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Docetaxel Intermittent-Erlotinib (Tarceva®) In Metastatic Non Small Cell Lung Cancer (NSCLC) (DOPERLO)
This study is currently recruiting participants.
Verified by Hellenic Cooperative Oncology Group, November 2008
Sponsored by: Hellenic Cooperative Oncology Group
Information provided by: Hellenic Cooperative Oncology Group
ClinicalTrials.gov Identifier: NCT00783471
  Purpose

To determine the more effective dosing sequence of intermittent erlotinib and docetaxel for treating patients with the diagnosis of advanced Non-Small-Lung-Cancer


Condition Intervention Phase
Advanced Non-Small Cell Lung Cancer
Drug: Docetaxel, Erlotinib
Drug: Erlotinib, Docetaxel
Phase II

MedlinePlus related topics: Cancer Lung Cancer
Drug Information available for: Docetaxel Erlotinib Erlotinib hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title: Docetaxel Combined With Pulsatile Erlotinib (Tarceva®) In Patients With Metastatic Non Small Cell Lung Cancer (NSCLC) (DOPERLO)

Further study details as provided by Hellenic Cooperative Oncology Group:

Primary Outcome Measures:
  • Progression free survival (PFS) [ Time Frame: Assessment every 6 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To compare Objective Response Rate (ORR) and duration of response [ Time Frame: Assessment every 6 weeks while on treatment and every 3 months post completion of 8 cycles of treatment until progression ] [ Designated as safety issue: No ]
  • Identify predictive signaling molecules of the EGFR pathway [ Time Frame: Assessment every 6 weeks while on treatment and every 3 months post completion of 8 cycles of treatment until progression ] [ Designated as safety issue: No ]

Estimated Enrollment: 110
Study Start Date: November 2008
Estimated Study Completion Date: December 2010
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Docetaxel followed by Erlotinib
Drug: Docetaxel, Erlotinib
Drug: Docetaxel 75 mg/m2 IV over 30 min on day 1 Drug: Erlotinib 150 mg po daily, days 4-15 Treatment will be repeated every 21 days
2: Experimental
Erlotinib followed by Docetaxel
Drug: Erlotinib, Docetaxel
Drug: Erlotinib 150 mg po daily, days 1-12 Drug: Docetaxel 75 mg/m2 IV over 30 min on day 15 Treatment will be repeated every 21 days

Detailed Description:

The combination of chemotherapy [such as docetaxel] with continuous administration of targeted drugs which block the molecular machinery of cancer cell growth [such as erlotinib] have failed to improve their efficacy over only-chemotherapy in patients with metastatic lung cancer of the non-small cell histology type. It is not yet known whether administering targeted drugs intermittently could result in improved efficacy of the combinations. This is a multicenter randomized Phase II trial aiming to determine the more active dosing sequence between intermittent erlotinib and docetaxel for treating patients with advanced Non-Small-Lung-Cancer.Patients will be randomly assigned to one of two treatment arms: they will receive a 12-days course of erlotinib either before docetaxel [arm A] or after docetaxel administration [arm B].Treatment will be repeated every 21 days.Patients will be evaluated every 2 cycles (~6 weeks) for response using RECIST criteria. Those patients achieving stable disease or better will continue therapy up to a total 8 cycles. Those patients experiencing progressive disease will be taken off study. Biopsy material will be assessed for biomarkers.

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Male and female patients aged 18 to 75 years inclusive, with histologically confirmed metastatic NSCLC will be enrolled.
  2. Patients must have not previously been treated with anticancer drugs.
  3. ECOG performance status of 0 - 1.
  4. Life expectancy of at least 12 weeks.
  5. Patients must be able to take oral medication.
  6. At least 4 weeks since any prior surgery or radiotherapy. Patients who, in the opinion of the investigator, have fully recovered from surgery in less than 4 weeks may also be considered for the study
  7. Granulocyte count > 1,500/mm3 and platelet count > 100,000/mm3. Haemoglobin ³ 9.0g/dl.
  8. SGOT (AST) and SGPT (ALT) < 2,5 x ULN in the absence of liver metastases or up to 5 x ULN in case of liver metastases
  9. Alkaline phosphatase (ALP) < 2,5 x ULN. If alkaline phosphatase is > 2.5 x ULN, SGOT (AST) and SGPT (ALT) must be < 1.5 x ULN. If alkaline phosphatase is ³ 2.5 x ULN in the presence of liver metastases, SGOT and SGPT must be < 5 x ULN
  10. Serum creatinine £ 1.5 ULN or creatinine clearance > 60 ml/min.
  11. Normal serum calcium.
  12. For all females of childbearing potential a negative pregnancy test must be obtained within 48 hours before starting Tarceva/placebo treatment.
  13. Patients with reproductive potential must use effective contraception.
  14. Able to comply with study and follow-up procedures.
  15. Written (signed) Informed Consent to participate in the study.
  16. Written (signed) Informed Consent for use of tumour samples.
  17. Patients must be able to effectively read, and understand the local language(s) for which Quality of Life rating scales are available.
  18. Formalin-fixed, paraffin-embedded tumour tissue samples representative of the tumour will be provided to sponsor within 3 weeks of the patient starting chemotherapy

Exclusion Criteria:

  1. Prior exposure to agents directed at the HER axis (e.g. gefitinib, cetuximab, trastuzumab).
  2. Prior chemotherapy or therapy with systemic anti-neoplastic therapy (e.g., monoclonal antibody therapy) for advanced disease. Prior surgery and/or localised irradiation is permitted.
  3. Patients who have undergone complete tumour resection after responding to platinum based chemotherapy.
  4. Any unstable systemic disease (including active infections, significant cardiovascular disease, [including myocardial infarction within the previous year], any significant hepatic, renal or metabolic disease) metabolic dysfunction, physical examination finding, or clinical laboratory finding that contraindicates the use of study medication(s) or that might affect the interpretation of the results or render the patient at high risk from treatment complications.
  5. Any other malignancies within 5 years (except for adequately treated carcinoma in situ of the cervix or basal or squamous cell skin cancer).
  6. Patients are excluded if they have brain metastasis or spinal cord compression that has not yet been definitively treated with surgery and/or radiation; previously diagnosed and treated CNS metastases or spinal cord compression without evidence of stable disease (clinically stable imaging) for at least 2 months will also cause patients to be excluded.
  7. Patients who are at risk (in the investigator's opinion) of transmitting human immunodeficiency virus (HIV) through blood or other body fluids are excluded.
  8. Any inflammatory changes of the surface of the eye.
  9. Patients who cannot take oral medication, who require intravenous alimentation, have had prior surgical procedures affecting absorption, or have active peptic ulcer disease.
  10. Nursing and/or pregnant women.
  11. Hypersensitivity to erlotinib (Tarceva) or to docetaxel or to any of the excipients.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00783471

Contacts
Contact: Evangelos Briasoulis +30 26510 99647 ebriasou@otenet.gr
Contact: Nicholas Pavlidis +30 26510 99394 npavlid@uoi.gr

Locations
Greece
University General Hospital of Ioannina, Medical Oncology Dept Recruiting
Ioannina, Greece, 45500
Contact: Evangelos Briasoulis     +30 26510 99647     ebriasou@otenet.gr    
Principal Investigator: Evangelos Briasoulis            
Hygeia Hospital Recruiting
Athens, Greece, 15123
Contact: Paris Kosmidis     +30 210 6867105     parkosmi@otenet.gr    
Principal Investigator: Paris Kosmidis            
"Papageorgiou" Hospital Recruiting
Thessaloniki, Greece, 56403
Contact: George Fountzilas     +30 2310 639134     fountzil@auth.gr    
Principal Investigator: George Fountzilas            
Metropolitan Hospital, Second Dept of Medical Oncology Recruiting
Piraeus, Greece, 18547
Contact: Dimosthenis Skarlos     +30 210 4809660     hecogiat@otenet.gr    
Principal Investigator: Dimosthenis Skarlos            
Sotiria Hospital Recruiting
Athens, Greece, 11526
Contact: Konstantinos Syrigos     +30 210 7700220     ksyrigos@med.uoa.gr    
Principal Investigator: Konstantinos Syrigos            
Sponsors and Collaborators
Hellenic Cooperative Oncology Group
Investigators
Principal Investigator: Evangelos Briasoulis, MD University of Ioannina Hospital, Medical School
  More Information

Responsible Party: Hellenic Cooperative Oncology Group ( G. Fountzilas/President )
Study ID Numbers: HE 2D/07
Study First Received: October 30, 2008
Last Updated: November 5, 2008
ClinicalTrials.gov Identifier: NCT00783471  
Health Authority: Greece: Ethics Committee;   Greece: National Organization of Medicines

Study placed in the following topic categories:
Erlotinib
Docetaxel
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
Antineoplastic Agents
Therapeutic Uses
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009