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Cetuximab as Therapy for Recurrent Non-Small Cell Lung Cancer Patients Who Have Received Prior Therapy
This study is currently recruiting participants.
Verified by Massachusetts General Hospital, June 2008
Sponsors and Collaborators: Massachusetts General Hospital
Dana-Farber Cancer Institute
Brigham and Women's Hospital
Beth Israel Deaconess Medical Center
St. Joseph Hospital
Bristol-Myers Squibb
Information provided by: Massachusetts General Hospital
ClinicalTrials.gov Identifier: NCT00694603
  Purpose

The purpose of this research study is to find out how well cetuximab works in treating NSCLC in patients who have been previously treated with a class of drug called tyrosine kinase inhibitor (TKI). Cetuximab is a protein that is designed to block a substance in cancer cells called "epidermal growth factor receptor" or EGFR. EGFR helps cancer cells grow.


Condition Intervention Phase
Non-Small Cell Lung Cancer
Drug: Cetuximab
Phase II

MedlinePlus related topics: Cancer Lung Cancer
Drug Information available for: Cetuximab Tyrosine
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title: A Phase II Trial of Cetuximab (c225) as Therapy for Recurrent Non-Small Cell Lung Cancer in Patients Who Have Received Prior Therapy With Tyrosine Kinase Inhibitor Directed Against the EGFR Pathway

Further study details as provided by Massachusetts General Hospital:

Primary Outcome Measures:
  • To determine the response rate of single agent cetuximab in this patient population. [ Time Frame: 9/09 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To determine progression-free survival, median/overall survival and safety. [ Time Frame: 9/10 ] [ Designated as safety issue: No ]

Estimated Enrollment: 56
Study Start Date: September 2006
Estimated Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Cetuximab
    Given intravenously once per week.
Detailed Description:
  • Participants on this study will receive cetuximab by infusion intravenously once per week and may continue to receive weekly cetuximab infusions until their disease progresses or they experience unacceptable side effects.
  • The following will be performed every 4 weeks while they are receiving study treatments: Physical examination; performance status; and blood work. A CT scan of the chest and upper abdomen will be performed every 8 weeks.
  Eligibility

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

Inclusion Criteria:

  • Pathologically confirmed stage IIIB or IV recurrent or progressive NSCLC
  • Patients must have progressed while receiving treatment with a tyrosine kinase inhibitor targeting the EGFR pathway
  • Measurable disease, as defined by RECIST criteria
  • Patients must have a suitable frozen or paraffin-embedded tissue sample available for EGFR mutational analysis. Prior EGFR mutational analyses are allowable
  • Patients with asymptomatic brain metastasis are eligible; however, they must have completed radiotherapy/radiosurgery at least 3 weeks prior to enrollment and be clinically stable
  • ECOG Performance Status 0-2
  • 18 years of age or older
  • Negative pregnancy test within 7 days of treatment or be categorized as not of child-bearing potential
  • Bone marrow function, renal function, hepatic function as outlined in protocol

Exclusion Criteria:

  • Women who are pregnant of breastfeeding
  • Active concurrent malignancy
  • Major thoracic or abdominal surgery within 30 days prior to the first infusion of cetuximab
  • Significant history of uncontrolled cardiac disease
  • Uncontrolled seizure disorder, or active neurological disease
  • Prior severe infusion reactions to a monoclonal antibody
  • Prior chemotherapy regimen within 21 days prior to study entry
  • Any EGFR tyrosine kinase inhibitor within 14 days of study entry
  • Radiation therapy within 14 days prior to the first infusion of cetuximab
  • Acute hepatitis or known HIV
  • Active or uncontrolled infection
  • Any concurrent chemotherapy or any other investigational agent(s)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00694603

Contacts
Contact: Lecia Sequist, MD, MPH 617-726-7812
Contact: Patricia Ostler 617-724-7829

Locations
United States, Massachusetts
Massachusetts General Hospital Recruiting
Boston, Massachusetts, United States, 02114
Principal Investigator: Lecia Sequist, MD, MPH            
Dana-Farber Cancer Institute Recruiting
Boston, Massachusetts, United States, 02115
Principal Investigator: Bruce Johnson, MD            
Beth Israel Deaconess Medical Center Recruiting
Boston, Massachusetts, United States, 02115
Principal Investigator: Mark Huberman, MD            
Sponsors and Collaborators
Massachusetts General Hospital
Dana-Farber Cancer Institute
Brigham and Women's Hospital
Beth Israel Deaconess Medical Center
St. Joseph Hospital
Bristol-Myers Squibb
Investigators
Principal Investigator: Lecia Sequist, MD, MPH Massachusetts General Hospital
  More Information

Responsible Party: Massachusetts General Hospital ( Lecia Sequist, MD, MPH )
Study ID Numbers: 06-026
Study First Received: December 28, 2007
Last Updated: June 6, 2008
ClinicalTrials.gov Identifier: NCT00694603  
Health Authority: United States: Institutional Review Board

Keywords provided by Massachusetts General Hospital:
cetuximab
tyrosine kinase inhibitor

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

Additional relevant MeSH terms:
Respiratory Tract Neoplasms
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009