May 14, 2007 |
July 31, 2008 |
May 2007 |
- Ph.1: Identify the recommended phase II dose of sorafenib for combination therapy with carboplatin and pemetrexed [ Time Frame: July 2008 ] [ Designated as safety issue: Yes ]
- Ph.2: Compare the PFS of carboplatin/pemetrexed + sorafenib or carboplatin/pemetrexed + placebo in patients with stage IIIb or IV non-small cell lung
cancer [ Time Frame: May 2009 ] [ Designated as safety issue: No ]
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Same as current |
Complete list of historical versions of study NCT00473486 on ClinicalTrials.gov Archive Site |
- Ph.1: Determine dose limiting toxicity [ Time Frame: July 2008 ] [ Designated as safety issue: Yes ]
- Ph 1: Determine the safety profile of the combination treatment [ Time Frame: July 2008 ] [ Designated as safety issue: Yes ]
- Ph 1: descriptive analysis of efficacy [ Time Frame: July 2008 ] [ Designated as safety issue: No ]
- Ph.2: Compare PFS of carboplatin/pemetrexed + sorafenib or carboplatin/pemetrexed + placebo in patients with stage IIIb or IV NSCLC [ Time Frame: May 2009 ] [ Designated as safety issue: No ]
- Ph 2: Assess time to progression in patients treated with either regimen [ Time Frame: May 2009 ] [ Designated as safety issue: No ]
- Ph 2: Determine the overall survival in patients treated with either regimen [ Time Frame: May 2009 ] [ Designated as safety issue: No ]
- Ph 2: Determine the objective response rate (CR, PR), disease control rate (CR,PR,SD), time to response and duration of response [ Time Frame: May 2009 ] [ Designated as safety issue: No ]
- Ph 2: Identify surrogate markers from the tumor biopsy or resection specimen from the time of diagnosis that predict response [ Time Frame: May 2009 ] [ Designated as safety issue: No ]
- Ph 2: Assess Quality of Life of patients treated with either regimen [ Time Frame: May 2009 ] [ Designated as safety issue: No ]
- Ph 2: Assess feasibility and toxicity profile of this regimen [ Time Frame: May 2009 ] [ Designated as safety issue: Yes ]
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- Ph.2:
- Determine dose limiting toxicities
- Ph.1:
- Determine the overall survival in patients treated with either regimen
- Assess time to progression in patients treated with either regimen
- Descriptive analysis of efficacy
- Determine the safety profile of the combination treatment
- Determine the objective response rate (CR, PR), disease control rate (CR,PR,SD), time to response and duration of response
- Identify surrogate markers from the tumor biopsy or resection specimen from the time of diagnosis that predict response
- Assess Quality of Life of patients treated with either regimen
- Assess feasibility and toxicity profile of this regimen
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Study in Patients With Advanced Non-Small Cell Lung Cancer Treated With Pemetrexed and Carboplatin Plus or Minus Sorafenib |
A Randomized (PhaseII), Double-Blind, Multicenter Phase I/II Trial of Pemetrexed, Carboplatin Plus or Minus Sorafenib in the First-Line Treatment of Patients With Stage IIIb or IV Non-Small Cell Lung Cancer |
The majority of patients with advanced NSCLC treated with standard platinum based chemotherapy regimens ultimately develop disease progression. Active therapies with improved toxicity profiles are clearly needed in this setting. The primary objective of this trial is to assess the toxicity profile and to determine the effect on progression free survival and time to progression in patients with advanced NSCLC treated with sorafenib in addition to carboplatin and pemetrexed. |
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Phase I, Phase II |
Interventional |
Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study |
Carcinoma, Non-Small-Cell Lung |
- Drug: pemetrexed, carboplatin, sorafenib
- Drug: pemetrexed, carboplatin, placebo
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- Active Comparator: Pemetrexed, Carboplatin plus Sorafenib in the first-line treatment of patients with stage IIIb or IV NSCLC
- Placebo Comparator: Pemetrexed, Carboplatin plus placebo in the first-line treatment of patients with stage IIIb or IV NSCLC
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Active, not recruiting |
145 |
May 2009 |
May 2009 (final data collection date for primary outcome measure) |
Inclusion Criteria:
Exclusion Criteria:
- Any prior systemic anticancer therapy including cytotoxic therapy, targeted agents, experimental therapy (treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study enrollment), adjuvant, or neo-adjuvant therapy for NSCLC
- Any participation in a clinical trial 30 days prior to study entry and concomitantly to the study
- Cardiac disease: Congestive heart failure > class II NYHA. Patients must not have unstable angina (angina symptoms at rest) or new-onset angina (began within the last 3 months) or myocardial infarction within the past 6 months
- Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
- Uncontrolled hypertension defined as systolic blood pressure > 150 mm Hg or diastolic pressure > 90 mm Hg, despite optimal medical management
- Documented brain metastases (unless the patient is > 6 months from definitive therapy for brain metastases, has a negative imaging study within 4 weeks of study entry and has been off corticosteroids for at least 4 weeks before study enrolment). Brain imaging (CT scan/MRI) is required in symptomatic patients to rule out brain metastases, but is not required in asymptomatic patients.
- Patients with seizure disorder requiring medication (such as steroids or antiepileptics)
- Known HIV infection or chronic hepatitis B or C
- Active clinically serious infections > CTCAE Grade 2
- Presence of clinically significant third-space fluid collections, for example, ascites or pleural effusions that cannot be controlled by drainage or other procedures prior to study enrolment
- Pulmonary hemorrhage/bleeding event >= CTCAE Grade 2 within 4 weeks of first dose of study drug
- Any other hemorrhage/bleeding event > =Grade 3 within 4 weeks of first dose of study drug
- Evidence or history of bleeding diathesis or coagulopathy
- Therapeutic anticoagulation with vitamin K antagonists such as phenprocoumon, warfarin, or with heparins or heparinoids. Low dose anticoagulation is permitted
- Serious, non-healing wound, ulcer, or bone fracture
- Major surgery, open biopsy or significant traumatic injury within 4 weeks of first dose of study drug
- Known or suspected allergy to sorafenib, carboplatin or pemetrexed
- Previous or current cancer that is distinct in primary site or histology from NSCLC except cervical cancer in-situ, treated basal cell carcinoma, superficial bladder tumors (Ta and Tis) or any cancer curatively treated > 3 years prior to study entry
- Substance abuse, medical, psychological or social conditions that may interfere with the patients participation in the study
- Significant weight loss (> or equal 10% body weight during preceeding 6 weeks)
- Inability to interrupt aspirin or other nonsteroidal anti-inflammatory agents, other than an aspirin dose ≤ 1.3 grams per day, for a 5-day period (8-day period for long-acting agents, such as piroxicam)
- Inability or unwillingness to take folic acid, vitamin B12 supplementation or corticosteroids
- Recent (within 30 days of enrolment) or concurrent yellow fever vaccination
- Serious concomitant systemic disorder that, in the opinion of the investigator, would compromise the patient's ability to adhere to the protocol.
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Both |
18 Years and older |
No |
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Germany |
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NCT00473486 |
Dr. Christian Brandts Principal Investigator, University Hospital Muenster and University Hospital of Frankfurt |
KKS / INNERE_A / NSCLC2006 |
University Hospital Muenster |
- Bayer
- Eli Lilly and Company
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Principal Investigator: |
Christian Brandts, MD |
Universitätsklinikum Münster, Med. Klinik und Poliklinik A, Hämatologie, Onkologie und Pneumologie and Uniklinik Frankfurt Innere Medizin,
Hämatologie/Onkologie, 60590 Frankfurt |
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University Hospital Muenster |
June 2007 |