A Study of Onartuzumab (MetMAb) Versus Placebo in Combination With Paclitaxel Plus Platinum in Patients With Squamous Non-Small Cell Lung Cancer
Primary Purpose
Non-Squamous Non-Small Cell Lung Cancer
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Placebo
cisplatin/carboplatin
onartuzumab
paclitaxel
Sponsored by

About this trial
This is an interventional treatment trial for Non-Squamous Non-Small Cell Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Adult patients, >/= 18 years of age
- Histologically or cytologically confirmed Stage III B or Stage IV squamous non-small cell lung cancer (NSCLC)
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- No prior chemotherapy for squamous NSCLC
- Adequate tissue for central IHC assay of Met receptor, and EGFR testing if EGFR status is unknown
- Radiographic evidence of disease
Exclusion Criteria:
- Prior systemic treatment for Stage IIIB or IV squamous NSCLC
- NSCLC with histology classified as adenocarcinoma, large cell, mixed adenosquamous, or NSCLC not otherwise specified (NOS)
- Prior exposure to experimental treatment targeting either the HGF or Met pathway
- Patients with tumors confirmed to have EGFR-activating mutations who are suitable for anti-EGFR therapy (e.g. gefitinib or erlotinib), as determined by the investigator
- Uncontrolled brain metastases and treatment by neurosurgical resection or brain biopsy within 4 weeks prior to Day 1 of Cycle 1
- History of another malignancy in the previous 3 years except for prior history of in situ cancer or basal or squamous cell skin cancer
- Pregnant or lactating women
- Uncontrolled diabetes
- Impaired bone marrow, liver or renal function as defined by protocol
- Significant history of cardiovascular disease
- Positive for HIV infection
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
MetMAb+paclitaxel+platinum
Placebo+paclitaxel+platinum
Arm Description
Outcomes
Primary Outcome Measures
Progression-free survival (tumor assessments according to RECIST criteria)
Progression-free survival: Subgroup of patients with Met diagnostic-positive squamous NSCLC
Secondary Outcome Measures
Overall survival
Overall response rate (tumor assessments according to RECIST criteria)
Duration of response (time from first documented objective response to disease progression)
Disease control rate (rate of partial response plus complete response plus stable disease for at least 6 weeks)
Safety: Incidence of adverse events
Pharmacokinetics: serum concentration (Cmin/Cmax)
Plasma concentrations of paclitaxel/platinum
Serum levels of anti-therapeutic antibodies (MetMAb ATAs)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01519804
Brief Title
A Study of Onartuzumab (MetMAb) Versus Placebo in Combination With Paclitaxel Plus Platinum in Patients With Squamous Non-Small Cell Lung Cancer
Official Title
A Randomized, Phase II, Multicenter, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Onartuzumab (Metmab) in Combination With Paclitaxel + Cisplatin or Carboplatin as First-Line Treatment for Patients With Stage IIIb (T4 Disease) or IV Squamous Non-Small Cell Lung Cancer (NSCLC)
Study Type
Interventional
2. Study Status
Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
April 2012 (undefined)
Primary Completion Date
January 2014 (Actual)
Study Completion Date
September 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.
4. Oversight
5. Study Description
Brief Summary
This multicenter, randomized, double-blind, placebo-controlled study will evaluate the efficacy and safety of onartuzumab (MetMAb) in combination with paclitaxel plus platinum in patients with incurable Stage IIIB or Stage IV squamous non-small cell lung cancer (NSCLC). Patients will be randomized to receive either onartuzumab (MetMAb) 15 mg/kg iv or placebo on Day 1 of each 21-day cycle in combination with 4 cycles of paclitaxel 200 mg/m2 iv and platinum (carboplatin/cisplatin) iv on Day 1 of each 21-day cycle. Patients who have not progressed after 4 cycles will continue with either onartuzumab (MetMAb) or placebo as maintenance therapy until disease progression or unacceptable toxicity occurs.
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
108 (Actual)
8. Arms, Groups, and Interventions
Arm Title
MetMAb+paclitaxel+platinum
Arm Type
Experimental
Arm Title
Placebo+paclitaxel+platinum
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching onartuzumab (MetMAb) placebo iv, Day 1 of each 21-day cycle
Intervention Type
Drug
Intervention Name(s)
cisplatin/carboplatin
Intervention Description
standard dose iv, Day 1 of each 21-day cycle, 4 cycles
Intervention Type
Drug
Intervention Name(s)
onartuzumab
Other Intervention Name(s)
MetMAb
Intervention Description
15 mg/kg iv, Day 1 of each 21-day cycle
Intervention Type
Drug
Intervention Name(s)
paclitaxel
Intervention Description
200 mg/m2 iv, Day 1 of each 21-day cycle, 4 cycles
Primary Outcome Measure Information:
Title
Progression-free survival (tumor assessments according to RECIST criteria)
Time Frame
up to approximately 32 months
Title
Progression-free survival: Subgroup of patients with Met diagnostic-positive squamous NSCLC
Time Frame
up to approximately 32 months
Secondary Outcome Measure Information:
Title
Overall survival
Time Frame
up to approximately 32 months
Title
Overall response rate (tumor assessments according to RECIST criteria)
Time Frame
up to approximately 32 months
Title
Duration of response (time from first documented objective response to disease progression)
Time Frame
up to approximately 32 months
Title
Disease control rate (rate of partial response plus complete response plus stable disease for at least 6 weeks)
Time Frame
up to approximately 32 months
Title
Safety: Incidence of adverse events
Time Frame
up to approximately 32 months
Title
Pharmacokinetics: serum concentration (Cmin/Cmax)
Time Frame
Pre- and post-dose on Day 1 of Cycles 1, 2 and 4 and up to 2 years
Title
Plasma concentrations of paclitaxel/platinum
Time Frame
Pre- and post-dose on Day 1 of Cycles 1 and 4
Title
Serum levels of anti-therapeutic antibodies (MetMAb ATAs)
Time Frame
Pre-dose Day 1 of Cycles 1, 2 and 4
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Adult patients, >/= 18 years of age
Histologically or cytologically confirmed Stage III B or Stage IV squamous non-small cell lung cancer (NSCLC)
Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
No prior chemotherapy for squamous NSCLC
Adequate tissue for central IHC assay of Met receptor, and EGFR testing if EGFR status is unknown
Radiographic evidence of disease
Exclusion Criteria:
Prior systemic treatment for Stage IIIB or IV squamous NSCLC
NSCLC with histology classified as adenocarcinoma, large cell, mixed adenosquamous, or NSCLC not otherwise specified (NOS)
Prior exposure to experimental treatment targeting either the HGF or Met pathway
Patients with tumors confirmed to have EGFR-activating mutations who are suitable for anti-EGFR therapy (e.g. gefitinib or erlotinib), as determined by the investigator
Uncontrolled brain metastases and treatment by neurosurgical resection or brain biopsy within 4 weeks prior to Day 1 of Cycle 1
History of another malignancy in the previous 3 years except for prior history of in situ cancer or basal or squamous cell skin cancer
Pregnant or lactating women
Uncontrolled diabetes
Impaired bone marrow, liver or renal function as defined by protocol
Significant history of cardiovascular disease
Positive for HIV infection
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
Facility Information:
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35805
Country
United States
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85259
Country
United States
City
Bakersfield
State/Province
California
ZIP/Postal Code
93309
Country
United States
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90024
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095-1772
Country
United States
City
Northridge
State/Province
California
ZIP/Postal Code
91328
Country
United States
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
City
San Luis Obispo
State/Province
California
ZIP/Postal Code
93454
Country
United States
City
Santa Barbara
State/Province
California
ZIP/Postal Code
93105
Country
United States
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
City
Grand Junction
State/Province
Colorado
ZIP/Postal Code
81502-1628
Country
United States
City
Boynton Beach
State/Province
Florida
ZIP/Postal Code
33435
Country
United States
City
Orlando
State/Province
Florida
ZIP/Postal Code
32804
Country
United States
City
Weston
State/Province
Florida
ZIP/Postal Code
33331
Country
United States
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
City
Harvey
State/Province
Illinois
ZIP/Postal Code
60426
Country
United States
City
Fort Wayne
State/Province
Indiana
ZIP/Postal Code
46815
Country
United States
City
Fort Wayne
State/Province
Indiana
ZIP/Postal Code
46845
Country
United States
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46260
Country
United States
City
Muncie
State/Province
Indiana
ZIP/Postal Code
47303
Country
United States
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006
Country
United States
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55454
Country
United States
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89148
Country
United States
City
Hickory
State/Province
North Carolina
ZIP/Postal Code
28602
Country
United States
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
City
Middletown
State/Province
Ohio
ZIP/Postal Code
45042
Country
United States
City
Bend
State/Province
Oregon
ZIP/Postal Code
97701
Country
United States
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
City
Seattle
State/Province
Washington
ZIP/Postal Code
98195
Country
United States
City
Buenos Aires
ZIP/Postal Code
C1426ANZ
Country
Argentina
City
La Rioja
ZIP/Postal Code
F5300COE
Country
Argentina
City
Santa Rosa
ZIP/Postal Code
L6304BOC
Country
Argentina
City
Grenoble
ZIP/Postal Code
38043
Country
France
City
Lyon
ZIP/Postal Code
69373
Country
France
City
Paris
ZIP/Postal Code
75674
Country
France
City
Rennes
ZIP/Postal Code
35033
Country
France
City
Berlin
ZIP/Postal Code
12203
Country
Germany
City
Göttingen
ZIP/Postal Code
37075
Country
Germany
City
Halle (Saale)
ZIP/Postal Code
06120
Country
Germany
City
Immenhausen
ZIP/Postal Code
34376
Country
Germany
City
München
ZIP/Postal Code
81925
Country
Germany
City
Münster
ZIP/Postal Code
48149
Country
Germany
City
Afula
ZIP/Postal Code
18101
Country
Israel
City
Ashkelon
ZIP/Postal Code
78278
Country
Israel
City
Tel Aviv
ZIP/Postal Code
6423906
Country
Israel
City
Zerifin
ZIP/Postal Code
6093000
Country
Israel
City
Avellino
State/Province
Campania
ZIP/Postal Code
83100
Country
Italy
City
Napoli
State/Province
Campania
ZIP/Postal Code
80131
Country
Italy
City
Udine
State/Province
Friuli-Venezia Giulia
ZIP/Postal Code
33100
Country
Italy
City
Cremona
State/Province
Lombardia
ZIP/Postal Code
26100
Country
Italy
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20133
Country
Italy
City
Daugavpils
ZIP/Postal Code
5417
Country
Latvia
City
Liepaja
ZIP/Postal Code
LV 3401
Country
Latvia
City
Riga
ZIP/Postal Code
LV 1079
Country
Latvia
City
Riga
ZIP/Postal Code
LV-1002
Country
Latvia
City
Pamplona
State/Province
Navarra
ZIP/Postal Code
31008
Country
Spain
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
City
Madrid
ZIP/Postal Code
28007
Country
Spain
City
Madrid
ZIP/Postal Code
28050
Country
Spain
City
Zaragoza
ZIP/Postal Code
50009
Country
Spain
City
Aberdeen
ZIP/Postal Code
AB25 2ZN
Country
United Kingdom
City
Birmingham
ZIP/Postal Code
B9 5SS
Country
United Kingdom
City
Bournemouth
ZIP/Postal Code
BH7 7DW
Country
United Kingdom
City
Leeds
ZIP/Postal Code
LS9 7TF
Country
United Kingdom
12. IPD Sharing Statement
Learn more about this trial
A Study of Onartuzumab (MetMAb) Versus Placebo in Combination With Paclitaxel Plus Platinum in Patients With Squamous Non-Small Cell Lung Cancer
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