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A Study to Assess the Effectiveness of the Combination of Carboplatin, Paclitaxel, Bevacizumab and Combretastatin (CA4P) in Patients With Chemotherapy Naïve Lung Cancer

Basic Trial Information
Trial Description
     Summary
     Eligibility Criteria
Trial Contact Information

Basic Trial Information

Phase
Type
Status
Age
Sponsor
Protocol IDs

Phase II


Treatment


Active


18 and over


Pharmaceutical / Industry


OXC401-216
NCT00653939

Trial Description

Summary

The purpose of this study is to determine the safety, tolerability and efficacy of combretastatin A4 phosphate (CA4P), also known as fosbretabulin, in combination with bevacizumab (Avastin), carboplatin and paclitaxel in patients with chemotherapy naïve non-small cell lung cancer (NSCLC). This is a randomized parallel arm study. All participants will receive carboplatin, paclitaxel and bevacizumab, and half will additionally receive CA4P. Patients who complete the first 6 cycles of therapy and have not experienced disease progression will receive maintenance therapy with bevacizumab alone or with bevacizumab plus CA4P.

The rationale for this study is the potential additive or synergistic actions of vascular disrupting agents like CA4P with anti-angiogenic agents like bevacizumab.

Eligibility Criteria

Inclusion Criteria:

  • Pathologically confirmed Stage IIIB NSCLC with malignant pleural effusion, or Stage IV disease
  • Measurable disease on CT scan (by the RECIST criteria)
  • Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 or 1 (which means able to independently care for self and to perform light work) .
  • Adequate blood counts
  • Adequate liver and kidney function
  • Subjects or their legal representatives must be able to read, understand and provide written informed consent to participate in the trial.

Exclusion Criteria:

  • Predominant Squamous Cell NSCLC histology.
  • History of treatment for NSCLC with chemotherapy, biological therapy, immunotherapy (surgery or radiation therapy are accepted)
  • Brain (CNS) metastasis by head CT scan or MRI
  • Subjects with history of prior malignancy except for curatively treated basal cell carcinoma of the skin; cervical intra-epithelial neoplasia; or localized prostate cancer with a current prostate specific antigen (PSA) of < 4.0 mg/dL. Subjects with other curatively treated malignancies who have no evidence of metastatic disease and >2 year disease free interval may be entered after discussion with the Medical Monitor.
  • History of bleeding disorders, particularly coughing up ≥ ½ teaspoon bright red blood during the last 3 months
  • Certain cardiac disorders such as recent myocardial infarction (MI), severe congestive heart failure, certain types of abnormal cardiac rhythm
  • Uncontrolled high blood pressure despite medications
  • Uncontrolled, clinically significant active infection.
  • Known HIV
  • Known hypersensitivity to any of the components of CA4P, paclitaxel, carboplatin, bevacizumab, or radiologic contrast dyes.

Details of the above and additional inclusion and exclusion criteria can be discussed with an investigator.

Trial Contact Information

Trial Lead Organizations/Sponsors

Oxigene, Incorporated

Trial Sites

U.S.A.
California
  Campbell
 Southbay Oncology / Hematology Medical Group
 Marta Roeder Ph: 408-376-2310
  Email: marta@sbohp.com
 Steven Scates, MDPrincipal Investigator
  Fountain Valley
 Pacific Coast Hematology/Oncology Medical Group, Incorporated
 Catherine Etheredge Ph: 714-845-0238
  Email: cetheredge@pchomg.net
 Richard Jacoub, MDPrincipal Investigator
  Los Angeles
 Jonsson Comprehensive Cancer Center at UCLA
 Nathalie Chorn Ph: 310-825-4493
  Email: nchorn@mednet.ucla.edu
 Edward Garon, M.D.Principal Investigator
Kentucky
  Louisville
 Kentuckiana Cancer Institute, PLLC
 Roxanne Smalley Ph: 502-561-1178 Ext.285
  Email: rsmalley@kci.us
 Alfonse Cervera, MDPrincipal Investigator
Massachusetts
  Burlington
 Lahey Clinic Medical Center - Burlington
 Julie Roache Ph: 781-744-3055
  Email: julie.roache@lahey.org
 Todd Shuster, MDPrincipal Investigator
New Jersey
  Cherry Hill
 Center for Cancer and Hematologic Disease - Cherry Hill
 Nancey DiNubile Ph: 856-424-7983 Ext.1702
  Email: n.dinubile@centerforcancer.com
 Stephen Zrada, MDPrincipal Investigator
New Mexico
  Farmington
 San Juan Oncology Associates, PC
 Rosemarie Mestas Ph: 505-599-6049
  Email: rmestas@sjrmc.net
 James Neidhart, M.D.Principal Investigator
 Jeffrey Neidhart, MDSub-Investigator
 Daniel Costello, PA-CSub-Investigator
Ohio
  Canton
 Gabrail Cancer Center - Canton Office
 Carrie L Smith, RN Ph: 330-492-3345 Ext.208
  Email: csmith@gabrailcancercenter.com
 Nashat Yousif GabrailPrincipal Investigator
  Middletown
 Signal Point Clinical research
 Susan Smith Ph: 513-423-0504
  Email: susan_smith@swohio.twcbc.com
 Nandagopal Vrindavanam, MDPrincipal Investigator
Virginia
  Salem
 Blueridge Cancer Care
 Crystal Harrington Ph: 540-774-8660 Ext.227
  Email: crystal.harrington@usoncology.com
 Paul D Richards, MDPrincipal Investigator
Washington
  Tacoma
 Northwest Medical Specialties, PLLC - Tacoma
 Tina Schied Ph: 253-428-8756
  Email: tschied@nwmsonline.com
 Mark Nelson Ph: 253-428-8756
  Email: mnelson@nwmsonline.com
 Moacyr Oliveira, M.D.Principal Investigator
 Lorrin K. YeeSub-Investigator
West Virginia
  Morgantown
 Mary Babb Randolph Cancer Center at West Virginia University Hospitals
 Dawn Scopel Ph: 304-293-7375
  Email: dscopel@hsc.wvu.edu
 John Rogers, M.D.Principal Investigator

Link to the current ClinicalTrials.gov record.
NLM Identifer NCT00653939
Information obtained from ClinicalTrials.gov on September 26, 2008

Note: Information about this trial is from the ClinicalTrials.gov database. The versions designated for health professionals and patients contain the same text. Minor changes may be made to the ClinicalTrials.gov record to standardize the names of study sponsors, sites, and contacts. Cancer.gov only lists sites that are recruiting patients for active trials, whereas ClinicalTrials.gov lists all sites for all trials. Questions and comments regarding the presented information should be directed to ClinicalTrials.gov.

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