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SAR240550 in Combination With Gemcitabine/Cisplatin in Non-small Cell Lung Cancer

Primary Purpose

Non-small Cell Lung Cancer Stage IV

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Iniparib
gemcitabine
cisplatin
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion criteria:

  • Stage IV disease (including stage IIIB with pleural effusion) with no prior systemic therapy. Adjuvant therapy is allowed if ended more than 1 year before inclusion in the study.
  • Histologically confirmed squamous cell bronchogenic carcinoma OR non squamous cell carcinoma.
  • Patients with previous radiotherapy as definitive therapy for locally advanced non-small cell lung cancer are eligible, as long as the selected measurable lesions are outside the original radiation therapy port. Radiation therapy must have been completed >4 weeks prior to study entry.
  • Palliative radiotherapy must have been completed > 2 weeks prior to study entry. Irradiated lesions may not serve as measurable lesions.
  • At least one measurable lesion according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
  • Adequate bone marrow reserve.
  • Adequate liver and renal function.
  • Women of childbearing potential must have a negative serum or urine pregnancy test performed within 7 days prior to start of treatment.

Exclusion criteria:

  • Prior treatment with gemcitabine, platinum salts or any PARP inhibitor class compound.
  • Past or current history of neoplasm other than the entry diagnosis, with the exception of treated non-melanoma skin cancer or carcinoma in-situ of the cervix, or other cancers cured by local therapy alone and with an expected disease-free survival of > or = 5 years.
  • Major medical conditions that might affect study participation e.g. cardiac disease, uncontrolled infection (>Grade 2).
  • Presence of active brain metastases.
  • A major surgical procedure, open biopsy, or significant traumatic injury within 28 days of beginning treatment, or anticipation of the need for major surgery during the course of the study.
  • Any history of medical or psychiatric condition or laboratory abnormality that, in the opinion of the investigator, may increase the risks associated with the study participation or administration of the investigational products, or that may interfere with the interpretation of the results
  • Grade 2 or higher ear and labyrinth disorders.
  • Known or suspected allergy/hypersensitivity to any agent given in the course of this trial.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Sanofi-Aventis Investigational Site Number 250002
  • Sanofi-Aventis Investigational Site Number 250003
  • Sanofi-Aventis Investigational Site Number 250004
  • Sanofi-Aventis Investigational Site Number 250001
  • Sanofi-Aventis Investigational Site Number 276003
  • Sanofi-Aventis Investigational Site Number 276002
  • Sanofi-Aventis Investigational Site Number 276001
  • Sanofi-Aventis Investigational Site Number 380003
  • Sanofi-Aventis Investigational Site Number 380001
  • Sanofi-Aventis Investigational Site Number 380002
  • Sanofi-Aventis Investigational Site Number 724001
  • Sanofi-Aventis Investigational Site Number 724002
  • Sanofi-Aventis Investigational Site Number 826001
  • Sanofi-Aventis Investigational Site Number 826002

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Iniparib/ Gemcitabine/ Cisplatin

Gemcitabine/ Cisplatin

Arm Description

Iniparib, 5.6 mg/kg, 60-min IV infusion twice weekly (days 1, 4, 8, and 11). Infusion starts after completion of GC regimen administration. Gemcitabine, 1250 mg/m2, 30-min IV infusion on day 1 and day 8 and cisplatin 75mg/m², 3- to 4-hour IV infusion on day 1 of each 3-week cycle after the end of gemcitabine infusion.

Gemcitabine, 1250 mg/m2, 30-min IV infusion on day 1 and day 8 and cisplatin 75mg/m², 3- to 4-hour IV infusion on day 1 of each 3-week cycle after the end of gemcitabine infusion.

Outcomes

Primary Outcome Measures

overall response rate (ORR) that is defined in the RECIST 1.1 version, as: complete response rate + partial response rate

Secondary Outcome Measures

progression free survival
overall survival

Full Information

First Posted
March 11, 2010
Last Updated
September 23, 2013
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT01086254
Brief Title
SAR240550 in Combination With Gemcitabine/Cisplatin in Non-small Cell Lung Cancer
Official Title
Randomized Phase 2 Study of Gemcitabine/Cisplatin With or Without SAR240550 (BSI-201), a PARP1 Inhibitor, in Patients With Stage IV Non-small Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
September 2013
Overall Recruitment Status
Completed
Study Start Date
May 2010 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objective: to assess the objective response rate (ORR) of Iniparib (SAR240550) administered as a 60-min intravenous infusion twice weekly, when combined to gemcitabine/cisplatin chemotherapy regimen (GCS) as well as with the standard regimen of gemcitabine/cisplatin (GC) in patients with stage IV non small cell lung cancer. Secondary objectives are: to assess the safety profiles of the study combination GCS and of the standard regimen GC; to assess the progression free survival and the overall survival in both arms; to assess the relationship between DNA repair pathway characteristics of tumors at baseline and clinical outcome of disease. to assess the effect of Iniparib on PAR level in peripheral blood mononuclear cells (PBMC). (As of 10 September 2010, the collection of PBMC is temporarily discontinued.)
Detailed Description
The duration of the study for a patient will include a period for inclusion of up to 3 weeks. The patients may continue treatment up to a maximum of 6 cycles or until disease progression, unacceptable toxicity or consent withdrawal, followed by a minimum of 30-day follow-up after the last study treatment administration. Patients will be followed for at least 30 days after the last administration of study treatment for safety purpose. In case of study treatment discontinuation without disease progression, efficacy data will be collected every 6 weeks until disease progression, death or end of study whatever comes first. After disease progression, the patient will be followed-up every 12 weeks (3 months) for overall survival (OS) until death or end of study whatever comes first. The end of the study will be one year after the first dose of the last treated patient.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Iniparib/ Gemcitabine/ Cisplatin
Arm Type
Experimental
Arm Description
Iniparib, 5.6 mg/kg, 60-min IV infusion twice weekly (days 1, 4, 8, and 11). Infusion starts after completion of GC regimen administration. Gemcitabine, 1250 mg/m2, 30-min IV infusion on day 1 and day 8 and cisplatin 75mg/m², 3- to 4-hour IV infusion on day 1 of each 3-week cycle after the end of gemcitabine infusion.
Arm Title
Gemcitabine/ Cisplatin
Arm Type
Active Comparator
Arm Description
Gemcitabine, 1250 mg/m2, 30-min IV infusion on day 1 and day 8 and cisplatin 75mg/m², 3- to 4-hour IV infusion on day 1 of each 3-week cycle after the end of gemcitabine infusion.
Intervention Type
Drug
Intervention Name(s)
Iniparib
Other Intervention Name(s)
SAR240550, BSI-201
Intervention Description
Pharmaceutical form: solution for infusion Route of administration: 60-minute IV infusion
Intervention Type
Drug
Intervention Name(s)
gemcitabine
Intervention Description
Pharmaceutical form: solution for infusion Route of administration: 30-minute IV infusion
Intervention Type
Drug
Intervention Name(s)
cisplatin
Intervention Description
Pharmaceutical form: solution for infusion Route of administration: 1- to 4-hour IV infusion, according to the local standard
Primary Outcome Measure Information:
Title
overall response rate (ORR) that is defined in the RECIST 1.1 version, as: complete response rate + partial response rate
Time Frame
up to a maximum follow-up of 25 weeks
Secondary Outcome Measure Information:
Title
progression free survival
Time Frame
up to a maximum of 2 years
Title
overall survival
Time Frame
up to a maximum of 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Stage IV disease (including stage IIIB with pleural effusion) with no prior systemic therapy. Adjuvant therapy is allowed if ended more than 1 year before inclusion in the study. Histologically confirmed squamous cell bronchogenic carcinoma OR non squamous cell carcinoma. Patients with previous radiotherapy as definitive therapy for locally advanced non-small cell lung cancer are eligible, as long as the selected measurable lesions are outside the original radiation therapy port. Radiation therapy must have been completed >4 weeks prior to study entry. Palliative radiotherapy must have been completed > 2 weeks prior to study entry. Irradiated lesions may not serve as measurable lesions. At least one measurable lesion according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1. Adequate bone marrow reserve. Adequate liver and renal function. Women of childbearing potential must have a negative serum or urine pregnancy test performed within 7 days prior to start of treatment. Exclusion criteria: Prior treatment with gemcitabine, platinum salts or any PARP inhibitor class compound. Past or current history of neoplasm other than the entry diagnosis, with the exception of treated non-melanoma skin cancer or carcinoma in-situ of the cervix, or other cancers cured by local therapy alone and with an expected disease-free survival of > or = 5 years. Major medical conditions that might affect study participation e.g. cardiac disease, uncontrolled infection (>Grade 2). Presence of active brain metastases. A major surgical procedure, open biopsy, or significant traumatic injury within 28 days of beginning treatment, or anticipation of the need for major surgery during the course of the study. Any history of medical or psychiatric condition or laboratory abnormality that, in the opinion of the investigator, may increase the risks associated with the study participation or administration of the investigational products, or that may interfere with the interpretation of the results Grade 2 or higher ear and labyrinth disorders. Known or suspected allergy/hypersensitivity to any agent given in the course of this trial. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Sanofi-Aventis Investigational Site Number 250002
City
Caen Cedex
ZIP/Postal Code
14033
Country
France
Facility Name
Sanofi-Aventis Investigational Site Number 250003
City
Marseille Cedex 09
ZIP/Postal Code
13009
Country
France
Facility Name
Sanofi-Aventis Investigational Site Number 250004
City
Toulouse
ZIP/Postal Code
31059
Country
France
Facility Name
Sanofi-Aventis Investigational Site Number 250001
City
Villejuif
ZIP/Postal Code
94805
Country
France
Facility Name
Sanofi-Aventis Investigational Site Number 276003
City
Essen
ZIP/Postal Code
45122
Country
Germany
Facility Name
Sanofi-Aventis Investigational Site Number 276002
City
Gauting
ZIP/Postal Code
82131
Country
Germany
Facility Name
Sanofi-Aventis Investigational Site Number 276001
City
Großhansdorf
ZIP/Postal Code
22927
Country
Germany
Facility Name
Sanofi-Aventis Investigational Site Number 380003
City
Livorno
ZIP/Postal Code
57123
Country
Italy
Facility Name
Sanofi-Aventis Investigational Site Number 380001
City
Orbassano
ZIP/Postal Code
10043
Country
Italy
Facility Name
Sanofi-Aventis Investigational Site Number 380002
City
Rozzano
ZIP/Postal Code
20089
Country
Italy
Facility Name
Sanofi-Aventis Investigational Site Number 724001
City
Badalona
ZIP/Postal Code
08916
Country
Spain
Facility Name
Sanofi-Aventis Investigational Site Number 724002
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Sanofi-Aventis Investigational Site Number 826001
City
Newcastle Upon Tyne
ZIP/Postal Code
NE7 7DN
Country
United Kingdom
Facility Name
Sanofi-Aventis Investigational Site Number 826002
City
Wolverhampton
ZIP/Postal Code
WV10 0QP
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
25139550
Citation
Novello S, Besse B, Felip E, Barlesi F, Mazieres J, Zalcman G, von Pawel J, Reck M, Cappuzzo F, Ferry D, Carcereny E, Santoro A, Garcia-Ribas I, Scagliotti G, Soria JC. A phase II randomized study evaluating the addition of iniparib to gemcitabine plus cisplatin as first-line therapy for metastatic non-small-cell lung cancer. Ann Oncol. 2014 Nov;25(11):2156-2162. doi: 10.1093/annonc/mdu384. Epub 2014 Aug 19.
Results Reference
derived

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SAR240550 in Combination With Gemcitabine/Cisplatin in Non-small Cell Lung Cancer

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