
    To estimate PFS (progression free survival)
    Time Frame
    Proportion of patients alive and progression-free at trial closure, ITT population; Median time to progression or death; Proportion of patients alive and progression-free at 6 months
    Title
    To estimate overall survival
    Time Frame
    Proportion of patients alive at trial closure, ITT population; Median time to death; Proportion of patients alive at 6 months
    Title
    To estimate duration of response
    Time Frame
    Median time from objective response to progression or death; only patients who responded are included in this analysis

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Histologically-confirmed malignant mesothelioma (based on pleural biopsy); eligibility for first line therapy for malignant mesothelioma Uni or bi- dimensionally measurable disease No prior radiotherapy within 3 weeks of enrolment into the trial No significant comorbid disease Exclusion Criteria: Other malignancies, either co-existing or diagnosed within the last 5 years, with the exception of basal cell carcinoma or cervical cancer in situ Brian metastasis or leptomeningeal carcinomatosis Any unresolved chronic toxicity greater than CTC grade 2 from previous anticancer therapy Concomitant use of phenytoin, carbamazepine, barbiturates, rifampicin, or St. John's Wort
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Christopher Lee, MD
    Organizational Affiliation
    Fraser Valley Cancer Centre Surrey Memorial Hospital, Surrey BC, Canada
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    An Open-label, Phase II Trial of ZD1839 (IRESSA) in Patients With Malignant Mesothelioma

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