search
Back to results

Paclitaxel, Carboplatin, and Dimethylxanthenone Acetic Acid in Treating Patients With Extensive-Stage Small Cell Lung Cancer

Primary Purpose

Lung Cancer

Status
Completed
Phase
Phase 2
Locations
Switzerland
Study Type
Interventional
Intervention
carboplatin
paclitaxel
vadimezan
Sponsored by
Swiss Group for Clinical Cancer Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lung Cancer focused on measuring extensive stage small cell lung cancer

Eligibility Criteria

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

DISEASE CHARACTERISTICS:

  • Histologically (preferred) or cytologically confirmed small-cell lung carcinoma (SCLC) by surgical biopsy, brushing, washing, OR core needle aspiration (sputum cytology alone not acceptable)

    • Extensive stage or stage IV disease, including patients with malignant pleural or pericardial effusion

      • No pleural effusion that causes ≥ CTC grade 2 dyspnea
  • Not suitable for potentially curative combined-modality treatment for this disease
  • Measurable or non-measurable disease
  • No CNS metastases

PATIENT CHARACTERISTICS:

  • WHO performance status 0-2
  • Hemoglobin ≥ 10.0 g/dL
  • Absolute neutrophils ≥ 2.0 x 10^9/L (without the use of growth factors)
  • Platelet count ≥ 100 x 10^9/L
  • Bilirubin ≤ 1.5 x the upper limit of normal (ULN)
  • ALT ≤ 2.5 x ULN (≤ 5 x ULN if liver metastases)
  • Alkaline phosphatase ≤ 2.5 x ULN (≤ 5 x ULN if liver metastases)
  • Creatinine clearance ≥ 45 mL/min
  • INR ≤ 1.5
  • Magnesium, potassium, and calcium (corrected for albumin) normal
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 12 months after completion of study therapy
  • No recent hemoptysis associated with SCLC (> 1 teaspoon in a single episode within 4 weeks)
  • No other malignancy within the past 5 years except for nonmelanoma skin cancer or cervical cancer in situ
  • Must not have a history of any of the following conditions:

    • Myocardial infarction within the past 12 months
    • Uncontrolled hypertension (systolic BP > 160 mm Hg and/or diastolic BP > 90 mm Hg) or poor compliance with anti-hypertensive regimen
    • Sustained ventricular tachycardia
    • Ventricular fibrillation or Torsades de Pointes
    • Long QT syndrome
    • QTc of > 450 msec
    • NYHA class III or IV congestive heart failure
    • Unstable or poorly controlled angina pectoris, including Prinzmetal variant angina pectoris
    • Right bundle branch block and left anterior hemiblock (bifascicular block)
    • Bradycardia (defined as heart rate < 50 beats per minute)
    • Cardiac arrhythmias (i.e., symptomatic, but may not require medications) CTCAE grade ≥ 2
  • No significant neurologic or psychiatric disorder that would compromise study participation
  • No peripheral sensory neuropathy with functional impairment ≥ CTC grade 2 (regardless of cause)
  • No concurrent severe and/or uncontrolled medical disease, including any of the following:

    • Uncontrolled diabetes
    • Chronic renal disease
    • Chronic liver disease
    • Confirmed diagnosis of HIV infection
    • Active uncontrolled infection
  • No serious underlying medical condition, in the judgment of the investigator, that would impair the patient's ability to participate in the trial
  • No known hypersensitivity to study drugs or to any other component of the study drugs (taxanes or other drugs formulated in Cremophor EL [polyoxyethylated castor oil])

PRIOR CONCURRENT THERAPY:

  • Recovered from all prior therapy
  • No prior systemic chemotherapy, immunotherapy, or biologic anti-cancer therapy
  • More than 2 weeks since prior and no concurrent radiotherapy

    • Localized palliative radiotherapy to symptomatic bone metastases allowed
  • More than 2 weeks since minor surgery

    • Insertion of a vascular access device allowed
  • More than 3 weeks since prior dimethylxanthenone acetic acid for prophylactic cranial irradiation
  • More than 4 weeks since major surgery (defined by the use of general anesthesia)
  • At least 30 days since prior and no other concurrent investigational drugs or anti-cancer therapy
  • No treatment in a clinical trial within 30 days prior to trial entry
  • No concurrent therapy with a risk of causing Torsades de Pointes
  • No concurrent drugs that would be contraindicated for use with study drugs
  • No factors with the potential to prolong QT interval

Sites / Locations

  • Saint Claraspital AG
  • Universitaetsspital-Basel
  • Istituto Oncologico della Svizzera Italiana - Ospedale San Giovanni
  • Inselspital Bern
  • Spitalzentrum Biel
  • Centre Hospitalier Universitaire Vaudois
  • Kantonsspital Olten
  • Onkologie Schaffhausen
  • Kantonsspital - St. Gallen
  • Regionalspital
  • Kantonsspital Winterthur
  • Klinik Hirslanden

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Paclitaxel, Carboplatin, ASA404

Arm Description

Outcomes

Primary Outcome Measures

Progression-free survival rate
The status of progression free survival at 24 weeks (+/- 2 weeks) from trial registration will be assessed. A PFS event is defined as (whichever occurs first): Relapse or progression assessed according to the RECIST 1.1 criteria (Appendix 1) Death of any cause.

Secondary Outcome Measures

Adverse events by NCI CTCAE v3.0
Best objective response OR complete or partial response according to RECIST 1.1
Time to progression
Overall survival
One-year survival rate
Patients alive one year after trial registration

Full Information

First Posted
January 26, 2010
Last Updated
April 9, 2013
Sponsor
Swiss Group for Clinical Cancer Research
search

1. Study Identification

Unique Protocol Identification Number
NCT01057342
Brief Title
Paclitaxel, Carboplatin, and Dimethylxanthenone Acetic Acid in Treating Patients With Extensive-Stage Small Cell Lung Cancer
Official Title
Carboplatin and Paclitaxel Plus ASA404 as First Line Chemotherapy for Extensive-Stage Small-Cell Lung Cancer (ES-SCLC): A Phase II Trial
Study Type
Interventional

2. Study Status

Record Verification Date
April 2013
Overall Recruitment Status
Completed
Study Start Date
January 2010 (undefined)
Primary Completion Date
May 2011 (Actual)
Study Completion Date
July 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Swiss Group for Clinical Cancer Research

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy, such as paclitaxel and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Dimethylxanthenone acetic acid may stop the growth of small cell lung cancer by blocking blood flow to the tumor. Giving paclitaxel and carboplatin together with dimethylxanthenone acetic acid may kill more tumor cells. PURPOSE: This phase II trial is studying the side effects of giving paclitaxel and carboplatin together with dimethylxanthenone acetic acid and to see how well they work in treating patients with extensive-stage small cell lung cancer.
Detailed Description
OBJECTIVES: Primary To assess the 24-week (6 months) progression-free survival of patients with extensive stage small cell lung cancer treated with paclitaxel, carboplatin, and dimethylxanthenone acetic acid. Secondary To assess efficacy and safety of this regimen in these patients. To evaluate predictive molecular markers for gene expression analyses, serum proteomics, and pharmacogenomics. (exploratory) OUTLINE: This is a multicenter study. Patients receive paclitaxel IV over 3 hours, carboplatin IV over 30 minutes, and dimethylxanthenone acetic acid IV over 20 minutes on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Blood and tissue samples may be collected periodically for predictive molecular markers for gene expression analysis, plasma proteomics, and pharmacogenomics. After completion of study treatment, patients are followed every 6 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lung Cancer
Keywords
extensive stage small cell lung cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
17 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Paclitaxel, Carboplatin, ASA404
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
carboplatin
Other Intervention Name(s)
Paraplatin
Intervention Description
AUC 6 i.v. given after paclitaxel as the second treatment on day 1 of each 3-week cycle.
Intervention Type
Drug
Intervention Name(s)
paclitaxel
Other Intervention Name(s)
Abraxane Taxol
Intervention Description
175 mg/m2 i.v. first treatment on day 1 of each 3-week cycle.
Intervention Type
Drug
Intervention Name(s)
vadimezan
Other Intervention Name(s)
ASA404
Intervention Description
1800 mg/m2 i.v. following the administration of paclitaxel and carboplatin on day 1 of each 3-week cycle
Primary Outcome Measure Information:
Title
Progression-free survival rate
Description
The status of progression free survival at 24 weeks (+/- 2 weeks) from trial registration will be assessed. A PFS event is defined as (whichever occurs first): Relapse or progression assessed according to the RECIST 1.1 criteria (Appendix 1) Death of any cause.
Time Frame
at 24 weeks (6 months)
Secondary Outcome Measure Information:
Title
Adverse events by NCI CTCAE v3.0
Time Frame
until 30 days after trial therapy end
Title
Best objective response OR complete or partial response according to RECIST 1.1
Time Frame
whilst receiving the trial therapy
Title
Time to progression
Time Frame
Defined as the time from registration until documented Small-cell Lung Cancer (SCLC) progression or death as a result of SCLC.
Title
Overall survival
Time Frame
Time from registration until death as a result of any cause.
Title
One-year survival rate
Description
Patients alive one year after trial registration
Time Frame
at 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically (preferred) or cytologically confirmed small-cell lung carcinoma (SCLC) by surgical biopsy, brushing, washing, OR core needle aspiration (sputum cytology alone not acceptable) Extensive stage or stage IV disease, including patients with malignant pleural or pericardial effusion No pleural effusion that causes ≥ CTC grade 2 dyspnea Not suitable for potentially curative combined-modality treatment for this disease Measurable or non-measurable disease No CNS metastases PATIENT CHARACTERISTICS: WHO performance status 0-2 Hemoglobin ≥ 10.0 g/dL Absolute neutrophils ≥ 2.0 x 10^9/L (without the use of growth factors) Platelet count ≥ 100 x 10^9/L Bilirubin ≤ 1.5 x the upper limit of normal (ULN) ALT ≤ 2.5 x ULN (≤ 5 x ULN if liver metastases) Alkaline phosphatase ≤ 2.5 x ULN (≤ 5 x ULN if liver metastases) Creatinine clearance ≥ 45 mL/min INR ≤ 1.5 Magnesium, potassium, and calcium (corrected for albumin) normal Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 12 months after completion of study therapy No recent hemoptysis associated with SCLC (> 1 teaspoon in a single episode within 4 weeks) No other malignancy within the past 5 years except for nonmelanoma skin cancer or cervical cancer in situ Must not have a history of any of the following conditions: Myocardial infarction within the past 12 months Uncontrolled hypertension (systolic BP > 160 mm Hg and/or diastolic BP > 90 mm Hg) or poor compliance with anti-hypertensive regimen Sustained ventricular tachycardia Ventricular fibrillation or Torsades de Pointes Long QT syndrome QTc of > 450 msec NYHA class III or IV congestive heart failure Unstable or poorly controlled angina pectoris, including Prinzmetal variant angina pectoris Right bundle branch block and left anterior hemiblock (bifascicular block) Bradycardia (defined as heart rate < 50 beats per minute) Cardiac arrhythmias (i.e., symptomatic, but may not require medications) CTCAE grade ≥ 2 No significant neurologic or psychiatric disorder that would compromise study participation No peripheral sensory neuropathy with functional impairment ≥ CTC grade 2 (regardless of cause) No concurrent severe and/or uncontrolled medical disease, including any of the following: Uncontrolled diabetes Chronic renal disease Chronic liver disease Confirmed diagnosis of HIV infection Active uncontrolled infection No serious underlying medical condition, in the judgment of the investigator, that would impair the patient's ability to participate in the trial No known hypersensitivity to study drugs or to any other component of the study drugs (taxanes or other drugs formulated in Cremophor EL [polyoxyethylated castor oil]) PRIOR CONCURRENT THERAPY: Recovered from all prior therapy No prior systemic chemotherapy, immunotherapy, or biologic anti-cancer therapy More than 2 weeks since prior and no concurrent radiotherapy Localized palliative radiotherapy to symptomatic bone metastases allowed More than 2 weeks since minor surgery Insertion of a vascular access device allowed More than 3 weeks since prior dimethylxanthenone acetic acid for prophylactic cranial irradiation More than 4 weeks since major surgery (defined by the use of general anesthesia) At least 30 days since prior and no other concurrent investigational drugs or anti-cancer therapy No treatment in a clinical trial within 30 days prior to trial entry No concurrent therapy with a risk of causing Torsades de Pointes No concurrent drugs that would be contraindicated for use with study drugs No factors with the potential to prolong QT interval
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Martin Frueh, MD
Organizational Affiliation
Cantonal Hospital of St. Gallen
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Miklos Pless, MD
Organizational Affiliation
Kantonsspital Winterthur KSW
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Oliver Gautschi, MD
Organizational Affiliation
Insel Gruppe AG, University Hospital Bern
Official's Role
Study Chair
Facility Information:
Facility Name
Saint Claraspital AG
City
Basel
ZIP/Postal Code
CH-4016
Country
Switzerland
Facility Name
Universitaetsspital-Basel
City
Basel
ZIP/Postal Code
CH-4031
Country
Switzerland
Facility Name
Istituto Oncologico della Svizzera Italiana - Ospedale San Giovanni
City
Bellinzona
ZIP/Postal Code
CH-6500
Country
Switzerland
Facility Name
Inselspital Bern
City
Bern
ZIP/Postal Code
CH-3010
Country
Switzerland
Facility Name
Spitalzentrum Biel
City
Biel
ZIP/Postal Code
CH-2501
Country
Switzerland
Facility Name
Centre Hospitalier Universitaire Vaudois
City
Lausanne
ZIP/Postal Code
CH-1011
Country
Switzerland
Facility Name
Kantonsspital Olten
City
Olten
ZIP/Postal Code
CH-4600
Country
Switzerland
Facility Name
Onkologie Schaffhausen
City
Schaffhausen
ZIP/Postal Code
CH-8200
Country
Switzerland
Facility Name
Kantonsspital - St. Gallen
City
St. Gallen
ZIP/Postal Code
CH-9007
Country
Switzerland
Facility Name
Regionalspital
City
Thun
ZIP/Postal Code
3600
Country
Switzerland
Facility Name
Kantonsspital Winterthur
City
Winterthur
ZIP/Postal Code
CH-8400
Country
Switzerland
Facility Name
Klinik Hirslanden
City
Zurich
ZIP/Postal Code
CH-8032
Country
Switzerland

12. IPD Sharing Statement

Citations:
PubMed Identifier
22633220
Citation
Fruh M, Cathomas R, Siano M, Tscherry G, Zippelius A, Mamot C, Erdmann A, Krasniqi F, Rauch D, Simcock M, Kuttel E, Fustier P, Pless M; Swiss Group for Clinical Cancer Research. Carboplatin and paclitaxel plus ASA404 as first-line chemotherapy for extensive-stage small-cell lung cancer: a multicenter single arm phase II trial (SAKK 15/08). Clin Lung Cancer. 2013 Jan;14(1):34-9. doi: 10.1016/j.cllc.2012.04.001. Epub 2012 May 24.
Results Reference
result

Learn more about this trial

Paclitaxel, Carboplatin, and Dimethylxanthenone Acetic Acid in Treating Patients With Extensive-Stage Small Cell Lung Cancer

We'll reach out to this number within 24 hrs