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Study Evaluating the Safety and Efficacy of MEGF0444A in Combination With Carboplatin, Paclitaxel and Bevacizumab in Patients With Advanced or Recurrent Non-Squamous Non-Small Cell Lung Cancer Who Have Not Received Prior Chemotherapy for Advanced Disease (NILE)

Primary Purpose

Non-Squamous Non-Small Cell Lung Cancer

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
MEGF0444A
bevacizumab
carboplatin
paclitaxel
placebo
Sponsored by
Genentech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Squamous Non-Small Cell Lung Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Histologically or cytologically documented inoperable (Stage IV) or recurrent non-squamous non-small cell lung cancer (NSCLC). Diagnoses of non-squamous NSCLC that are based on sputum cytology alone are not acceptable. Mixed tumors should be categorized according to the predominant cell type.
  • ECOG performance status of 0 or 1
  • Life expectancy >12 weeks
  • Measurable disease, as defined by RECIST 1.1
  • Adequate hematologic and end organ function

Exclusion Criteria:

  • Prior therapy (including chemotherapy, antibody therapy, tyrosine kinase inhibitors,radiotherapy, immunotherapy, hormonal therapy or investigational therapy) before Day 1 of Cycle 1 for the treatment of Stage IV or recurrent NSCLC. Patients who received prior adjuvant chemotherapy or radiotherapy for NSCLC are not excluded if the time interval from completion of adjuvant therapy until disease progression is > 12 months.
  • Treatment with any other investigational agent or participation in another clinical trial with therapeutic intent within 28 days prior to enrollment
  • Malignancies other than NSCLC within 5 years prior to randomization, except for adequately treated carcinoma in situ of the cervix, basal or squamous cell skin cancer, localized prostate cancer treated surgically with curative intent, ductal carcinoma in situ treated surgically with curative intent
  • Pregnant and lactating women
  • Active infection requiring IV antibiotics

Bevacizumab-Specific Exclusions:

  • Histologically or cytologically documented inoperable, locally advanced, mixed non-small cell and small cell tumors or mixed adenosquamous carcinomas with a predominant squamous component
  • Evidence of tumor invading major blood vessels on imaging
  • Evidence of central nervous system (CNS) metastases
  • History of stroke or transient ischemic attacks (TIAs) within 6 months prior to Day 1
  • Significant vascular disease within 6 months prior to Day 1
  • Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 1

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

A

B

Arm Description

Outcomes

Primary Outcome Measures

Progression-free survival (defined as the time from randomization to the first occurrence of progression based on RECIST 1.1 criteria or death from any cause on study)

Secondary Outcome Measures

Objective response (partial response plus complete response) as determined by the Investigator using RECIST 1.1
Duration of objective response (defined as the first occurrence of a documented objective response until the time of progression or death from any cause on study)
Overall survival (defined as the time from randomization until death from any cause)

Full Information

First Posted
June 2, 2011
Last Updated
November 1, 2016
Sponsor
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01366131
Brief Title
Study Evaluating the Safety and Efficacy of MEGF0444A in Combination With Carboplatin, Paclitaxel and Bevacizumab in Patients With Advanced or Recurrent Non-Squamous Non-Small Cell Lung Cancer Who Have Not Received Prior Chemotherapy for Advanced Disease (NILE)
Official Title
A Phase II, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety and Efficacy of MEGF0444A in Combination With Carboplatin , Paclitaxel and Bevacizumab in Patients With Advanced or Recurrent Non-Squamous Non-Small Cell Lung Cancer Who Have Not Received Prior Chemotherapy for Advanced Disease
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
June 2011 (undefined)
Primary Completion Date
February 2013 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.

4. Oversight

5. Study Description

Brief Summary
This is a Phase II, multicenter, randomized, double-blind, placebo-controlled trial designed to evaluate the efficacy and safety of MEGF0444A combined with paclitaxel + carboplatin + bevacizumab therapy in patients with histologically or cytologically documented inoperable, locally advanced, metastatic (Stage IV), or recurrent non-squamous NSCLC.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Squamous Non-Small Cell Lung Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
104 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A
Arm Type
Experimental
Arm Title
B
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
MEGF0444A
Intervention Description
Intravenous repeating dose
Intervention Type
Drug
Intervention Name(s)
bevacizumab
Intervention Description
Intravenous repeating dose
Intervention Type
Drug
Intervention Name(s)
carboplatin
Intervention Description
Intravenous repeating dose
Intervention Type
Drug
Intervention Name(s)
paclitaxel
Intervention Description
Intravenous repeating dose
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Intravenous repeating dose
Primary Outcome Measure Information:
Title
Progression-free survival (defined as the time from randomization to the first occurrence of progression based on RECIST 1.1 criteria or death from any cause on study)
Time Frame
Up to 24 months
Secondary Outcome Measure Information:
Title
Objective response (partial response plus complete response) as determined by the Investigator using RECIST 1.1
Time Frame
Up to 24 months
Title
Duration of objective response (defined as the first occurrence of a documented objective response until the time of progression or death from any cause on study)
Time Frame
Up to 24 months
Title
Overall survival (defined as the time from randomization until death from any cause)
Time Frame
Up to 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically or cytologically documented inoperable (Stage IV) or recurrent non-squamous non-small cell lung cancer (NSCLC). Diagnoses of non-squamous NSCLC that are based on sputum cytology alone are not acceptable. Mixed tumors should be categorized according to the predominant cell type. ECOG performance status of 0 or 1 Life expectancy >12 weeks Measurable disease, as defined by RECIST 1.1 Adequate hematologic and end organ function Exclusion Criteria: Prior therapy (including chemotherapy, antibody therapy, tyrosine kinase inhibitors,radiotherapy, immunotherapy, hormonal therapy or investigational therapy) before Day 1 of Cycle 1 for the treatment of Stage IV or recurrent NSCLC. Patients who received prior adjuvant chemotherapy or radiotherapy for NSCLC are not excluded if the time interval from completion of adjuvant therapy until disease progression is > 12 months. Treatment with any other investigational agent or participation in another clinical trial with therapeutic intent within 28 days prior to enrollment Malignancies other than NSCLC within 5 years prior to randomization, except for adequately treated carcinoma in situ of the cervix, basal or squamous cell skin cancer, localized prostate cancer treated surgically with curative intent, ductal carcinoma in situ treated surgically with curative intent Pregnant and lactating women Active infection requiring IV antibiotics Bevacizumab-Specific Exclusions: Histologically or cytologically documented inoperable, locally advanced, mixed non-small cell and small cell tumors or mixed adenosquamous carcinomas with a predominant squamous component Evidence of tumor invading major blood vessels on imaging Evidence of central nervous system (CNS) metastases History of stroke or transient ischemic attacks (TIAs) within 6 months prior to Day 1 Significant vascular disease within 6 months prior to Day 1 Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 1
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ina Rhee, M.D., Ph.D.
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
Facility Information:
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35205
Country
United States
City
Hot Springs
State/Province
Arkansas
ZIP/Postal Code
71913
Country
United States
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
City
Orlando
State/Province
Florida
ZIP/Postal Code
32904
Country
United States
City
Port Saint Lucie
State/Province
Florida
ZIP/Postal Code
34952
Country
United States
City
St Petersburg
State/Province
Florida
ZIP/Postal Code
33719
Country
United States
City
Tampa
State/Province
Florida
ZIP/Postal Code
33603
Country
United States
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46260
Country
United States
City
Wichita
State/Province
Kansas
ZIP/Postal Code
67214-3728
Country
United States
City
Burnsville
State/Province
Minnesota
ZIP/Postal Code
55337
Country
United States
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89148
Country
United States
City
Albany
State/Province
New York
ZIP/Postal Code
12208
Country
United States
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43219
Country
United States
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
City
Austin
State/Province
Texas
ZIP/Postal Code
78731
Country
United States
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
City
Vancouver
State/Province
Washington
ZIP/Postal Code
98684
Country
United States
City
St. Leonards
State/Province
New South Wales
ZIP/Postal Code
2065
Country
Australia
City
Herston
State/Province
Queensland
ZIP/Postal Code
4029
Country
Australia
City
Woodville South
State/Province
South Australia
ZIP/Postal Code
5011
Country
Australia
City
Brno
ZIP/Postal Code
656 53
Country
Czech Republic
City
Ostrava - Poruba
ZIP/Postal Code
708 52
Country
Czech Republic
City
Le Mans
ZIP/Postal Code
72037
Country
France
City
Lyon
ZIP/Postal Code
69373
Country
France
City
Marseille
ZIP/Postal Code
13273
Country
France
City
Marseille
ZIP/Postal Code
13915
Country
France
City
Paris
ZIP/Postal Code
75571
Country
France
City
Saint Herblain
ZIP/Postal Code
44805
Country
France
City
Toulouse
ZIP/Postal Code
31059
Country
France
City
Essen
ZIP/Postal Code
45122
Country
Germany
City
Gauting
ZIP/Postal Code
82131
Country
Germany
City
Grosshansdorf
ZIP/Postal Code
22927
Country
Germany
City
Halle
ZIP/Postal Code
06120
Country
Germany
City
Budapest
ZIP/Postal Code
1121
Country
Hungary
City
Budapest
ZIP/Postal Code
1125
Country
Hungary
City
Szekesfehervar
ZIP/Postal Code
8000
Country
Hungary
City
Tatabánya
ZIP/Postal Code
2800
Country
Hungary
City
Bydgoszcz
ZIP/Postal Code
85-796
Country
Poland
City
Gdansk
ZIP/Postal Code
80-952
Country
Poland

12. IPD Sharing Statement

Citations:
PubMed Identifier
29438092
Citation
von Pawel J, Spigel DR, Ervin T, Losonczy G, Barlesi F, Juhasz E, Anderson M, McCall B, Wakshull E, Hegde P, Ye W, Chen D, Chang I, Rhee I, Reck M. Randomized Phase II Trial of Parsatuzumab (Anti-EGFL7) or Placebo in Combination with Carboplatin, Paclitaxel, and Bevacizumab for First-Line Nonsquamous Non-Small Cell Lung Cancer. Oncologist. 2018 Jun;23(6):654-e58. doi: 10.1634/theoncologist.2017-0690. Epub 2018 Feb 7.
Results Reference
derived

Learn more about this trial

Study Evaluating the Safety and Efficacy of MEGF0444A in Combination With Carboplatin, Paclitaxel and Bevacizumab in Patients With Advanced or Recurrent Non-Squamous Non-Small Cell Lung Cancer Who Have Not Received Prior Chemotherapy for Advanced Disease (NILE)

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