Full Text View
Tabular View
No Study Results Posted
Related Studies
Phase II Study of ZD6474 in Advanced NSCLC
This study has been terminated.
( It was felt that the study design was no longer appropriate since data had accumulated in the meantime with ZD6474 alone in this patient population )
First Received: February 10, 2006   Last Updated: April 25, 2008   History of Changes
Sponsors and Collaborators: M.D. Anderson Cancer Center
AstraZeneca
Information provided by: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT00290537
  Purpose

The goal of this clinical research study is to learn how the drug ZD6474 affects the amount of tumor cell death in the body and the amount of blood that can be supplied to the tumor. The safety of ZD6474 alone and when given with chemotherapy will be studied. In addition, the side effects and response to this treatment will also be studied.


Condition Intervention Phase
Lung Cancer
Drug: ZD6474
Drug: Carboplatin
Drug: Paclitaxel
Phase II

MedlinePlus related topics: Cancer Lung Cancer
Drug Information available for: Paclitaxel Carboplatin Vandetanib
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase II Study of ZD6474 Alone and With Chemotherapy in Advanced NSCLC

Further study details as provided by M.D. Anderson Cancer Center:

Primary Outcome Measures:
  • To define the biological activity of ZD6474 by: a) histologic analysis of biopsy tissue with measurements of endothelial cell apoptosis, and b) by non-invasive assessments of microvascular environment performed before, during, and after treatment. [ Time Frame: Radiologic examinations will include CT, MRI, and/or bone scans to assess measurable or evaluable lesions. Performed after weeks 2 and 9 of treatment, then every 2 cycles or as indicated if progressive disease is suspected. ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To assess the safety and tolerability of ZD6474 in patients with non-small cell lung cancer. [ Time Frame: Induction Phase - ZD6474 alone: C1D1,C1D15,C2D1,C2D15,C3D21; Treatment Phase: C4D1,C4 and C6 ] [ Designated as safety issue: Yes ]
  • To evaluate the response rate to monotherapy with ZD6474. [ Time Frame: Radiologic evaluations performed after weeks 2 and 9 of treatment, then every 2 cycles or as indicated if progressive disease is suspected. ] [ Designated as safety issue: No ]
  • To measure the pharmacokinetic profile and interpatient pharmacologic variability of ZD6474 and correlate with non-invasive assessment of tumor vascularity. [ Time Frame: Induction Phase - ZD6474 alone: C1D1,C1D15,C2D1,C2D15,C3D21; Treatment Phase: C4D1,C4 and C6 ] [ Designated as safety issue: Yes ]
  • To evaluate the impact of continued treatment with ZD6474 alone or combined with carboplatin and paclitaxel chemotherapy in patients receiving clinical benefit from ZD6474 alone (i.e., responders and stable disease) after 9 weeks of therapy. [ Time Frame: Radiologic evaluations performed after weeks 2 and 9 of treatment, then every 2 cycles or as indicated if progressive disease is suspected. ] [ Designated as safety issue: No ]
  • To explore the pharmacokinetics of ZD6474 given with carboplatin and paclitaxel. [ Time Frame: Treatment Phase: C4D1,C4 and C6 ] [ Designated as safety issue: Yes ]
  • To record the extent, frequency, and duration of tumor responses. [ Time Frame: Radiologic evaluations performed after weeks 2 and 9 of treatment, then every 2 cycles or as indicated if progressive disease is suspected. ] [ Designated as safety issue: No ]
  • To explore the effects of ZD6474 on surrogate markers in serum. [ Time Frame: Serum biomarkers every two weeks. ] [ Designated as safety issue: No ]

Enrollment: 5
Study Start Date: January 2006
Study Completion Date: April 2008
Primary Completion Date: June 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
The first part of the protocol treatment will be three 3-week cycles. During each 21-day cycle patients will be given 300 mg of ZD6474 daily. In the second part of the study, patients will be randomized to receive either: 1) 300 mg of ZD6474 daily, or 2) 100 mg of ZD6474 daily plus carboplatin and paclitaxel every 3 weeks. Patients randomized to receive carboplatin and paclitaxel will receive paclitaxel 200 mg/m2 intravenous (iv) over 3 hours on Day 1, immediately followed by carboplatin AUC 6.0 iv over 15-30 minutes, repeated in cycles of 3 weeks for up to 6 cycles or until disease progression, whichever comes first.
Drug: ZD6474
Arm 1, Cycles 1-3 = 300 mg PO Daily x 3 Weeks; Arm 2 = 300 mg PO Daily or 100 mg PO Daily plus Carboplatin and Paclitaxel Every 3 Weeks.
2: Active Comparator
The first part of the protocol treatment will be three 3-week cycles. During each 21-day cycle patients will be given 300 mg of ZD6474 daily. In the second part of the study, patients will be randomized to receive either: 1) 300 mg of ZD6474 daily, or 2) 100 mg of ZD6474 daily plus carboplatin and paclitaxel every 3 weeks.
Drug: ZD6474
Arm 1, Cycles 1-3 = 300 mg PO Daily x 3 Weeks; Arm 2 = 300 mg PO Daily or 100 mg PO Daily plus Carboplatin and Paclitaxel Every 3 Weeks.
Drug: Carboplatin
6 AUC IV Over 15-30 Minutes, Immediately After Paclitaxel
Drug: Paclitaxel
200 mg/m2 IV Over 3 Hours On Day 1

  Eligibility

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

Inclusion Criteria:

  1. An informed consent form must be completed before any protocol specific screening. Patient must consent to a tissue biopsy at study entry and again at the week 3.
  2. Patients must have a diagnosis of stage IIIb or stage IV non-small cell lung cancer (histologically or cytologically proven) and must not be eligible for combined chemotherapy and radiation therapy.
  3. Patients must have at least one site of measurable disease that is amenable to biopsy. The patient must not have had radiation to this site. Lesion must be at least 20 mm in the longest diameter by spiral CT or 20 mm with conventional techniques according to RECIST.
  4. Eligible patients must have an ECOG performance status of 0-1.
  5. Patients must have adequate hepatic, renal, and bone marrow function as defined below: 1) Serum creatinine < 1.5 mg/dL or a calculated creatinine clearance > 60 mL/min 2)· Total bilirubin < 1.5 x ULN ·3) ALT or AST </= 2.5 x ULN OR ALT or AST </= 5.0 x ULN if related to liver metastases OR Alk Phos </= 2.5 x ULN ·4) WBC > 3,000/mm**3 ·5) ANC > 1,500 mm**3 ·6) Platelets > 100,000/mm**3 ·7) Hemoglobin > 10 g/dL

    • 8) PT/PTT < 1.5 x normal
  6. Patients must be >= 18 years of age.

Exclusion Criteria:

  1. Patients are excluded if they have received prior chemotherapy for this disease type.
  2. Patients with brain metastases are not eligible for this study unless treated at least 4 weeks before entry and stable without steroid treatment for 1 week.
  3. Prior radiation therapy allowed to <25% of the bone marrow. Prior radiation to the whole pelvis is not allowed. Prior radiotherapy must be completed at least 4 weeks before study enrollment. Patients must have recovered from the acute toxic effects of the treatment prior to study enrollment.
  4. Patients may not have any concomitant uncontrolled medical or psychiatric disorders.
  5. Patients must not be pregnant or breast-feeding. All women of childbearing potential must have a negative pregnancy test. Childbearing potential will be defined as women who have had menses within the past 12 months, who have not had tubal ligation or bilateral oophorectomy. There is no specific information available on the effects of this drug on women who are pregnant or breast-feeding. Therefore these patients are excluded from this study because of the unknown risks involved. All sexually active patients must practice adequate contraception for the entire treatment period.
  6. Patients must not have undergone minor surgery (e.g., central venous catheter placement) within 24 hours of treatment with ZD6474. Patients may not have undergone any major surgery (e.g., laparotomy, thoracotomy, or craniotomy) within four weeks of enrollment.
  7. Patients may not have a history of a bleeding diathesis.
  8. Patients must agree not to use herbal remedies or other over-the-counter biologics (e.g., shark cartilage)
  9. Significant cardiac event (including symptomatic heart failure or angina) within 3 months of entry or presence of cardiac disease that in the opinion of the Investigator increase the risk of ventricular arrythmia.
  10. History of clinically significant arrhythmia (multifocal PVCs, bigeminy, trigeminy, ventricular tachycardia) which is symptomatic or requires treatment (CTC grade 3) or a symptomatic sustained ventricular tachycardia.
  11. Chronic atrial fibrillation
  12. Previous history of QT prolongation with other medication
  13. Congenital long QT syndrome
  14. QTc with Bazett's correction that is unmeasurable, or >/= 480 msec on screening ECG. If a patient has QTc >/= 480 msec on screening ECG, the screening may be repeated twice (at least 24 hours apart). The average QTc from the 3 screening ECGs must be < 480 msec in order for the patient to be eligible for the study.
  15. Any concomitant medications that may cause QTc prolongation or induce Torsades de Points (see Appendix F) or induce CYP3A4 function (see section 8.2).
  16. Potassium level less than 3.5 meq/l; calcium or magnesium level outside normal limits. Supplementation of electrolytes is permitted.
  17. Left ventricular ejection fraction less than 45% measured by echocardiogram for subjects with previous anthracycline therapy (total dose greater than 450 mg/m2), significant cardiovascular disease, or chest irradiation
  18. History of severe hypersensitivity reaction to drugs formulated with polysorbate 80
  19. Use of drugs with known significant 3A4 inhibitory effects (i.e., ketoconazole, erythromycin, and verapamil) or drugs with known corneal toxicology (e.g., tamoxifen, chlorpromazine, amiodarone, and chloroquine). 5HT-3 antagonists may be used in this trial as anti-emetics.
  20. Any concurrent condition which in the investigator's opinion makes it undesirable for the subject to participate in the trial or which would jeopardize compliance with the protocol.
  21. Participation in an investigational trial within the past 30 days.
  22. Because of DCE-MRI, individuals with the following are excluded: 1) Cardiac pacemakers or neurostimulators, 2) Metal implants other than those approved as being safe in an MRI environment, 3) Claustrophobia, 4) Physical characteristics that preclude a MRI scan
  23. Hypertension not controlled by medical therapy (systolic blood pressure greater than 160 mm Hg or diastolic blood pressure greater than 100 mm Hg)
  24. Currently active diarrhea that may affect the ability of the patient to absorb the ZD6474 or tolerate diarrhea.
  25. Previous or current malignancies at other sites within the last 5 years, with the exception of cervical carcinoma in situ and adequately treated basal cell carcinoma or squamous cell carcinoma of the skin
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00290537

Locations
United States, Texas
University of Texas M.D.Anderson Cancer Center
Houston, Texas, United States, 77030
Sponsors and Collaborators
M.D. Anderson Cancer Center
AstraZeneca
Investigators
Principal Investigator: Vassiliki Papadimitrakopoulou, M.D. M.D. Anderson Cancer Center
  More Information

No publications provided

Responsible Party: University of Texas M.D. Anderson Cancer Center ( Vassiliki Papadimitrakopoulou, M.D./Associate Professor )
Study ID Numbers: 2003-0635
Study First Received: February 10, 2006
Last Updated: April 25, 2008
ClinicalTrials.gov Identifier: NCT00290537     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by M.D. Anderson Cancer Center:
Non-Small Cell Lung Cancer
Lung Cancer
Carboplatin
Paclitaxel
ZD6474
NSCLC

Study placed in the following topic categories:
Thoracic Neoplasms
Respiratory Tract Diseases
Paclitaxel
Lung Neoplasms
Lung Diseases
Tubulin Modulators
Non-small Cell Lung Cancer
Antimitotic Agents
Carboplatin
Antineoplastic Agents, Phytogenic
Carcinoma, Non-Small-Cell Lung

Additional relevant MeSH terms:
Thoracic Neoplasms
Respiratory Tract Neoplasms
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Mitosis Modulators
Antimitotic Agents
Carboplatin
Pharmacologic Actions
Neoplasms
Neoplasms by Site
Respiratory Tract Diseases
Lung Neoplasms
Paclitaxel
Lung Diseases
Therapeutic Uses
Tubulin Modulators
Antineoplastic Agents, Phytogenic

ClinicalTrials.gov processed this record on May 06, 2009