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A Study of Changes in FDG- and FLT-PET Imaging in Patients With Non-Small Cell Lung Cancer Following Treatment With Erlotinib

This study is currently recruiting participants.
Verified by Genentech, December 2007

Sponsors and Collaborators: Genentech
Hoffmann-La Roche
Information provided by: Genentech
ClinicalTrials.gov Identifier: NCT00453362
  Purpose

This is a single-arm, open-label, multicenter, international pilot study to evaluate the relationship between FDG- and FLT-PET responses and clinical outcome in recurrent or refractory NSCLC patients receiving erlotinib. The study will enroll approximately 100 patients at approximately 4 sites in Australia and 4 sites in the United States.


Condition Intervention Phase
Non-Small Cell Lung Cancer
Other: 3'-deoxy-3'-[18F]fluorothymidine (FLT)
Other: 2-deoxy-2-[18F]fluoro-D-glucose (FDG)
Drug: erlotinib HCl
Phase I
Phase II

MedlinePlus related topics:   Cancer    Lung Cancer   

ChemIDplus related topics:   Erlotinib    Erlotinib hydrochloride    Dextrose   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Open Label, Uncontrolled, Single Group Assignment
Official Title:   Pilot Study of Changes in FDG- and FLT-PET Imaging in Patients With Non-Small Cell Lung Cancer Following Treatment With Erlotinib

Further study details as provided by Genentech:

Primary Outcome Measures:
  • Progression free survival and overall survival [ Time Frame: 3.5 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • FDG- and FLT-PET responses [ Time Frame: 3.5 years ] [ Designated as safety issue: No ]

Estimated Enrollment:   100
Study Start Date:   December 2006
Estimated Study Completion Date:   June 2010

Arms Assigned Interventions
1: Experimental Other: 3'-deoxy-3'-[18F]fluorothymidine (FLT)
IV repeating dose
Other: 2-deoxy-2-[18F]fluoro-D-glucose (FDG)
IV repeating dose
Drug: erlotinib HCl
Oral repeating dose

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Signed Informed Consent Form(s)
  • Histologically confirmed NSCLC
  • Recurrent or progressive disease after receiving at least one chemotherapy regimen for advanced or metastatic NSCLC
  • ECOG performance status 0, 1, or 2
  • Age ≥ 18 years
  • Recovery from reversible acute effects of prior anti-cancer therapy (chemotherapy, radiotherapy, or investigational treatment) to NCI CTCAE Grade ≤ 1 (excluding alopecia)
  • Ability to comply with the study and follow-up procedures, including all specified imaging studies
  • Ability to take oral medication
  • Availability of archival diagnostic paraffin-embedded tumor tissue and willingness to provide sufficient tissue for testing for EGFR levels in tumor by both IHC and FISH
  • Life expectancy ≥ 3 months
  • Measurable disease on CT
  • At least one detectable lesion on FDG-PET scan and/or FLT-PET scan that is measurable on CT
  • Use of an acceptable means of contraception (men and women of childbearing potential) or documentation of infertility

Exclusion Criteria:

  • Prior treatment with an investigational or marketed agent for the purpose of inhibiting EGFR (including, but not limited to, erlotinib and gefitinib)
  • Chemotherapy, radiotherapy, or investigational treatment within 14 days or within 5 half-lives of the active molecules in the chemotherapy or investigational treatment, whichever is longer, prior to study entry or from which patients have not yet recovered
  • Inability to take oral medications, disease affecting gastrointestinal absorption, or prior surgical procedure affecting gastrointestinal absorption
  • Uncontrolled diabetes
  • Any unstable systemic disease (including active infection, unstable angina, congestive heart failure, myocardial infarction within 1 month prior to study entry, hepatic, renal, or metabolic disease)
  • Pregnancy or lactation
  • History of another malignancy in the past 2 years, unless the malignancy has been adequately treated, is currently not detectable, and is associated with a 5-year survival > 90%
  • Claustrophobia
  • Any other disease, condition, physical examination finding, or clinical laboratory finding which, in the opinion of the investigator, makes the patient inappropriate for the study
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00453362

Contacts
Contact: Morgan Lam     lam.morgan@gene.com    

Locations
United States, California
Hem Onc Med Grp Orange Cty     Recruiting
      Orange, California, United States, 92868
      Contact: Maria Gonzalez     714-771-8000 ext 7816     maria1.gonzalez@stjoe.org    
Pacific Cancer Medical Center     Recruiting
      Anaheim, California, United States, 92801
      Contact: Elizabeth Garcia     714-999-1465 ext 230     elizabethg@pacificcancer.com    
USC/Norris Comp Cancer Center     Recruiting
      Los Angeles, California, United States, 90033
      Contact: Gina Tse     323-865-0514     tse_g@ccnt.usc.edu    
Wilshire Oncology Medical Group     Recruiting
      Corona, California, United States, 92879
      Contact: Debbie Malouf     909-596-5333 ext 227     malouf.debbie@womgi.com    

Sponsors and Collaborators
Genentech
Hoffmann-La Roche

Investigators
Study Director:     Andrea Pirzkall, M.D.     Genentech    
  More Information


Ex-U.S. Study Information (Ex-US this trial is sponsored/managed by Roche Products Pty Limited ([Roche Australia])  This link exits the ClinicalTrials.gov site
 

Responsible Party:   Genentech, Inc. ( Andrea Pirzkall, M.D., Study Director )
Study ID Numbers:   OSI3926g, ML20773
First Received:   March 26, 2007
Last Updated:   December 21, 2007
ClinicalTrials.gov Identifier:   NCT00453362
Health Authority:   United States: Food and Drug Administration

Keywords provided by Genentech:
NSCLC  
Tarceva  
Positron emission technology  
PET
Computerized tomography
CT

Study placed in the following topic categories:
Erlotinib
Thoracic Neoplasms
Non-small cell lung cancer
Respiratory Tract Diseases
Lung Neoplasms
Lung Diseases
Carcinoma, Non-Small-Cell Lung
Neoplasms, Glandular and Epithelial
Carcinoma

Additional relevant MeSH terms:
Respiratory Tract Neoplasms
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on October 20, 2008




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