A Study of Alimta/Cisplatin/Gefitnib for Asian Non-smoking Patients With Non Small Cell Lung Cancer

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT01017874
First received: November 19, 2009
Last updated: May 2, 2013
Last verified: May 2013
  Purpose

The purpose of this study is to compare two different approaches to treating non small cell lung cancer in East Asian never-smoker patients. Half of the patients will receive chemotherapy (pemetrexed/cisplatin) followed by an oral anti cancer agent (gefitinib) and the other half of the patients will receive only the oral anti cancer agent (gefitinib).


Condition Intervention Phase
Non Small Cell Lung Cancer
Drug: Pemetrexed
Drug: Cisplatin
Drug: Gefitinib
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Randomized Ph 3 Study Comparing First-Line Pemetrexed/Cisplatin Followed by Gefitinib With Gefitinib Alone in East Asian Never Smoker or Light Ex-Smoker Patients With Locally Advanced or Metastatic Nonsquamous NSCLC

Resource links provided by NLM:


Further study details as provided by Eli Lilly and Company:

Primary Outcome Measures:
  • Progression free survival [ Time Frame: Every other cycle for 6 cycles then every 6 weeks from the date of randomization to the first date of measured progressive disease or death from any cause ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Overall survival [ Time Frame: Randomization to date of death from any cause ] [ Designated as safety issue: Yes ]
  • Tumour response rate [ Time Frame: Every other cycle for 6 cycles then every 6 weeks ] [ Designated as safety issue: No ]
  • Disease control rate [ Time Frame: Every other cycle for 6 cycles then every 6 weeks ] [ Designated as safety issue: No ]
  • Time to progressive disease [ Time Frame: Every other cycle for 6 cycles then every 6 weeks from the date of randomization to the first date of measured progressive disease ] [ Designated as safety issue: No ]
  • Duration of response [ Time Frame: Every other cycle for 6 cycles then every 6 weeks from the date of initial response to the date of measured progressive disease or death from any cause ] [ Designated as safety issue: No ]
  • Time to worsening of health-related quality of life (TWQ) (using the patient-rated Lung Cancer Symptom Scale) [ Time Frame: Every cycle while on-study therapy and at 3 months post last dose ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 226
Study Start Date: November 2009
Estimated Study Completion Date: October 2014
Primary Completion Date: April 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Pemetrexed + Cisplatin + Gefitinib Drug: Pemetrexed
500 mg/m2 administered intravenously on day 1 of each 21 day cycle, for 6 cycles
Other Names:
  • Alimta
  • LY231514
Drug: Cisplatin
75 mg/m2 administered intravenously on day 1 of each 21 day cycle, for 6 cycles
Drug: Gefitinib
250 mg administered orally once a day, every day of 21 day cycle, for 6 cycles
Active Comparator: Gefitinib Drug: Gefitinib
250 mg administered orally once a day, every day of 21 day cycle, for 6 cycles

  Eligibility

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

Inclusion Criteria:

  • Histological diagnosis of NSCLC with locally advanced or metastatic disease that is of non-squamous histology.
  • Patients must be "light ex-smokers" or "never-smokers".

    • "Light ex-smokers" defined as having ceased smoking for greater than or equal to 5 years and not to have exceeded 10 pack-years.
    • "Never-smokers" are defined as having smoked <100 cigarettes or equivalent during his/her lifetime.
  • Patients must be of East Asian ethnicity.
  • No prior systemic therapy for lung cancer.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

Exclusion Criteria:

  • Presence of clinically significant (by physical exam) third-space fluid collections, for example, ascites or pleural effusions that cannot be controlled by drainage or other procedures prior to study entry.
  • Any evidence of clinically active interstitial lung disease. Asymptomatic patients with chronic, stable, radiographic changes are eligible.
  • Patients whose Epiderla growth Factor Receptor (EGFR) mutation status is known prior to study entry will be excluded. Patients in which EGFR mutation testing has not been performed, or whose EGFR mutation status is unknown or inconclusive at study entry are eligible.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01017874

Locations
Hong Kong
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Kowloon, Hong Kong
Korea, Republic of
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Incheon, Korea, Republic of, 405-760
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Seoul, Korea, Republic of, 110-744
Singapore
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Singapore, Singapore, 258499
Taiwan
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Kuei Shan Hsiang, Taiwan, 33305
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Liouying/Tainan, Taiwan, 736
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Puzih City, Taiwan, 613
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Taichung, Taiwan, 407
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Taipei, Taiwan, 100
Thailand
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Bangkok, Thailand, 10700
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Chiang Mai, Thailand, 50200
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Hat Yai, Thailand, 90110
Sponsors and Collaborators
Eli Lilly and Company
Investigators
Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) Eli Lilly and Company
  More Information

No publications provided

Responsible Party: Eli Lilly and Company
ClinicalTrials.gov Identifier: NCT01017874     History of Changes
Other Study ID Numbers: 13021, H3E-CR-S131
Study First Received: November 19, 2009
Last Updated: May 2, 2013
Health Authority: Korea: Food and Drug Administration
Taiwan: Department of Health
Singapore: Health Sciences Authority
Malaysia: Ministry of Health
Thailand: Ethical Committee
China: Food and Drug Administration
Hong Kong: Department of Health

Additional relevant MeSH terms:
Carcinoma, Non-Small-Cell Lung
Lung Neoplasms
Carcinoma, Bronchogenic
Bronchial Neoplasms
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Neoplasms
Lung Diseases
Respiratory Tract Diseases
Pemetrexed
Gefitinib
Cisplatin
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Radiation-Sensitizing Agents
Physiological Effects of Drugs
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Folic Acid Antagonists
Antimetabolites, Antineoplastic
Antimetabolites
Protein Kinase Inhibitors

ClinicalTrials.gov processed this record on May 21, 2013