Study of Ganetespib (STA-9090) + Docetaxel in Advanced Non Small Cell Lung Cancer (GALAXY)
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Purpose
The purpose of this study is to determine whether combining ganetespib (STA-9090) with docetaxel is more effective than docetaxel alone in the treatment of subjects with advanced non-small cell lung cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Non-small Cell Lung Cancer Stage IIIB Non-small Cell Lung Cancer Stage IV Non-small Cell Lung Cancer Metastatic |
Drug: Docetaxel Drug: Combination of ganetespib and docetaxel |
Phase 2 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, Phase IIB/III Study of Ganetespib (STA-9090) in Combination With Docetaxel Versus Docetaxel Alone in Subjects With Stage IIIb or IV Non-Small-Cell Lung Cancer |
- Progression-free survival in two co-primary populations [ Time Frame: 14 months ] [ Designated as safety issue: No ]
- Overall Response Rate [ Time Frame: 14 months ] [ Designated as safety issue: No ]ORR is the proportion of subjects who achieve tumor response
- Determine qualitative and quantitative toxicities [ Time Frame: 14 months ] [ Designated as safety issue: Yes ]AEs will be graded by NCI-CTC criteria. Tabulations of adverse events by frequency, relatedness and severity will be presented. Data will be presented by treatment arm and overall. No formal statistical analyses are planned.
- Determine plasma drug concentrations of the combination [ Time Frame: 14 months ] [ Designated as safety issue: No ]Assessed via measurement of Cmax levels.
- Evaluate Quality of Life [ Time Frame: 14 months ] [ Designated as safety issue: No ]As measured by the EORTC QLQ -C30 questionnaire
- Disease Control Rate [ Time Frame: 14 months ] [ Designated as safety issue: No ]Disease Control Rate is defined as the proportion of patients with best response, according to modified RECIST 1.1, of CR, PR or SD, where the SD must be for at least 6 weeks or 12 weeks.
- Tumor size change [ Time Frame: 14 months ] [ Designated as safety issue: No ]Tumor size changes from baseline to at least 6 and 12 weeks
- Overall survival [ Time Frame: 21 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 240 |
| Study Start Date: | May 2011 |
| Estimated Study Completion Date: | March 2014 |
| Estimated Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Single agent docetaxel |
Drug: Docetaxel
75 mg/m2 administered on Day 1 of a 3-week treatment cycle by 1-hour intravenous infusion
|
| Experimental: Combination of ganetespib and docetaxel |
Drug: Combination of ganetespib and docetaxel
Ganetespib 150 mg/m2 in combination with docetaxel 75 mg/m2. On Day 1 of each 3-week treatment cycle, ganetespib and docetaxel will be administered as separate 1-hour intravenous infusions. Ganetespib 150 mg/m2 will be administered again on Day 15 of each cycle.
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Detailed Description:
Preliminary signals of clinical activity of ganetespib as a single agent have been observed in NSCLC. A novel approach to treatment of NSCLC is the combination of Hsp90 inhibitors, such as ganetespib, and taxanes. Such combinations have shown potential for synergy in preclinical and clinical evaluations with other Hsp90 inhibitors. Preclinical studies with ganetespib and taxanes have indicated that the combination of these drugs was more effective than either drug alone at inducing cell death, and an ongoing phase 1 study indicates that the combination is well tolerated and warrants systematic evaluation in a larger study.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- confirmed diagnosis of NSCLC
- Stage IIIB or IV NSCLC
- ECOG Performance Status 0 or 1
- Prior therapy defined as 1 prior systemic therapy for advanced disease
- measurable disease
- Radiologic evidence of disease progression following most recent prior treatment.
- Adequate hematologic, hepatic, renal function
Exclusion Criteria:
- Active or untreated CNS metastases
- Active malignancies other than NSCLC within the last 5 years with the exception of adequately treated cone-biopsied in situ carcinoma of the cervix uteri or basal or squamous cell carcinoma of the skin
- Serious cardiac illness or medical conditions
- Pregnant or lactating women
- Uncontrolled intercurrent illness
Contacts and Locations
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More Information
No publications provided
| Responsible Party: | Synta Pharmaceuticals Corp. |
| ClinicalTrials.gov Identifier: | NCT01348126 History of Changes |
| Other Study ID Numbers: | 9090-08 |
| Study First Received: | May 2, 2011 |
| Last Updated: | May 13, 2013 |
| Health Authority: | United States: Food and Drug Administration Belgium: Federal Agency for Medicinal Products and Health Products Bosnia: Federal Ministry of Health Canada: Health Canada Croatia: Ministry of Health and Social Care Czech Republic: State Institute for Drug Control Germany: Federal Institute for Drugs and Medical Devices Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products Romania: National Medicines Agency Russia: Pharmacological Committee, Ministry of Health Serbia and Montenegro: Agency for Drugs and Medicinal Devices Spain: Agencia Española de Medicamentos y Productos Sanitarios Ukraine: State Pharmacological Center - Ministry of Health United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by Synta Pharmaceuticals Corp.:
|
Advanced non-small cell lung cancer NSCLC Lung cancer |
Additional relevant MeSH terms:
|
Carcinoma, Non-Small-Cell Lung Lung Neoplasms Neoplasms Neoplasms, Second Primary Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms |
Neoplasms by Site Lung Diseases Respiratory Tract Diseases Docetaxel Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 17, 2013