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Erlotinib and Docetaxel in Second Line of Treatment in Patients With Non Small Cell Lung Cancer (TARSEQ)

Primary Purpose

Non Small Cell Lung Cancer

Status
Completed
Phase
Phase 2
Locations
France
Study Type
Interventional
Intervention
Erlotinib + docetaxel
Docetaxel
Sponsored by
University Hospital, Limoges
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 - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Histologically proven NSCLC (
  • Mutational status of EGFR : wild type or unknown
  • Stage IV disease with cytologic or histologic documentation in patients with a single easily accessible metastasis or metastatic relapses in a non irradiated region from a primary tumor treated with surgery or radiotherapy (with cytologic or histologic documentation of relapse)
  • Presence of at least one measurable target lesion (one dimension) in a non irradiated region (at least 10 mm on spiral computed tomography).
  • Age ≥ 18 years
  • Performance status 0,1,2 exception : age > 74 years only PS 0 or 1
  • Normal hepatic function
  • Normal renal function
  • Normal calcemia
  • Normal haematological function
  • Life expectancy > 12 weeks.
  • Women of child bearing potential must use effective contraception.
  • Men might be surgically sterile or accept to use an effective contraceptive procedure during and until 6 months after the treatment.
  • Written informed consent to participate in the study.

Exclusion Criteria:

  • PS > 2, exception : age > 74 years only PS ≥ 2
  • Presence of another cancer
  • Previous treatment with an anti egfr agent or docetaxel
  • QT prolongation (>470 ms)
  • Uncontrolled arterial hypertension.
  • Concurrent radiotherapy, except for palliative bone irradiation.
  • Stroke less than 6 months before study entry.
  • Psychiatric or neurological disorders preventing the patient from understanding the nature of the trial
  • Uncontrolled infection.
  • Caval syndrome
  • Other organic disorders preventing inclusion in the trial
  • Malabsorption syndrome
  • Allergy to erlotinib or one of its constituents
  • Allergy to docetaxel or one of its constituents
  • Pregnancy and breast-feeding
  • Surgery less than two months before study entry

Sites / Locations

  • Service de Pneumologie, CHU Angers
  • Service de pneumologie; Centre Hospitalier d'Annecy
  • Service de Pneumologie; Centre Hospitalier
  • Service de Pneumologie
  • Service de Pneumologie
  • CHU Brest
  • Service de Pneumologie
  • Service de Pneumologie ; Centre hospitalier
  • Service de Pneumologie
  • Service de Pneumologie; Centre Hospitalier
  • Service de Pneumologie
  • Service de Pneumologie
  • Service de Pneumologie
  • Département de Pathologie Respiratoire du CHU de Limoges
  • Service de Pneumologie, Hôpital de la Croix Rousse
  • Service de Pneumologie-Neurologie ; Centre Hospitalier F. Quesnay
  • Département des Maladies Respiratoires ; Hôpital Sainte Marguerite
  • CH de Meaux
  • Service de Pneumologie
  • Service de Pneumologie
  • Service de Pneumologie - Hôpital St Antoine, Paris
  • Service de Pneumologie-Allergologie; Centre Hospitalier Général
  • CHU Reims
  • Service de Pneumologie, Hôpital Pontchailloux
  • Service de Pneumologie; CHG de Roanne
  • Clinique Pneumologique; Hôpital Charles Nicolle
  • Service de Pneumologie; Hôpital Bois Guillaume
  • Hôpital Charles Nicolle, Service de Pneumologie
  • Service de Pneumologie, Hôpital Nord
  • Service de Pneumologie

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Docetaxel

Erlotinib

Arm Description

Outcomes

Primary Outcome Measures

Progression free survival at 15 weeks.

Secondary Outcome Measures

Free survival at 12 months
Toxicities and feasibility
To assess toxicities and feasibility in both groups

Full Information

First Posted
May 9, 2011
Last Updated
April 1, 2015
Sponsor
University Hospital, Limoges
Collaborators
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT01350817
Brief Title
Erlotinib and Docetaxel in Second Line of Treatment in Patients With Non Small Cell Lung Cancer
Acronym
TARSEQ
Official Title
Randomized Open Non Comparative Multicenter Phase II Study of Sequential Erlotinib With Docetaxel Versus Docetaxel Alone in Second Line of Treatment in Patients With Non Small Cell Lung Cancer After Failure of First Line Chemotherapy
Study Type
Interventional

2. Study Status

Record Verification Date
April 2015
Overall Recruitment Status
Completed
Study Start Date
May 2011 (undefined)
Primary Completion Date
March 2013 (Actual)
Study Completion Date
January 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University Hospital, Limoges
Collaborators
Hoffmann-La Roche

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This 2 arms study will compare the efficacy and safety of treatment with sequential erlotinib plus docetaxel therapy versus docetaxel alone as second line treatment in patients with recurrent non-small cell lung cancer. Patients will be randomized to receive in group 1(experimental arm): docetaxel :75 mg/m² IV day 1 every 3 weeks with erlotinib:150 mg/d per os d2-d16 and group 2 (control arm): docetaxel :75 mg/m² IV day 1 every 3 weeks. The anticipated time on study treatment is until disease progression. Target sample size is 156. The main of this study is to determine the relevance of the association sequential erlotinib and docetaxel in terms of progression-free survival .
Detailed Description
In this study, the patient will be randomized in group 1(experimental arm): docetaxel :75 mg/m² IV day 1 every 3 weeks with erlotinib:150 mg/d per os d2-d16 and group 2 (control arm): docetaxel :75 mg/m² IV day 1 every 3 weeks. Assessment during treatment: Physical examination, ECG,: every 3 weeks, laboratory tests: weekly, every 3 weeks pulmonary X-ray .The CT scans:. Measurable targets are assessed by RECIST compared to the beginning of treatment: at 6 weeks (day 42 EVA 2), 12 weeks (D84 EVA 3), 15 weeks (D105 EVA 4: Evaluation of the SSP) and then every 6 weeks until progression. Quality of life will be assessed Day 42 then every 6 weeks during chemotherapy, Tolerability will be assessed at each visit based on CTC v4.0 criteria.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
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
156 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Docetaxel
Arm Type
Active Comparator
Arm Title
Erlotinib
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Erlotinib + docetaxel
Intervention Description
docetaxel :75 mg/m² IV day 1 every 3 weeks with erlotinib:150 mg/d per os d2-d16
Intervention Type
Drug
Intervention Name(s)
Docetaxel
Intervention Description
docetaxel :75 mg/m² IV day 1 every 3 weeks.
Primary Outcome Measure Information:
Title
Progression free survival at 15 weeks.
Time Frame
at 15 weeks
Secondary Outcome Measure Information:
Title
Free survival at 12 months
Time Frame
12 months
Title
Toxicities and feasibility
Description
To assess toxicities and feasibility in both groups
Time Frame
15 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically proven NSCLC ( Mutational status of EGFR : wild type or unknown Stage IV disease with cytologic or histologic documentation in patients with a single easily accessible metastasis or metastatic relapses in a non irradiated region from a primary tumor treated with surgery or radiotherapy (with cytologic or histologic documentation of relapse) Presence of at least one measurable target lesion (one dimension) in a non irradiated region (at least 10 mm on spiral computed tomography). Age ≥ 18 years Performance status 0,1,2 exception : age > 74 years only PS 0 or 1 Normal hepatic function Normal renal function Normal calcemia Normal haematological function Life expectancy > 12 weeks. Women of child bearing potential must use effective contraception. Men might be surgically sterile or accept to use an effective contraceptive procedure during and until 6 months after the treatment. Written informed consent to participate in the study. Exclusion Criteria: PS > 2, exception : age > 74 years only PS ≥ 2 Presence of another cancer Previous treatment with an anti egfr agent or docetaxel QT prolongation (>470 ms) Uncontrolled arterial hypertension. Concurrent radiotherapy, except for palliative bone irradiation. Stroke less than 6 months before study entry. Psychiatric or neurological disorders preventing the patient from understanding the nature of the trial Uncontrolled infection. Caval syndrome Other organic disorders preventing inclusion in the trial Malabsorption syndrome Allergy to erlotinib or one of its constituents Allergy to docetaxel or one of its constituents Pregnancy and breast-feeding Surgery less than two months before study entry
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alain Vergnengre, MD
Organizational Affiliation
University Hospital, Limoges
Official's Role
Study Chair
Facility Information:
Facility Name
Service de Pneumologie, CHU Angers
City
Angers
ZIP/Postal Code
49033
Country
France
Facility Name
Service de pneumologie; Centre Hospitalier d'Annecy
City
Annecy
ZIP/Postal Code
74011
Country
France
Facility Name
Service de Pneumologie; Centre Hospitalier
City
Beauvais
ZIP/Postal Code
60 021
Country
France
Facility Name
Service de Pneumologie
City
Beauvais
Country
France
Facility Name
Service de Pneumologie
City
Bordeaux
Country
France
Facility Name
CHU Brest
City
Brest
Country
France
Facility Name
Service de Pneumologie
City
Charleville Mezière
Country
France
Facility Name
Service de Pneumologie ; Centre hospitalier
City
Charleville-Mezieres
ZIP/Postal Code
08 000
Country
France
Facility Name
Service de Pneumologie
City
Créteil
Country
France
Facility Name
Service de Pneumologie; Centre Hospitalier
City
Draguignan
ZIP/Postal Code
83300
Country
France
Facility Name
Service de Pneumologie
City
Draguignan
Country
France
Facility Name
Service de Pneumologie
City
Elbeuf
Country
France
Facility Name
Service de Pneumologie
City
Gap
Country
France
Facility Name
Département de Pathologie Respiratoire du CHU de Limoges
City
Limoges
Country
France
Facility Name
Service de Pneumologie, Hôpital de la Croix Rousse
City
Lyon
Country
France
Facility Name
Service de Pneumologie-Neurologie ; Centre Hospitalier F. Quesnay
City
Mantes La Jolie
ZIP/Postal Code
78200
Country
France
Facility Name
Département des Maladies Respiratoires ; Hôpital Sainte Marguerite
City
Marseille
ZIP/Postal Code
13274
Country
France
Facility Name
CH de Meaux
City
Meaux
Country
France
Facility Name
Service de Pneumologie
City
Meaux
Country
France
Facility Name
Service de Pneumologie
City
Mulhouse
Country
France
Facility Name
Service de Pneumologie - Hôpital St Antoine, Paris
City
Paris
ZIP/Postal Code
75571
Country
France
Facility Name
Service de Pneumologie-Allergologie; Centre Hospitalier Général
City
Perigueux
ZIP/Postal Code
24019
Country
France
Facility Name
CHU Reims
City
Reims
Country
France
Facility Name
Service de Pneumologie, Hôpital Pontchailloux
City
Rennes
Country
France
Facility Name
Service de Pneumologie; CHG de Roanne
City
Roanne
ZIP/Postal Code
42300
Country
France
Facility Name
Clinique Pneumologique; Hôpital Charles Nicolle
City
Rouen
ZIP/Postal Code
76031
Country
France
Facility Name
Service de Pneumologie; Hôpital Bois Guillaume
City
Rouen
ZIP/Postal Code
76233
Country
France
Facility Name
Hôpital Charles Nicolle, Service de Pneumologie
City
Rouen
Country
France
Facility Name
Service de Pneumologie, Hôpital Nord
City
saint Etienne
Country
France
Facility Name
Service de Pneumologie
City
Villefranche
Country
France

12. IPD Sharing Statement

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Erlotinib and Docetaxel in Second Line of Treatment in Patients With Non Small Cell Lung Cancer

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