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BATTLE Program: Umbrella Protocol for Patients With NSCLC
This study is currently recruiting participants.
Verified by M.D. Anderson Cancer Center, December 2008
First Received: December 8, 2006   Last Updated: December 15, 2008   History of Changes
Sponsors and Collaborators: M.D. Anderson Cancer Center
Department of Defense
Information provided by: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT00409968
  Purpose

This trial is referred to as the "umbrella trial". The BATTLE program consists of this umbrella trial plus four phase II protocols into which the umbrella patients are enrolled. Patients will first enroll in the BATTLE umbrella trial and undergo a tumor biomarker analysis that will be used to assign them to one of the four phase II studies. All patients enrolled in one of the phase II BATTLE protocols must be enrolled in this protocol.

The primary objective of each of the phase II studies will be:

Primary Objectives

  • To determine the 8-week progression-free survival rate (i.e. disease control rate) in patients with advanced NSCLC who have failed at least one prior chemotherapy regimen.

Secondary Objectives

  • Determine the overall response rate
  • Determine the overall survival
  • Determine the time to disease progression
  • Assess the safety/toxicity of the study treatment(s)
  • Assess biomarker modulation in the tumor tissue and serum samples from the treatment
  • Assess plasma and intra-tumor concentrations of study treatment

Condition Intervention
Lung Cancer
Procedure: Tumor Biopsy

MedlinePlus related topics: Cancer Lung Cancer
U.S. FDA Resources
Study Type: Observational
Study Design: Case-Only, Prospective
Official Title: A Biomarker-Integrated Study in Chemorefractory Patients With Advanced Non-Small Cell Lung Cancer (NSCLC)

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

Primary Outcome Measures:
  • To find out if you are eligible to take part in 1 of 4 different research studies. [ Time Frame: 3 Years ] [ Designated as safety issue: No ]

Biospecimen Retention:   Samples With DNA

Biospecimen Description:

A sample of your tumor tissue will be collected for biomarker analysis, and based on the results, you will be assigned to one of four phase II studies.


Estimated Enrollment: 250
Study Start Date: November 2006
Estimated Primary Completion Date: November 2009 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
1
Patients with non-small cell lung cancer (NSCLC) that has spread to other parts of the body.
Procedure: Tumor Biopsy
A sample of tumor tissue will be collected. To collect a tumor biopsy, you will have either a CT-guided core biopsy, bronchoscopy, or other type of biopsy (such as subcutaneous, cutaneous, or lymph node).

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

Patients with non-small cell lung cancer (NSCLC) that has spread to other parts of the body.

Criteria

Inclusion Criteria:

  1. Patient diagnosis of pathologically confirmed NSCLC by tumor biopsy and/or fine-needle aspiration
  2. Patient diagnosis of either stage IIIB, stage IV, or advanced, incurable NSCLC, & failed at least one front-line metastatic NSCLC chemotherapy regimen. (Patients who failed adjuvant or locally advanced therapy within 6 months are also eligible to participate in study).
  3. Patient has uni-dimensionally measurable NSCLC.
  4. Karnofsky performance status >/= 60 or ECOG performance status 0-2
  5. Patient has biopsy accessible tumor.
  6. Patient has adequate hematologic function as defined by absolute neutrophil count (ANC) >/= 1,500/mm^3, platelet count >/= 100,000/mm^3, WBC

    • 3,000/ mm^3, and hemoglobin >/= 9 g/dL.
  7. Patient has adequate hepatic function as defined by total bilirubin level </= 1.5 X upper limit of normal, & alkaline phosphatase, AST or ALT </= 2.5 X upper limit of normal.
  8. Patient has adequate renal function as defined by serum creatinine level </= 1.5 mg/dL or calculated creatinine clearance of >/= 60cc/minute.
  9. Patient has PT < 1.5 x upper limit of normal
  10. If patient has brain metastasis, must have been stable (treated or asymptomatic) for min. 4 weeks after radiation if treated w/radiation & not used steroids for at least 1 week. Re-imaging performed after 2 weeks, upon completion of radiation therapy.
  11. Patient >/= 18 years of age.
  12. Patient signed informed consent.
  13. Patient eligible if disease free from previously treated malignancy, other than previous NSCLC, for > two years. Patients w/history of prior basal cell carcinoma of skin or pre-invasive carcinoma of cervix are exempt from exclusion.
  14. Women of childbearing potential must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry & for duration of study participation. Childbearing potential defined as women who have had menses w/in past 12 months, not had tubal ligation or bilateral oophorectomy.Should a woman become pregnant or suspect she is pregnant while participating in study,she should inform her treating physician immediately. The patient,if a man,agrees to use effective contraception or abstinence.
  15. Subject must be considered legally capable of providing his/her own consent for participation in study.

Exclusion Criteria:

  1. Patient received prior investigational therapy, chemotherapy, surgery, or radiotherapy w/in 4 weeks of initiating study drug
  2. Patient has undergone prior thoracic or abdominal surgery w/in 28 days of study entry, excluding prior diagnostic biopsy.
  3. Patient received radiation therapy to measurable tumor w/in 6 months. Patients are allowed local irradiation for management of tumor-related symptoms (bones, brain). However, if patient has active new disease growing in previously irradiated site, patient eligible to participate in study.
  4. Patient has significant medical history or unstable medical condition (unstable systemic disease: congestive heart failure (NY Heart Association Functional Classification class II or worse), recent myocardial infarction w/in 3 months, unstable angina, active infection (i.e. currently treated with antibiotics), uncontrolled hypertension). Patients w/controlled diabetes allowed. Patient must be able to undergo procedure for tissue acquisition.
  5. Patient has uncontrolled seizure disorder, active neurologic disease, or neuropathy >/= grade 2. Patients w/meningeal or CNS involvement by tumor are eligible for study if above exclusion criteria are not met.
  6. Patient is pregnant (confirmed by serum Beta-HCG if applicable) or is breastfeeding.
  7. Any condition that's unstable or could jeopardize safety of patient & compliance in study, in investigator's judgment.
  8. Patient's actively taking herbal remedies or over the counter biologics (e.g., shark cartilage, high dose antioxidants).
  9. Patients allowed prior biologic (i.e. VEGF, EGFR, etc.) therapy. However, excluded from a given study if he/she has received same therapy as clinical trial (i.e. If patient previously treated w/bevacizumab, they are allowed to enroll in any of 4 studies. If patient has been previously treated w/erlotinib, they are excluded from clinical trials w/erlotinib). In addition, if patient previously treated w/gefitinib (Iressa), they are excluded from clinical trials w/erlotinib.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00409968

Contacts
Contact: Christine Alden, BSN 713-792-0734

Locations
United States, Texas
U.T. M.D. Anderson Cancer Center Recruiting
Houston, Texas, United States, 77030
Principal Investigator: Edward Kim, MD            
Sponsors and Collaborators
M.D. Anderson Cancer Center
Investigators
Principal Investigator: Edward Kim, MD U.T. M.D. Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: U.T.M.D. Anderson Cancer Center ( Edward Kim, MD/Assistant Professor )
Study ID Numbers: 2005-0823
Study First Received: December 8, 2006
Last Updated: December 15, 2008
ClinicalTrials.gov Identifier: NCT00409968     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by M.D. Anderson Cancer Center:
Lung Cancer
Non Small Cell Lung Cancer
BATTLE Program
Umbrella Trial
Tumor Biopsy
NSCLC

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

Additional relevant MeSH terms:
Thoracic Neoplasms
Respiratory Tract Neoplasms
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type
Respiratory Tract Diseases
Lung Neoplasms
Lung Diseases
Carcinoma, Non-Small-Cell Lung
Neoplasms, Glandular and Epithelial
Carcinoma

ClinicalTrials.gov processed this record on May 07, 2009