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Phase I/II Open Label Trial of Continuous Once Daily Oral Treatment With BIBW 2992 - Phase I Trial in Advanced Non Small Cell Lung Cancer Patients & Phase II Trial in Non Small Cell Lung Cancer Patients Failing Erlotinib or Gefitinib.
This study is currently recruiting participants.
Verified by Boehringer Ingelheim Pharmaceuticals, April 2009
First Received: July 8, 2008   Last Updated: April 23, 2009   History of Changes
Sponsored by: Boehringer Ingelheim Pharmaceuticals
Information provided by: Boehringer Ingelheim Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00711594
  Purpose

The objective of the Phase I step is to estimate the MTD at a dose level up to 50 mg/day (i.e., overseas recommended Phase II dose) in patients with advanced NSCLC and to determine the recommended dose for the Phase II step. The objective of the Phase II step is to estimate the efficacy of BIBW 2992 monotherapy in patients with first generation EGFR-TKI-resistant advanced NSCLC at the recommended dose determined in the Phase I step.


Condition Intervention Phase
Carcinoma, Non-Small-Cell Lung
Drug: BIBW 2992
Phase II

MedlinePlus related topics: Cancer Lung Cancer
Drug Information available for: Erlotinib BIBW 2992
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Single Group Assignment, Efficacy Study
Official Title: Phase I/II Open Label Trial of Continuous Once Daily Oral Treatment With BIBW 2992 - Phase I Trial in Advanced Non Small Cell Lung Cancer Patients & Phase II Trial in Non Small Cell Lung Cancer Patients Failing Erlotinib or Gefitinib.

Further study details as provided by Boehringer Ingelheim Pharmaceuticals:

Primary Outcome Measures:
  • Phase I step: Safety of BIBW 2992 assessed based on incidence of DLT and incidence & intensity of adverse events according to CTCAE Phase II step: Objective tumour response according to RECIST [ Time Frame: 5months / 9 months ]

Secondary Outcome Measures:
  • Phase I step: Plasma concentration & time profile and PK parameters Phase II step: Clinical benefit, Time to OR, Dration of OR, Duration of clinical benefit, PFS, OS, Safety, Laboratory findings, Plasma concentratio and EGFR mutation analysis [ Time Frame: 5 months / 24 months ]

Estimated Enrollment: 72
Study Start Date: April 2008
Estimated Primary Completion Date: July 2010 (Final data collection date for primary outcome measure)
  Eligibility

Ages Eligible for Study:   20 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Phase II step;

  1. Patients with pathologic confirmation of NSCLC with tissue diagnosis or cytologic diagnosis, whose NSCLCs are locally advanced or metastatic Stage III-B / IV adenocarcinoma, and are inoperable and incurable with radiotherapy.
  2. Patients who have received the following pretreatments for the treatment of relapsed or metastatic NSCLC.

    • Patients who have received at least one but not more than two lines of chemotherapy. ("Chemotherapy" means only the first line and/or the second line of cytotoxic chemotherapy, and erlotinib (Tarceva®) and gefitinib (Iressa®) should be excluded. One of the chemotherapy regimens must have been platinum-based. In addition, adjuvant chemotherapy containing a platinum should be included. More than two prior cytotoxic chemotherapy treatment regimens are not allowed.)
    • Patients who once got clinical benefits (i.e. complete response, partial response or stable disease) but progressed following at least 12 weeks of treatment with erlotinib (Tarceva®) and gefitinib (Iressa®) as the most recent treatment. ("Clinical benefit" and "progression" should be confirmed by computed tomography (CT) or magnetic resonance imaging (MRI). In addition, "at least 12 weeks of treatment" should be 9 weeks or more as the actual treatment period except for treatment pause due to adverse events and other reasons.)
  3. Male or female patients age >=20 years at the enrolment.
  4. Life expectancy of at least three (3) months after the start of administration of the investigational drug.
  5. Eastern Cooperative Oncology Group (ECOG) performance Score 0 or 1.
  6. Patients with at least one tumor lesion that can accurately be measured by CT or MRI in at least one dimension with longest diameter to be recorded as no less than double the slice thickness and >=10 mm.
  7. Written informed consent that is consistent with ICH-GCP guidelines.

Exclusion Criteria:

Phase II step;

1) Use of erlotinib (Tarceva®) or gefitinib (Iressa®) within two weeks before starting the study medication.

2) Radiotherapy within four weeks before enrolment. However, patients who have received definitive thoracic radiotherapy with curative intent should be excluded.

  1. Significant gastrointestinal disorders with diarrhea as a major symptom e.g., Crohn's disease, mal-absorption, or CTCAE Grade >2 diarrhea of any etiology at the enrolment.
  2. Patients with distinct / suspected pulmonary fibrosis or interstitial lung disease by the chest radiographic findings, or patients with a previous history of.
  3. Brain tumor, and / or brain metastases, which are symptomatic or requiring treatment at the enrolment.
  4. Other malignancies diagnosed within the past five years (other than carcinoma in situ of gastric cancer, colon cancer and cervical cancer, and non melanomatous skin cancer).
  5. History of uncontrolled cardiac disease such as angina or myocardial infarction within the past 6 months at the enrolment, congestive heart failure including New York Heart Association (NYHA) functional classification of 3, or arrhythmia requiring treatment.
  6. Coelomic fluid retention (such as pleural effusion, ascites or pericardial effusion) requiring treatment.
  7. Uncontrolled concomitant diseases (e.g. diabetes mellitus, hypertension etc).
  8. History of serious drug hypersensitivity.
  9. Patients who do not have sufficient baseline organ function and whose laboratory data do not meet the following criteria at the enrolment.

    • Haemoglobin count >=9.0 g/dL
    • Absolute neutrophil count (ANC) >=1500 / mm3
    • Platelet count >=100 000 / mm3
    • Serum creatinine <=1.5 mg/dL
    • Total bilirubin <=1.5 mg/dL
    • Aspartate aminotransferase (AST) and / or alanine aminotransferase (ALT) <=2.5x upper limit of normal range (if related to liver metastases <=2.5x upper limit of normal also)
    • PaO2 >=60torr or SpO2 >=92%
    • LVEF as measured by echocardiography or multigated blood pool imaging of the heart (MUGA scan) >=50%
    • QTc interval <0.47 second
  10. Patients who disagree with using a medically acceptable method of contraception during the administration of the investigational drug and for at least 6 months after the end of administration.
  11. Pregnant or breast-feeding women, or women suspected of being pregnant.
  12. Known positive HBs antigen, HCV antibody, or HIV antibody test.
  13. Known or suspected active drug or alcohol abuse.
  14. Other patients judged ineligible for enrolment in the study by the investigator (subinvestigator).
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00711594

Contacts
Contact: Boehringer Ingelheim Study Coordinator 1-800-243-0127 clintriage.rdg@boehringer-ingelheim.com

Locations
Japan
1200.33.001 Boehringer Ingelheim Investigational Site Recruiting
Chuo-ku, Tokyo, Japan
1200.33.002 Boehringer Ingelheim Investigational Site Recruiting
Sunto-gun, Shizuoka, Japan
1200.33.007 Boehringer Ingelheim Investigational Site Not yet recruiting
Fukuoka, Fukuoka, Japan
1200.33.008 Boehringer Ingelheim Investigational Site Not yet recruiting
Tokyo, Japan
1200.33.009 Boehringer Ingelheim Investigational Site Not yet recruiting
Okayama, Okayama, Japan
1200.33.010 Boehringer Ingelheim Investigational Site Not yet recruiting
Akashi, Hyogo, Japan
1200.33.011 Boehringer Ingelheim Investigational Site Not yet recruiting
Kanazawa, Ishikawa, Japan
1200.33.012 Boehringer Ingelheim Investigational Site Not yet recruiting
Sendaishi, Miyagi, Japan
1200.33.013 Boehringer Ingelheim Investigational Site Not yet recruiting
Hidaka-shi, Saitama, Japan
1200.33.006 Boehringer Ingelheim Investigational Site Not yet recruiting
Miyakojima-ku, Osaka, Japan
1200.33.015 Boehringer Ingelheim Investigational Site Not yet recruiting
Sapporo, Hokkaido, Japan
1200.33.016 Boehringer Ingelheim Investigational Site Not yet recruiting
Niigata, Niigata, Japan
1200.33.017 Boehringer Ingelheim Investigational Site Not yet recruiting
Nagoya, Aichi, Japan
1200.33.018 Boehringer Ingelheim Investigational Site Not yet recruiting
Sakai-city, Osaka, Japan
1200.33.019 Boehringer Ingelheim Investigational Site Not yet recruiting
Kobe, Hyogo, Japan
1200.33.003 Boehringer Ingelheim Investigational Site Not yet recruiting
Kashiwa, Chiba, Japan
1200.33.004 Boehringer Ingelheim Investigational Site Not yet recruiting
Nagoya, Aichi, Japan
1200.33.005 Boehringer Ingelheim Investigational Site Not yet recruiting
Osaka-Sayama, Osaka, Japan
1200.33.014 Boehringer Ingelheim Investigational Site Not yet recruiting
Yufu, Oita, Japan
Sponsors and Collaborators
Boehringer Ingelheim Pharmaceuticals
Investigators
Study Chair: Boehringer Ingelheim Boehringer Ingelheim Pharmaceuticals
  More Information

No publications provided

Responsible Party: Boehringer Ingelheim ( Boehringer Ingelheim, Study Chair )
Study ID Numbers: 1200.33
Study First Received: July 8, 2008
Last Updated: April 23, 2009
ClinicalTrials.gov Identifier: NCT00711594     History of Changes
Health Authority: Japan: Ministry of Health, Labor and Welfare

Study placed in the following topic categories:
Erlotinib
Thoracic Neoplasms
Respiratory Tract Diseases
Lung Neoplasms
Lung Diseases
Non-small Cell Lung Cancer
Gefitinib
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