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Anamorelin HCl in the Treatment of Non-Small Cell Lung Cancer-Cachexia (NSCLC-C): An Extension Study (ROMANA 3)

Primary Purpose

Cachexia, Non-Small Cell Lung Cancer

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Anamorelin HCl
Placebo
Sponsored by
Helsinn Therapeutics (U.S.), Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cachexia

Eligibility Criteria

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

Inclusion Criteria:

  • Has completed the Day 85 Visit in the original trial (Study HT-ANAM-301 or HT-ANAM-302) and is considered appropriate to continue to receive additional study drug; must start dosing on the extension study within 5 days of completing dosing on the original trial
  • ECOG performance status ≤2
  • Life expectancy of >4 months at time of screening
  • If woman of childbearing potential or a fertile man, he/she must agree to use an effective form of contraception during the study and for 30 days following the last dose of study drug (an effective form of contraception is abstinence, a hormonal contraceptive, or a double-barrier method)
  • Must be willing and able to give signed informed consent and, in the opinion of the Investigator, to comply with the protocol tests and procedures

Exclusion Criteria:

  • Women who are pregnant or breast-feeding
  • Had major surgery (central venous access placement and tumor biopsies are not considered major surgery) within 4 weeks prior to enrollment into the extension study; patients must be well recovered from acute effects of surgery prior to screening; patients should not have plans to undergo major surgical procedures during the treatment period
  • Currently taking prescription medications intended to increase appetite or treat weight loss; these include, but are not limited to, testosterone, androgenic compounds, megestrol acetate, methylphenidate, and dronabinol
  • Inability to readily swallow oral tablets; patients with severe gastrointestinal disease (including esophagitis, gastritis, malabsorption, or obstructive symptoms) or intractable or frequent vomiting are excluded
  • Has an active, uncontrolled infection
  • Has known or symptomatic brain metastases
  • Receiving strong CYP3A4 inhibitors
  • Receiving tube feedings or parenteral nutrition (either total or partial); patients must have discontinued these treatments for at least 6 weeks prior to Day 1, and throughout the study duration
  • Other clinical diagnosis, ongoing or intercurrent illness that in the Investigator's opinion would prevent the patient's participation
  • Patients actively receiving a concurrent investigational agent, other than Anamorelin HCl

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

100 mg QD

Placebo

Arm Description

100 mg yellow coated, oval tablet; oral administration once daily

Placebo tablets identical in appearance to active tablets; oral administration once daily

Outcomes

Primary Outcome Measures

Percentage of Participants With Treatment-emergent Adverse Events
To Evaluate the Safety and Tolerability of Anamorelin HCl.

Secondary Outcome Measures

Change in Body Weight
Change in Handgrip Strength of the Non-Dominant Hand
Change in A/CS Domain Score
Change in the Functional Assessment of Anorexia/Cachexia Treatment (FAACT) 12-item Additional Concerns Subscale (A/CS) domain score is a 12-item scale. Each item is answered on a 5-point Likert scale ranging from 0 (not at all) to 4 (very much). The 12-items are summed together to obtain the domain score. Note that negatively phrased questions are reverse scored so that higher scores always represent improvement/less symptom burden. The total possible score for the A/CS domain ranges from 0 (worst) to 48 (best).

Full Information

First Posted
June 30, 2011
Last Updated
August 16, 2017
Sponsor
Helsinn Therapeutics (U.S.), Inc
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1. Study Identification

Unique Protocol Identification Number
NCT01395914
Brief Title
Anamorelin HCl in the Treatment of Non-Small Cell Lung Cancer-Cachexia (NSCLC-C): An Extension Study (ROMANA 3)
Official Title
Anamorelin HCl in the Treatment of Non-Small Cell Lung Cancer-Cachexia (NSCLC-C): An Extension Study
Study Type
Interventional

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
Completed
Study Start Date
July 2011 (undefined)
Primary Completion Date
June 2014 (Actual)
Study Completion Date
February 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Helsinn Therapeutics (U.S.), Inc

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The administration of Anamorelin HCl in patients with Non-Small Cell Lung Cancer-Cachexia (NSCLC-C) is expected to increase appetite, lean body mass, weight gain, and muscle strength.
Detailed Description
This is a randomized, double-blind, parallel-group, placebo-controlled, extension study to assess the safety and efficacy of Anamorelin HCl in NSCLC-C patients.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
513 (Actual)

8. Arms, Groups, and Interventions

Arm Title
100 mg QD
Arm Type
Experimental
Arm Description
100 mg yellow coated, oval tablet; oral administration once daily
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo tablets identical in appearance to active tablets; oral administration once daily
Intervention Type
Drug
Intervention Name(s)
Anamorelin HCl
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Percentage of Participants With Treatment-emergent Adverse Events
Description
To Evaluate the Safety and Tolerability of Anamorelin HCl.
Time Frame
Over the 12-week treatment period
Secondary Outcome Measure Information:
Title
Change in Body Weight
Time Frame
Change in body weight from baseline of the original trial through Week 12 of this extension trial.
Title
Change in Handgrip Strength of the Non-Dominant Hand
Time Frame
Change in HGS from baseline of the original trial through Week 12 of this extension trial.
Title
Change in A/CS Domain Score
Description
Change in the Functional Assessment of Anorexia/Cachexia Treatment (FAACT) 12-item Additional Concerns Subscale (A/CS) domain score is a 12-item scale. Each item is answered on a 5-point Likert scale ranging from 0 (not at all) to 4 (very much). The 12-items are summed together to obtain the domain score. Note that negatively phrased questions are reverse scored so that higher scores always represent improvement/less symptom burden. The total possible score for the A/CS domain ranges from 0 (worst) to 48 (best).
Time Frame
Change in FAACT A/CS Domain Score from baseline of the original trial through Week 12 of this extension trial

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Has completed the Day 85 Visit in the original trial (Study HT-ANAM-301 or HT-ANAM-302) and is considered appropriate to continue to receive additional study drug; must start dosing on the extension study within 5 days of completing dosing on the original trial ECOG performance status ≤2 Life expectancy of >4 months at time of screening If woman of childbearing potential or a fertile man, he/she must agree to use an effective form of contraception during the study and for 30 days following the last dose of study drug (an effective form of contraception is abstinence, a hormonal contraceptive, or a double-barrier method) Must be willing and able to give signed informed consent and, in the opinion of the Investigator, to comply with the protocol tests and procedures Exclusion Criteria: Women who are pregnant or breast-feeding Had major surgery (central venous access placement and tumor biopsies are not considered major surgery) within 4 weeks prior to enrollment into the extension study; patients must be well recovered from acute effects of surgery prior to screening; patients should not have plans to undergo major surgical procedures during the treatment period Currently taking prescription medications intended to increase appetite or treat weight loss; these include, but are not limited to, testosterone, androgenic compounds, megestrol acetate, methylphenidate, and dronabinol Inability to readily swallow oral tablets; patients with severe gastrointestinal disease (including esophagitis, gastritis, malabsorption, or obstructive symptoms) or intractable or frequent vomiting are excluded Has an active, uncontrolled infection Has known or symptomatic brain metastases Receiving strong CYP3A4 inhibitors Receiving tube feedings or parenteral nutrition (either total or partial); patients must have discontinued these treatments for at least 6 weeks prior to Day 1, and throughout the study duration Other clinical diagnosis, ongoing or intercurrent illness that in the Investigator's opinion would prevent the patient's participation Patients actively receiving a concurrent investigational agent, other than Anamorelin HCl
Facility Information:
City
Corona
State/Province
California
Country
United States
City
Fountain Valley
State/Province
California
Country
United States
City
Fullerton
State/Province
California
Country
United States
City
Glendale
State/Province
California
Country
United States
City
La Jolla
State/Province
California
Country
United States
City
Riverside
State/Province
California
Country
United States
City
Washington, D.C.
State/Province
District of Columbia
Country
United States
City
Orange City
State/Province
Florida
Country
United States
City
Quincy
State/Province
Illinois
Country
United States
City
Indianapolis
State/Province
Indiana
Country
United States
City
Louisville
State/Province
Kentucky
Country
United States
City
Boston
State/Province
Massachusetts
Country
United States
City
Lake Success
State/Province
New York
Country
United States
City
Durham
State/Province
North Carolina
Country
United States
City
Cleveland
State/Province
Ohio
Country
United States
City
Sylvania
State/Province
Ohio
Country
United States
City
West Reading
State/Province
Pennsylvania
Country
United States
City
Charleston
State/Province
South Carolina
Country
United States
City
Falls Church
State/Province
Virginia
Country
United States
City
Prairiewood
State/Province
New South Wales
Country
Australia
City
Adelaide
Country
Australia
City
East Bentleigh
Country
Australia
City
Victoria
Country
Australia
City
Brest
Country
Belarus
City
Lesnoy
Country
Belarus
City
Minsk
Country
Belarus
City
Antwerpen
Country
Belgium
City
Brussels
Country
Belgium
City
Genk
Country
Belgium
City
Gent
Country
Belgium
City
Liege
Country
Belgium
City
Edmonton
State/Province
Alberta
Country
Canada
City
Sault Ste Marie
State/Province
Ontario
Country
Canada
City
Toronto
State/Province
Ontario
Country
Canada
City
Montreal
State/Province
Quebec
Country
Canada
City
Benesov
Country
Czechia
City
Brno
Country
Czechia
City
Hlucin
Country
Czechia
City
Liberec
Country
Czechia
City
Nymburk
Country
Czechia
City
Lyon Cedex
Country
France
City
Villejuif cedex
Country
France
City
Grosshansdorf
Country
Germany
City
Halle
Country
Germany
City
Budapest
Country
Hungary
City
Kassai
Country
Hungary
City
Beer-Sheva
Country
Israel
City
Petach Tikvah
Country
Israel
City
Tel-Hashomer
Country
Israel
City
Zerifin
Country
Israel
City
Piacenza
Country
Italy
City
Bydgoszcz
Country
Poland
City
Grudziadz
Country
Poland
City
Katowice
Country
Poland
City
Krakow
Country
Poland
City
Lodz
Country
Poland
City
Lublin
Country
Poland
City
Szczecin
Country
Poland
City
Warszawa
Country
Poland
City
Ekaterinburg
Country
Russian Federation
City
Krasnodar
Country
Russian Federation
City
Moscow
Country
Russian Federation
City
St. Petersburg
Country
Russian Federation
City
Belgrade
Country
Serbia
City
Sremska Kamenica
Country
Serbia
City
Ljubljana
Country
Slovenia
City
Barcelona
Country
Spain
City
Sevilla
Country
Spain
City
Valencia
Country
Spain
City
Dnipropetrovsk
Country
Ukraine
City
Kharkiv
Country
Ukraine
City
Kyiv
Country
Ukraine

12. IPD Sharing Statement

Citations:
PubMed Identifier
28472437
Citation
Currow D, Temel JS, Abernethy A, Milanowski J, Friend J, Fearon KC. ROMANA 3: a phase 3 safety extension study of anamorelin in advanced non-small-cell lung cancer (NSCLC) patients with cachexia. Ann Oncol. 2017 Aug 1;28(8):1949-1956. doi: 10.1093/annonc/mdx192.
Results Reference
derived

Learn more about this trial

Anamorelin HCl in the Treatment of Non-Small Cell Lung Cancer-Cachexia (NSCLC-C): An Extension Study (ROMANA 3)

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