Erlotinib and Docetaxel in Second Line of Treatment in Patients With Non Small Cell Lung Cancer (TARSEQ)
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Purpose
This 2 arms study will compare the efficacy and safety of treatment with sequential erlotinib plus docetaxel therapy versus docetaxel alone as second line treatment in patients with recurrent non-small cell lung cancer. Patients will be randomized to receive in group 1(experimental arm): docetaxel :75 mg/m² IV day 1 every 3 weeks with erlotinib:150 mg/d per os d2-d16 and group 2 (control arm): docetaxel :75 mg/m² IV day 1 every 3 weeks.
The anticipated time on study treatment is until disease progression. Target sample size is 156.
The main of this study is to determine the relevance of the association sequential erlotinib and docetaxel in terms of progression-free survival .
| Condition | Intervention | Phase |
|---|---|---|
|
Non Small Cell Lung Cancer |
Drug: Erlotinib + docetaxel Drug: Docetaxel |
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: | Randomized Open Non Comparative Multicenter Phase II Study of Sequential Erlotinib With Docetaxel Versus Docetaxel Alone in Second Line of Treatment in Patients With Non Small Cell Lung Cancer After Failure of First Line Chemotherapy |
- Progression free survival at 15 weeks. [ Time Frame: at 15 weeks ] [ Designated as safety issue: Yes ]
- Free survival at 12 months [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
- Toxicities and feasibility [ Time Frame: 15 Weeks ] [ Designated as safety issue: Yes ]To assess toxicities and feasibility in both groups
| Estimated Enrollment: | 156 |
| Study Start Date: | May 2011 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Docetaxel |
Drug: Docetaxel
docetaxel :75 mg/m² IV day 1 every 3 weeks.
|
| Experimental: Erlotinib |
Drug: Erlotinib + docetaxel
docetaxel :75 mg/m² IV day 1 every 3 weeks with erlotinib:150 mg/d per os d2-d16
|
Detailed Description:
In this study, the patient will be randomized in group 1(experimental arm): docetaxel :75 mg/m² IV day 1 every 3 weeks with erlotinib:150 mg/d per os d2-d16 and group 2 (control arm): docetaxel :75 mg/m² IV day 1 every 3 weeks.
Assessment during treatment: Physical examination, ECG,: every 3 weeks, laboratory tests: weekly, every 3 weeks pulmonary X-ray .The CT scans:. Measurable targets are assessed by RECIST compared to the beginning of treatment: at 6 weeks (day 42 EVA 2), 12 weeks (D84 EVA 3), 15 weeks (D105 EVA 4: Evaluation of the SSP) and then every 6 weeks until progression.
Quality of life will be assessed Day 42 then every 6 weeks during chemotherapy, Tolerability will be assessed at each visit based on CTC v4.0 criteria.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically proven NSCLC (
- Mutational status of EGFR : wild type or unknown
- Stage IV disease with cytologic or histologic documentation in patients with a single easily accessible metastasis or metastatic relapses in a non irradiated region from a primary tumor treated with surgery or radiotherapy (with cytologic or histologic documentation of relapse)
- Presence of at least one measurable target lesion (one dimension) in a non irradiated region (at least 10 mm on spiral computed tomography).
- Age ≥ 18 years
- Performance status 0,1,2 exception : age > 74 years only PS 0 or 1
- Normal hepatic function
- Normal renal function
- Normal calcemia
- Normal haematological function
- Life expectancy > 12 weeks.
- Women of child bearing potential must use effective contraception.
- Men might be surgically sterile or accept to use an effective contraceptive procedure during and until 6 months after the treatment.
- Written informed consent to participate in the study.
Exclusion Criteria:
- PS > 2, exception : age > 74 years only PS ≥ 2
- Presence of another cancer
- Previous treatment with an anti egfr agent or docetaxel
- QT prolongation (>470 ms)
- Uncontrolled arterial hypertension.
- Concurrent radiotherapy, except for palliative bone irradiation.
- Stroke less than 6 months before study entry.
- Psychiatric or neurological disorders preventing the patient from understanding the nature of the trial
- Uncontrolled infection.
- Caval syndrome
- Other organic disorders preventing inclusion in the trial
- Malabsorption syndrome
- Allergy to erlotinib or one of its constituents
- Allergy to docetaxel or one of its constituents
- Pregnancy and breast-feeding
- Surgery less than two months before study entry
Contacts and Locations| Contact: Alain Vergnenegre, MD | alain.vergnenegre@unilim.fr |
| France | |
| Service de Pneumologie, CHU Angers | Recruiting |
| Angers, France, 49033 | |
| Contact: Nathalie BAIAZE, MD 33 (0) 2 41 35 58 44 NBaize@chu-angers.fr | |
| Principal Investigator: Th. Urban, MD | |
| Sub-Investigator: Y. le Guen, MD | |
| Service de pneumologie; Centre Hospitalier d'Annecy | Recruiting |
| Annecy, France, 74011 | |
| Contact: S. Hominal, MD 33 (0) 4-50-88-33-41 hominal.s@free.fr | |
| Principal Investigator: H Hominal, MD | |
| Service de Pneumologie | Recruiting |
| Beauvais, France | |
| Contact: Jacky Crequet, MD 33.3 44 11 22 23 Jacky.crequit@wanadoo.fr | |
| Sub-Investigator: Jacky crequet, MD | |
| Service de Pneumologie; Centre Hospitalier | Recruiting |
| Beauvais, France, 60 021 | |
| Contact: J. Crequit, MD 33 (0) 3 44 11 22 23 Jacky.crequit@wanadoo.fr | |
| Principal Investigator: J. Crequit, MD | |
| Sub-Investigator: E. Bouchaert, MD | |
| Service de Pneumologie | Recruiting |
| Bordeaux, France | |
| Contact: Jean-Marc VERNEJOUX, MD 33.5 56 55 64 89 jean-marc.vernejoux@chu-bordeaux.fr | |
| Principal Investigator: jean-marc Vernejoux, MD | |
| Sub-Investigator: A IZADIFAR, MD | |
| Sub-Investigator: André TAYTARD, MD | |
| CHU Brest | Recruiting |
| Brest, France | |
| Contact: G. ROBINET, MD | |
| Principal Investigator: G ROBINET, MD | |
| Service de Pneumologie | Recruiting |
| Charleville Mezière, France | |
| Contact: Stephane CHOUABE, MD 33 3 24 58 73 01 stechouabe@voila.fr | |
| Principal Investigator: Stephane Chouaib, MD | |
| Service de Pneumologie ; Centre hospitalier | Recruiting |
| Charleville-Mezieres, France, 08 000 | |
| Contact: S. Chouaibe, MD 33 (0) 3 24 58 73 01 Schouabe@ch-charleville-mezieres.fr | |
| Principal Investigator: S. Chouaibe, MD | |
| Service de Pneumologie | Recruiting |
| Créteil, France | |
| Contact: Isabelle Monnet, MD 33.1 45 17 50 14 Isabelle.Monnet@chicreteil.fr | |
| Principal Investigator: Isabelle Monnet, MD | |
| Service de Pneumologie; Centre Hospitalier | Recruiting |
| Draguignan, France, 83300 | |
| Contact: H. LE CAER, MD 33 (0)4 94 60 51 12 herve.lecaer@ch-draguignan.fr | |
| Principal Investigator: H. Lecaer, MD | |
| Service de Pneumologie | Recruiting |
| Draguignan, France | |
| Contact: Hervé Lecaer, MD 33.4.94 .60.51.12 herve.lecaer@ch-draguignan.fr | |
| Principal Investigator: Hervé Lecaer, MD | |
| Service de Pneumologie | Recruiting |
| Elbeuf, France | |
| Contact: Philippe david, MD 33.2 32 96 35 76 davidp@chi.elbeuf-louviers.rss.fr | |
| Principal Investigator: Philippe David, MD | |
| Service de Pneumologie | Recruiting |
| Gap, France | |
| Contact: P Thomas, MD 33.4 92 40 61 26 pneumologie@ch-gap.fr | |
| Principal Investigator: P Thomas, MD | |
| Département de Pathologie Respiratoire du CHU de Limoges | Recruiting |
| Limoges, France | |
| Principal Investigator: Aain VERGNENEGRE, MD | |
| Service de Pneumologie, Hôpital de la Croix Rousse | Recruiting |
| Lyon, France | |
| Contact: Maurice Perol, MD 33 4 72 07 17 28 maurice.perol@chu-lyon.fr | |
| Sub-Investigator: E Biron, MD | |
| Principal Investigator: Maurice Perol, MD | |
| Sub-Investigator: Jean-claude GUERIN, MD | |
| Service de Pneumologie-Neurologie ; Centre Hospitalier F. Quesnay | Recruiting |
| Mantes La Jolie, France, 78200 | |
| Contact: JB. Auliac, MD 33 (0)1 34 97 40 70 j-b.auliac@ch-mantes-la-jolie.rss.fr | |
| Principal Investigator: JB. Auliac, MD | |
| Département des Maladies Respiratoires ; Hôpital Sainte Marguerite | Recruiting |
| Marseille, France, 13274 | |
| Contact: C. C GIMENEZ, MD 33( 0)4 91 74 47 36 celine.gimenez@mail.ap-hm.fr | |
| Sub-Investigator: C. Gimenez, MD | |
| Sub-Investigator: F. Barlesi, MD | |
| CH de Meaux | Recruiting |
| Meaux, France | |
| Principal Investigator: Chrystèle LOCHER, MD | |
| Service de Pneumologie | Recruiting |
| Meaux, France | |
| Contact: M Grivaux, MD 331 64 35 38 56 m-grivaux@ch-meaux.fr | |
| Principal Investigator: M Grivaux, MD | |
| Service de Pneumologie | Recruiting |
| Mulhouse, France | |
| Contact: P Bombaron, MD 33.3.89.64.73.96 bombaronp@ch-mulhouse.fr | |
| Principal Investigator: p Bombaron, MD | |
| Service de Pneumologie - Hôpital St Antoine, Paris | Recruiting |
| Paris, France, 75571 | |
| Contact: Ch. Chouaid, MD 33 (0)1 49 28 25 12 christos.chouaid@sat.ap-hop-paris.fr | |
| Principal Investigator: Ch. Chouaid, MD | |
| Service de Pneumologie-Allergologie; Centre Hospitalier Général | Recruiting |
| Perigueux, France, 24019 | |
| Contact: JY. Delhoume, MD 33(0) 5 53 07 71 36 jy.delhoume@ch-perigueux.fr | |
| Principal Investigator: JY Delhoume, MD | |
| CHU Reims | Recruiting |
| Reims, France | |
| Contact: F LEBARGY, MD | |
| Principal Investigator: F LEBARGY, MD | |
| Service de Pneumologie, Hôpital Pontchailloux | Recruiting |
| Rennes, France | |
| Contact: Hervé Lena, MD 33.2 99 28 24 81 herve.lena@chu-rennes.fr | |
| Principal Investigator: Hervé Lena, MD | |
| Sub-Investigator: Chantal Belleguic | |
| Sub-Investigator: Philippe Delaval, MD | |
| Service de Pneumologie; CHG de Roanne | Recruiting |
| Roanne, France, 42300 | |
| Contact: V. Grangeon, MD 33 (0)4 77 44 30 64 valérie.grangeon@ch-roanne.fr | |
| Principal Investigator: V. Grangeon, MD | |
| Service de Pneumologie; Hôpital Bois Guillaume | Recruiting |
| Rouen, France, 76233 | |
| Contact: D. Paillotin, MD 33 (0) 2 32 88 90 83 dominique.paillotin@chu-rouen.fr | |
| Principal Investigator: D. Paillotin, MD | |
| Sub-Investigator: J.F. MUIR, MD | |
| Clinique Pneumologique; Hôpital Charles Nicolle | Recruiting |
| Rouen, France, 76031 | |
| Contact: L. Thiberville, MD 33 (0) 2 32 88 82 47 luc.thiberville@chu-rouen.fr | |
| Principal Investigator: L. Thiberville, MD | |
| Sub-Investigator: S. Bota, MD | |
| Sub-Investigator: G. Nouvet, MD | |
| Hôpital Charles Nicolle, Service de Pneumologie | Recruiting |
| Rouen, France | |
| Contact: Suzanne Bota, MD 33.2 32 88 82 47 suzane.bota@chu-rouen.fr | |
| Principal Investigator: Suzanne Bota, MD | |
| Service de Pneumologie, Hôpital Nord | Recruiting |
| saint Etienne, France | |
| Contact: P FOURNEL, MD 33 4 77 82 83 14 pierre.fournel@chu-st-etienne.fr | |
| Principal Investigator: Pierre Fournel, MD | |
| Sub-Investigator: Isabelle Court-Fortune, MD | |
| Service de Pneumologie | Recruiting |
| Villefranche, France | |
| Contact: L falchero, MD 33.4 74 09 27 23 lfalchero@ch-villefranche.fr | |
| Principal Investigator: L Falchero, MD | |
| Study Chair: | Alain Vergnengre, MD | University Hospital, Limoges |
More Information
No publications provided
| Responsible Party: | University Hospital, Limoges |
| ClinicalTrials.gov Identifier: | NCT01350817 History of Changes |
| Other Study ID Numbers: | I10004 |
| Study First Received: | May 9, 2011 |
| Last Updated: | February 27, 2013 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
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 Erlotinib Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Protein Kinase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 16, 2013