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AZD0530 in Treating Patients With Recurrent, Stage IIIB or Stage IV Non-Small Cell Lung Cancer Previously Treated With Combination Chemotherapy That Included Cisplatin or Carboplatin
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), April 2008
Sponsors and Collaborators: Princess Margaret Hospital, Canada
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00638937
  Purpose

RATIONALE: AZD0530 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase II trial is studying how well AZD0530 works in treating patients with recurrent, stage IIIB or stage IV non-small cell lung cancer previously treated with combination chemotherapy that included cisplatin or carboplatin.


Condition Intervention Phase
Lung Cancer
Drug: AZD0530
Procedure: immunoenzyme technique
Procedure: immunohistochemistry staining method
Procedure: laboratory biomarker analysis
Procedure: protein expression analysis
Phase II

MedlinePlus related topics: Cancer Lung Cancer
Drug Information available for: Carboplatin Cisplatin
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: A Phase 2 Study of AZD0530 in Patients With Advanced, Recurrent Non-Small Cell Lung Cancer Who Have Previously Received Platinum-Based Combination Chemotherapy

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Rate of disease control (freedom from disease progression) after 4 courses of treatment [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Objective response rate (complete and partial response) [ Designated as safety issue: No ]
  • Stable disease rate [ Designated as safety issue: No ]
  • Duration of response or stable disease [ Designated as safety issue: No ]
  • Progression-free, median, and overall survival at 6 months [ Designated as safety issue: No ]
  • Safety and tolerability [ Designated as safety issue: Yes ]
  • Correlation of clinical outcomes with correlative studies performed on blood and tumor biopsy samples [ Designated as safety issue: No ]

Estimated Enrollment: 32
Study Start Date: February 2008
Estimated Primary Completion Date: January 2009 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • To assess the rate of disease control (i.e., lack of disease progression, objective complete and partial response, and stable disease) in patients with recurrent, stage IIIB or IV non-small cell lung cancer treated with AZD0530.

Secondary

  • To assess the objective response rate (complete and partial response), stable disease rate, and duration of response or stable disease in patients treated with AZD0530.
  • To assess the progression-free, median, and 6-month overall survival rates in patients treated with AZD0530.
  • To assess the safety and tolerability of AZD0530 in these patients.
  • To evaluate potential predictive markers by assessing pretreatment intratumoral levels of src, Y419 phospho-src (P-Src), and c-terminal src kinase (Csk) in archival tumor biopsies.

OUTLINE: This is a multicenter study.

Patients receive oral AZD0530 once daily on days 1-28. Courses repeat every 28 days in the absence of unacceptable toxicity or disease progression.

Tumor tissue samples are collected at baseline and at 2 weeks after beginning treatment and are analyzed for c-Src protein expression and activity by immunofluorescence staining. P-glycoprotein levels and phosphorylation of focal adhesion kinase (FAK), paxillin, caveolin, and Stat-3 are also measured using tumor tissue samples. Blood samples are also used to measure levels of VEGF by ELISA.

After completion of study treatment, patients are followed every 8 weeks.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed non-small cell lung cancer, meeting both of the following criteria:

    • Locally advanced or metastatic (stage IIIB or IV) disease
    • Recurrent, unresectable disease
  • Measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded) as ≥ 20 mm with conventional techniques or as ≥ 10 mm with spiral CT scan
  • Previously treated with first-line platinum-based systemic chemotherapy for advanced disease AND had at least stabilization of disease as best response to first-line therapy

    • No more than one line of prior therapy
  • Previously treated brain metastases allowed provided they are clinically and radiologically stable and there are no neurological symptoms or requirement for steroids

PATIENT CHARACTERISTICS:

  • ECOG performance status (PS) 0-2 OR Karnofsky PS 60-100%
  • Life expectancy > 3 months
  • Platelet count ≥ 100,000/mm³
  • Leukocytes ≥ 3,000/mm³
  • Absolute neutrophil count ≥ 1,500/mm³
  • Hemoglobin > 9 g/dL (transfusion allowed)
  • Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • AST/ALT ≤ 2.5 times ULN (≤ 5 times ULN in the presence of liver metastases)
  • Creatinine ≤ 1.5 times ULN OR creatinine clearance ≥ 50 mL/min
  • Urine protein creatinine ratio ≤ 1.0 OR urine protein < 1,000 mg by 24-hour urine collection
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception prior to, during, and for 8 weeks after completion of study treatment
  • No history of allergic reactions attributed to compounds of similar chemical or biologic composition to AZD0530
  • No QTc prolongation (i.e., QTc interval ≥ 460 msec) or other significant ECG abnormalities
  • No cardiac dysfunction including, but not limited to, the following:

    • Symptomatic congestive heart failure
    • Unstable angina pectoris
    • Cardiac arrhythmia
    • History of ischemic heart disease, including myocardial infarction
  • No poorly controlled hypertension (i.e., systolic blood pressure [BP] ≥ 140 mm Hg or diastolic BP ≥ 90 mm Hg)
  • No condition that would impair the ability to swallow AZD0530 tablets (e.g., gastrointestinal tract disease resulting in an inability to take oral medication, requirement for IV alimentation, or active peptic ulcer disease)
  • No concurrent uncontrolled illness including, but not limited to, ongoing or active infection or psychiatric illness/social situation that would limit compliance with study requirements

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C), radiotherapy, or surgery and recovered
  • Prior radiotherapy to target lesions allowed provided there is disease progression
  • No prior radiotherapy to > 40% of bone marrow
  • No prior EGFR tyrosine kinase inhibitors
  • No prior surgical procedures affecting absorption
  • No CYP3A4-active agents or substances for 7 days prior to, during, and for 7 days after completion of study treatment, including any of the following:

    • Ketoconazole
    • Itraconazole
    • Ritonavir
    • Mibefradil
    • Clarithromycin
    • Saquinavir
    • Indinavir
    • Erythromycin
    • Nefazadone
    • Fluconazole
    • Diltiazem
    • Alfentanil
    • Carbamazepine
    • Cyclosporine
    • Tacrolimus
    • Lovastatin
    • Simvastatin
  • No other concurrent investigational agents
  • No other concurrent anticancer therapy
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00638937

Locations
Canada, Ontario
Margaret and Charles Juravinski Cancer Centre Recruiting
Hamilton, Ontario, Canada, L8V 5C2
Contact: Peter Ellis, MD     905-387-9495 ext. 64602        
Ottawa Hospital Regional Cancer Centre - General Campus Recruiting
Ottawa, Ontario, Canada, K1H 8L6
Contact: Scott A. Laurie, MD, FRCPC     613-737-7700 ext. 70173        
Princess Margaret Hospital Recruiting
Toronto, Ontario, Canada, M5G 2M9
Contact: Natasha Leighl, MD, FRCPC     416-946-4645        
Canada, Quebec
Royal Victoria Hospital - Montreal Recruiting
Montreal, Quebec, Canada, H3A 1A1
Contact: Vera Hirsh, MD, FRCPC     514-934-1934 ext. 36952     vera.hirsh@muhc.mcgill.ca    
Sponsors and Collaborators
Princess Margaret Hospital, Canada
Investigators
Study Chair: Scott A. Laurie, MD, FRCPC Ottawa Hospital Regional Cancer Centre - General Campus
  More Information

Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site

Study ID Numbers: CDR0000587610, PMH-PHLO-053
Study First Received: March 18, 2008
Last Updated: October 8, 2008
ClinicalTrials.gov Identifier: NCT00638937  
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
recurrent non-small cell lung cancer
stage IIIB non-small cell lung cancer
stage IV non-small cell lung cancer

Study placed in the following topic categories:
Thoracic Neoplasms
Non-small cell lung cancer
Cisplatin
Respiratory Tract Diseases
Lung Neoplasms
Lung Diseases
Carboplatin
Carcinoma, Non-Small-Cell Lung
Recurrence
Neoplasms, Glandular and Epithelial
Carcinoma

Additional relevant MeSH terms:
Respiratory Tract Neoplasms
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type

ClinicalTrials.gov processed this record on January 16, 2009