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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register. |
Register:
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EUCTR |
Last refreshed on:
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20 June 2016 |
Main ID: |
EUCTR2009-018148-45-IT |
Date of registration:
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09/11/2010 |
Prospective Registration:
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No |
Primary sponsor: |
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Public title:
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An exploratory Phase 2 study of Pemetrexed and Cisplatin as Preoperative chemotherapy in the treatment of Stage IIIAN2 nonsquamous non-Small cell lung cancer - ND
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Scientific title:
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An exploratory Phase 2 study of Pemetrexed and Cisplatin as Preoperative chemotherapy in the treatment of Stage IIIAN2 nonsquamous non-Small cell lung cancer - ND |
Date of first enrolment:
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20/10/2010 |
Target sample size:
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Recruitment status: |
Not Recruiting |
URL:
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https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2009-018148-45 |
Study type:
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Interventional clinical trial of medicinal product |
Study design:
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Controlled: no
Randomised: no
Open: no
Single blind: no
Double blind: no
Parallel group: no
Cross over: no
Other: no
If controlled, specify comparator, Other Medicinial Product:
Placebo:
Other:
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Phase:
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Human pharmacology (Phase I): no
Therapeutic exploratory (Phase II): yes
Therapeutic confirmatory - (Phase III): no
Therapeutic use (Phase IV): no
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Countries of recruitment
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Italy
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Key inclusion & exclusion criteria
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Inclusion criteria: [1] Histologic diagnosis of NSCLC defined as other than predominantly squamous cell histology (squamous cell and/or mixed small cell, non-small cell histology is not permitted). [2] Stage IIIAN2 disease (T1aN2, T1bN2, T2aN2, T2bN2, and T3N2) (except pancoast tumors and bronchoalveolar carcinoma) as defined by the American Joint Committee on Cancer Staging Criteria for Lung Cancer. [3] Tumor considered potentially resectable with no evidence of extrathoracic metastatic disease. [4] ECOG PS of 0 or 1. [5] No prior surgery, radiotherapy, systemic chemotherapy, immunotherapy, targeted, or biological therapy for NSCLC. [6] At least 1 unidimensionally measurable lesion meeting RECIST criteria version 1.1 (at least 10 mm in longest diameter [LD] by CT scan [slice thickness 5mm], or at least 20 mm LD by chest X-ray). For malignant lymph nodes, at least 15 mm in short axis when assessed by CT scan (slice thickness 5 mm). PET scans and ultrasounds may not be used for tumor measurements. [7] Estimated life expectancy of at least 6 months [8] Patient compliance and geographic proximity that allow adequate follow-up. [9] Adequate organ function including the following: Adequate bone marrow reserve: absolute neutrophil (segmented and bands) count (ANC) > or =1.5 x 109/L, platelets > or =100 x 109/L, and hemoglobin > or = 9 g/dL. Hepatic: bilirubin < or = 1.5 times the upper limit of normal (x ULN), alkaline phosphatase (AP), aspartate transaminase (AST) and alanine transaminase (ALT) < or = 3.0 x ULN. Renal: calculated creatinine clearance (CrCl) > or = 45 mL/min based on the original weight-based Cockroft and Gault formula and serum creatinine < or = 1.5 x ULN. [10] Patients must sign an informed consent document (ICD). [11] Patients must be at least 18 years of age. [12] For women: Must be surgically sterile, postmenopausal, or compliant with a medically approved contraceptive regimen (for example, intrauterine device, birth control pills, or barrier device) during and for 6 months after last dose of study drug; must have a negative serum or urine pregnancy test within 7 days before study enrollment; and must not be breast-feeding. For men: Must be surgically sterile, or compliant with a contraceptive regimen during and for 6 months after last dose of study drug. [13] Patients must have an adequate tumor tissue sample available for detection of biomarkers expression. [14] Predicted postresection forced expiratory volume in 1 second (FEV1) > or =1.2 L. [15] Patients must be fit for surgery at time on enrollment. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria: [16] Are currently enrolled in, or discontinued within the last 30 days from, a clinical trial involving an investigational drug or device or off-label use of a drug or device (other than the study drug/device used in this study), or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study. [17] Have previously completed or withdrawn from this study or any other study investigating pemetrexed. [18] Have a serious concomitant systemic disorder (for example, active infection including human immunodeficiency virus) that, in the opinion of the investigator, would compromise the patient’s ability to adhere to the protocol. [19] Have a serious cardiac condition, such as myocardial infarction within 6 months, angina, or heart disease, as defined by the New York Heart Association Class III or IV. [20] Have had a prior malignancy other than NSCLC, carcinoma in situ of the cervix, or nonmelanoma skin cancer, unless that prior malignancy was diagnosed and definitively treated at least 5 years previously with no subsequent evidence of recurrence. Patients with a history of low grade (Gleason score < or =6) localized prostate cancer will be eligible even if diagnosed less than 5 years previously. [21] Are receiving concurrent administration of any other antitumor therapy. [22] Have received a recent (within 30 days of enrollment) or are receiving concurrent yellow fever vaccination. [23] Are unable to interrupt aspirin or other nonsteroidal anti-inflammatory agents, other than an aspirin dose < or = 1.3 grams per day. [24] Are unable or unwilling to take folic acid, vitamin B12 supplementation, or corticosteroids. [25] Have had significant (>5%) weight loss within 6 months of enrollment.
Age minimum:
Age maximum:
Gender:
Female: yes Male: yes
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Health Condition(s) or Problem(s) studied
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Non Squamous Non Small Cell Lung Cancer MedDRA version: 9.1
Level: LLT
Classification code 10029520
MedDRA version: 9.1
Level: LLT
Classification code 10029520
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Intervention(s)
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Pharmaceutical Form: Powder for solution for injection INN or Proposed INN: Pemetrexed Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 100-
Pharmaceutical Form: Powder for solution for injection INN or Proposed INN: Pemetrexed Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 500-
Pharmaceutical Form: Solution for infusion INN or Proposed INN: Cisplatin Concentration unit: mg/ml milligram(s)/millilitre Concentration type: equal Concentration number: 1-
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Primary Outcome(s)
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Primary end point(s): Overall Response rate defined as the proportion of patients whose response is Complete Response or Partial Response
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Secondary Objective: - Assess pathological complete remission rate after surgery, median progression-free survival (PFS), and median overall survival (OS) - Assess tumor downstaging - Characterize quantitative and qualitative toxicities - Assess the expression of biomarkers of interest and their correlation with Overall Response Rate - Assess the expression of biomarkers and their correlation with PFS and OS - Compare baseline expression of biomarkers with the expression of the same biomarkers after 3 cycles of pemetrexed/cisplatin chemotherapy
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Main Objective: Assess the antitumor activity of pemetrexed in combination with cisplatin, as measured by Overall Response Rate after preoperative chemotherapy, in patients with stage IIIAN2 nonsquamous NSCLC
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Secondary ID(s)
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H3E-EW-JMIP
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Source(s) of Monetary Support
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Results
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Results available:
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Date Posted:
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Date Completed:
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