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A Study of RO5083945 in Combination With Cisplatin and Gemcitabine or Carboplatin and Paclitaxel in Patients With Advanced or Recurrent Non-Small Cell Lung Cancer of Squamous Histology Who Have Not Received Prior Chemotherapy for The Metastatic Disease

Primary Purpose

Non-Squamous Non-Small Cell Lung Cancer

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
RO5083945
carboplatin
cisplatin
gemcitabine
paclitaxel
Sponsored by
Hoffmann-La Roche
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:

  • Adult patients, >/= 18 years of age
  • Locally advanced (stage IIIB, excluding patients who are candidates for chemo-radiotherapy or radical thoracic radiotherapy), metastatic (stage IV) or recurrent squamous non-small cell lung cancer (NSCLC)
  • Histologically documented squamous NSCLC. Mixed tumors should be categorized according to the predominant cell type
  • Histological tumor tissue sample from initial diagnosis or new tumor biopsy representative of the disease
  • Patients who have received adjuvant chemotherapy are eligible if the last administration of the prior adjuvant regimen occurred at least 3 months prior to enrollment
  • At least one measurable disease lesion as per RECIST 1.1 criteria
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Adequate hematological, liver and renal function
  • Females of childbearing potential must commit to using a reliable and appropriate method of contraception until at least 3 months after the end of the last dose of study treatment

Exclusion Criteria:

  • Prior chemotherapy (excluding neoadjuvant/adjuvant chemotherapy/chemo-radiotherapy) or treatment with another systemic anti-cancer agent (e.g. monoclonal antibody, tyrosine kinase inhibitor)
  • Radiotherapy within the last 4 weeks prior to first dosing, except for limited field palliative radiotherapy for bone pain relief
  • Treatment with any other investigational agent within 30 days prior to starting study treatment or participation in another clinical trial (e.g. CTC blood collection) within 7 days prior to starting study treatment
  • Historical or clinical evidence of central nervous system (CNS) metastases (except for previously treated CNS metastases in patients that are asymptomatic, have had no evidence of active CNS metastases for >/= 3 months prior to first dose and have had no requirement for steroids or enzyme-inducing anticonvulsants in the last 14 days)
  • Recent history of poorly controlled hypertension (systolic >180 mmHg or diastolic >100 mmHg)
  • Severe uncontrolled illness, including poorly controlled diabetes mellitus and active or uncontrolled infection
  • Hypersensitivity to the active substance or to any excipients or to any of the study drugs including premedication (corticosteroids, anti-histamine, paracetamol)
  • Pregnant or breastfeeding women

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    RO5083945 + carboplatin + paclitaxel

    RO5083945 + cisplatin +gemcitabine

    Arm Description

    Outcomes

    Primary Outcome Measures

    Maximum tolerated dose in combination with cisplatin and gemcitabine or carboplatin and paclitaxel
    Recommended phase II dose (RP2D) of RO5083945 in combination with cisplatin and gemcitabine or carboplatin and paclitaxel

    Secondary Outcome Measures

    Safety: Incidence of adverse events
    Pharmacokinetics: Serum concentrations of RO5083945 in combination with cisplatin and gemcitabine or carboplatin and paclitaxel
    Pharmacokinetics: Effect of RO5083945 on serum concentrations of cisplatin
    Pharmacokinetics: Effect of RO5083945 on serum concentrations of gemcitabine
    Pharmacokinetics: Effect of RO5083945 on serum concentrations of carboplatin
    Pharmacokinetics: Effect of RO5083945 on serum concentrations of paclitaxel
    Preliminary evidence of antitumor activity: Objective response rate (complete response, partial response and stable disease)
    Duration of response
    Biomarker assessments : Immune effector cells/EGFR markers

    Full Information

    First Posted
    October 1, 2012
    Last Updated
    November 3, 2016
    Sponsor
    Hoffmann-La Roche
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01702714
    Brief Title
    A Study of RO5083945 in Combination With Cisplatin and Gemcitabine or Carboplatin and Paclitaxel in Patients With Advanced or Recurrent Non-Small Cell Lung Cancer of Squamous Histology Who Have Not Received Prior Chemotherapy for The Metastatic Disease
    Official Title
    A MULTICENTER, OPEN-LABEL PHASE IB STUDY OF RO5083945 IN COMBINATION WITH CISPLATIN AND GEMCITABINE OR CARBOPLATIN AND PACLITAXEL IN PATIENTS WITH ADVANCED OR RECURRENT NON SMALL CELL LUNG CANCER OF SQUAMOUS HISTOLOGY WHO HAVE NOT RECEIVED PRIOR CHEMOTHERAPY FOR THE METASTATIC DISEASE.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2016
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Project Team decision
    Study Start Date
    July 2014 (undefined)
    Primary Completion Date
    February 2016 (Anticipated)
    Study Completion Date
    February 2016 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Hoffmann-La Roche

    4. Oversight

    5. Study Description

    Brief Summary
    This open-label, multicenter, non-randomized, dose-escalating phase Ib study with an expansion cohort will determine the recommended Phase II dose and schedule to investigate safety, tolerability, and activity of RO5083945 in combination with cisplatin and gemcitabine or carboplatin and paclitaxel in patients with advanced or recurrent non-small cell lung cancer of squamous histology who have not received prior chemotherapy for the metastatic disease. Cohorts of patients will receive escalating doses of RO5083945 in combination with up to 6 cycles of cisplatin and gemcitabine or carboplatin and paclitaxel. Anticipated time on study treatment is 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 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    RO5083945 + carboplatin + paclitaxel
    Arm Type
    Experimental
    Arm Title
    RO5083945 + cisplatin +gemcitabine
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    RO5083945
    Intervention Description
    multiple ascending doses
    Intervention Type
    Drug
    Intervention Name(s)
    carboplatin
    Intervention Description
    up to 6 cycles
    Intervention Type
    Drug
    Intervention Name(s)
    cisplatin
    Intervention Description
    up to 6 cycles
    Intervention Type
    Drug
    Intervention Name(s)
    gemcitabine
    Intervention Description
    up to 6 cycles
    Intervention Type
    Drug
    Intervention Name(s)
    paclitaxel
    Intervention Description
    up to 6 cycles
    Primary Outcome Measure Information:
    Title
    Maximum tolerated dose in combination with cisplatin and gemcitabine or carboplatin and paclitaxel
    Time Frame
    approximately 1.5 years
    Title
    Recommended phase II dose (RP2D) of RO5083945 in combination with cisplatin and gemcitabine or carboplatin and paclitaxel
    Time Frame
    approximately 1.5 years
    Secondary Outcome Measure Information:
    Title
    Safety: Incidence of adverse events
    Time Frame
    approximately 1.5 years
    Title
    Pharmacokinetics: Serum concentrations of RO5083945 in combination with cisplatin and gemcitabine or carboplatin and paclitaxel
    Time Frame
    up to 18 weeks
    Title
    Pharmacokinetics: Effect of RO5083945 on serum concentrations of cisplatin
    Time Frame
    up to 18 weeks
    Title
    Pharmacokinetics: Effect of RO5083945 on serum concentrations of gemcitabine
    Time Frame
    up to 18 weeks
    Title
    Pharmacokinetics: Effect of RO5083945 on serum concentrations of carboplatin
    Time Frame
    up to 18 weeks
    Title
    Pharmacokinetics: Effect of RO5083945 on serum concentrations of paclitaxel
    Time Frame
    up to 18 weeks
    Title
    Preliminary evidence of antitumor activity: Objective response rate (complete response, partial response and stable disease)
    Time Frame
    approximately 1.5 years
    Title
    Duration of response
    Time Frame
    approximately 1.5 years
    Title
    Biomarker assessments : Immune effector cells/EGFR markers
    Time Frame
    up to 18 weeks

    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 Locally advanced (stage IIIB, excluding patients who are candidates for chemo-radiotherapy or radical thoracic radiotherapy), metastatic (stage IV) or recurrent squamous non-small cell lung cancer (NSCLC) Histologically documented squamous NSCLC. Mixed tumors should be categorized according to the predominant cell type Histological tumor tissue sample from initial diagnosis or new tumor biopsy representative of the disease Patients who have received adjuvant chemotherapy are eligible if the last administration of the prior adjuvant regimen occurred at least 3 months prior to enrollment At least one measurable disease lesion as per RECIST 1.1 criteria Eastern Cooperative Oncology Group (ECOG) performance status 0-1 Adequate hematological, liver and renal function Females of childbearing potential must commit to using a reliable and appropriate method of contraception until at least 3 months after the end of the last dose of study treatment Exclusion Criteria: Prior chemotherapy (excluding neoadjuvant/adjuvant chemotherapy/chemo-radiotherapy) or treatment with another systemic anti-cancer agent (e.g. monoclonal antibody, tyrosine kinase inhibitor) Radiotherapy within the last 4 weeks prior to first dosing, except for limited field palliative radiotherapy for bone pain relief Treatment with any other investigational agent within 30 days prior to starting study treatment or participation in another clinical trial (e.g. CTC blood collection) within 7 days prior to starting study treatment Historical or clinical evidence of central nervous system (CNS) metastases (except for previously treated CNS metastases in patients that are asymptomatic, have had no evidence of active CNS metastases for >/= 3 months prior to first dose and have had no requirement for steroids or enzyme-inducing anticonvulsants in the last 14 days) Recent history of poorly controlled hypertension (systolic >180 mmHg or diastolic >100 mmHg) Severe uncontrolled illness, including poorly controlled diabetes mellitus and active or uncontrolled infection Hypersensitivity to the active substance or to any excipients or to any of the study drugs including premedication (corticosteroids, anti-histamine, paracetamol) Pregnant or breastfeeding women
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Clinical Trials
    Organizational Affiliation
    Hoffmann-La Roche
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study of RO5083945 in Combination With Cisplatin and Gemcitabine or Carboplatin and Paclitaxel in Patients With Advanced or Recurrent Non-Small Cell Lung Cancer of Squamous Histology Who Have Not Received Prior Chemotherapy for The Metastatic Disease

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