Study of LY2181308 in Combination With Docetaxel Versus Docetaxel in Patients With Non-Small Cell Lung Cancer
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Purpose
The purpose of this study is to evaluate the anti-tumor activity of LY2181308 in combination with docetaxel compared to docetaxel alone in patients with non-small cell lung cancer who were previously treated with first line chemotherapy.
| Condition | Intervention | Phase |
|---|---|---|
|
Non Small Cell Lung Cancer |
Drug: Docetaxel Drug: LY2181308 |
Phase 2 |
| 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 Phase 2 Study of LY2181308 in Combination With Docetaxel Versus Docetaxel in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Who Were Previously Treated With First Line Chemotherapy |
- Change in tumor size from baseline to end of cycle 2 [ Time Frame: Baseline, end of cycle 2 ] [ Designated as safety issue: No ]
- Characterization of toxicities as defined by common terminology criteria for adverse events (CTCAE) coding [ Time Frame: Every cycle, 30 day follow up and long term follow up (every 6 weeks until progression then every 60 days for survival or until study ends) ] [ Designated as safety issue: No ]
- Progression Free Survival [ Time Frame: Randomization to the first date of progressive disease or death from any cause ] [ Designated as safety issue: No ]
- Population Pharmacokinetics,including concentration of LY2181308 and docetaxel [ Time Frame: Lead in phase, Cycle 1, Cycle 2 then every other Cycle, 30 day follow up visit ] [ Designated as safety issue: No ]Exposures as determined by AUC will be correlated with response across the study
- Overall Survival [ Time Frame: Randomization to date of death from any cause ] [ Designated as safety issue: No ]
- Time to worsening of symptoms as defined by Lung Cancer Symptom Score (LCSS) questionnaire [ Time Frame: Baseline to the worsening of symptoms (30 day follow up) ] [ Designated as safety issue: No ]
- Time of Objective tumor response of Partial Response (PR) or Complete Response (CR) [ Time Frame: Randomization to the date of first response ] [ Designated as safety issue: No ]
- Time to documented disease progression [ Time Frame: Randomization to the first date of progressive disease ] [ Designated as safety issue: No ]
- Percent of patients having a Partial Response (PR) or a Complete Response (CR) [ Time Frame: Randomization to the first date of progressive disease ] [ Designated as safety issue: No ]
- Duration of Response [ Time Frame: Time of response to progressive disease ] [ Designated as safety issue: No ]
- Change from baseline through 30 day follow up in Average Symptom Burden Index (ASBI) [ Time Frame: Baseline, 30 day follow up ] [ Designated as safety issue: No ]
- Change from baseline through 30 day follow up in Lung Cancer Symptom Scale (LCSS) [ Time Frame: Baseline, 30 day follow up ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 150 |
| Study Start Date: | May 2010 |
| Study Completion Date: | June 2012 |
| Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: LY2181308 + Docetaxel
Lead in Phase: Day -2 and Day -1 of a 2 day lead-in period: LY2181308 750 mg Cycle 1 (cycle = 21 days) Day 1, Day 6, Day 14: LY2181308 750 mg, Day 1: docetaxel 75mg/m2 Cycles 2-6 (cycle = 21 days): Day 1 through 21: LY2181308 750 mg once weekly, Day 1: Docetaxel 75mg/m2 After 6 cycles, it may be possible to continue therapy until progression of disease, unacceptable toxicity, or another withdrawal criterion is met. |
Drug: Docetaxel
Administered intravenously
Drug: LY2181308
Administered intravenously
|
|
Active Comparator: Docetaxel
Cycles 1-6 (Cycle = 21 days): Day 1: Docetaxel 75 mg/m2 After 6 cycles, it may be possible to continue therapy until progression of disease, unacceptable toxicity, or another withdrawal criterion is met. |
Drug: Docetaxel
Administered intravenously
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with non-small cell lung cancer with locally or advanced metastatic disease(Stage IIIB or IV at entry) not amenable to curative therapy and who have progressed after 1 line of chemotherapy
- Measureable disease as defined by response evaluation criteria in solid tumors (RECIST)
- ECOG Performance status of 0 to 1
- Must make available any existing tumor tissue from the primary biopsy
- Patients with prior radiation may be eligible if they meet certain criteria
- Adequate bone marrow reserve and organ functioning
- Women must have a negative pregnancy test and must comply with a highly reliable contraceptive method during and for 6 months after the treatment period. Must not be breastfeeding
- Men must comply with a contraceptive regimen during and for 6 months after the treatment period
Exclusion Criteria:
- Currently enrolled in or discontinued a clinical trial involving an investigational drug/device within the last 30 days. Patients may be permitted to enter treatment before the 30 day waiting period in special circumstances
- Pregnant or breastfeeding
- Serious concomitant systemic disorders that would compromise the safety of the patient or the patient's ability to complete the study
- Second primary malignancy that could affect compliance with the protocol or interpretation of the study results
- Known allergy or hypersensitivity to docetaxel, taxanes, LY2181308, oligonucleotides, or any component of the formulations
- Patients with documented central nervous system or brain metastasis at the time of study entry
- Pre-existing neuropathy equivalent to a common terminology criteria for adverse events(CTCAE)code greater than or equal to 2
Contacts and Locations
Show 36 Study Locations| 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: | NCT01107444 History of Changes |
| Other Study ID Numbers: | 11766, H8Z-MC-JACW, 2009-017591-24 |
| Study First Received: | April 15, 2010 |
| Last Updated: | August 9, 2012 |
| Health Authority: | United States: Food and Drug Administration Germany: Federal Institute for Drugs and Medical Devices Belgium: Federal Agency for Medicinal Products and Health Products Italy: The Italian Medicines Agency Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products United Kingdom: Medicines and Healthcare Products Regulatory Agency |
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 Docetaxel Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013