Study of Cisplatin/Vinorelbine +/- Cetuximab as First-line Treatment of Advanced Non Small Cell Lung Cancer (FLEX)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Merck KGaA
ClinicalTrials.gov Identifier:
NCT00148798
First received: September 7, 2005
Last updated: June 13, 2014
Last verified: June 2014
  Purpose

The purpose of this trial is to investigate the efficacy of cetuximab in combination with chemotherapy in comparison to chemotherapy alone in patients with advanced non small cell lung cancer who did not received prior chemotherapy. Overall survival will be taken as primary measure of efficacy.


Condition Intervention Phase
Non Small Cell Lung Cancer (NSCLC)
Drug: cetuximab + cisplatin + vinorelbine
Drug: cisplatin + vinorelbine
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: Open, Randomized, Controlled, Multicenter Phase III Study Comparing Cisplatin/Vinorelbine Plus Cetuximab Versus Cisplatin/Vinorelbine as First-line Treatment for Patients With Epidermal Growth Factor Receptor Expressing (EGFR-expressing) Advanced NSCLC.

Resource links provided by NLM:


Further study details as provided by Merck KGaA:

Primary Outcome Measures:
  • Overall Survival Time (OS) [ Time Frame: Time from randomisation to death or last day known to be alive, reported between day of first patient randomised, Oct 2004, until cut-off date 18 Jul 2007 ] [ Designated as safety issue: No ]
    Time from randomization to death. Patients without event are censored at the last date known to be alive or at the clinical cut-off date, whatever is earlier.


Secondary Outcome Measures:
  • Progression-free Survival Time [ Time Frame: Time from randomization to disease progression, death or last tumor assessment, reported between day of first patient randomised, Oct 2004, until cut-off date 18 Jul 2007 ] [ Designated as safety issue: No ]

    Duration from randomization until radiological progression (based on modified World Health Organisation (WHO) criteria) or death due to any cause.

    Only deaths within 60 days of last tumor assessment are considered. Patients without event are censored on the date of last tumor assessment.


  • Best Overall Response Rate [ Time Frame: Evaluations were performed every 6 weeks until progression, reported between day of first patient randomised, Oct 2004, until cut-off date 18 Jul 2007 ] [ Designated as safety issue: No ]
    The best overall response rate is defined as the proportion of subjects having achieved confirmed Complete Response + Partial Response as the best overall response according to radiological assessments (based on modified WHO criteria).

  • Disease Control Rate [ Time Frame: Evaluations were performed every 6 weeks until progression, reported between day of first patient randomised, Oct 2004, until cut-off date 18 Jul 2007 ] [ Designated as safety issue: No ]
    The disease control rate is defined as the proportion of subjects having achieved confirmed Complete Response + Partial Response + Stable Disease as best overall response according to radiological assessments (based on modified WHO criteria).

  • Quality of Life (QOL) Assessment European Organisation for the Research and Treatment of Cancer (EORTC) QLQ-C30 Global Health Status [ Time Frame: at baseline, at cycle 3, at month 6, reported between day of first patient randomised, Oct 2004, until cut-off date 18 Jul 2007 ] [ Designated as safety issue: No ]
    Mean global health status scores (EORTC QLQ-C30) against time for each treatment group. Scores were derived from mutually exclusive sets of items, with scale scores ranging from 0 to 100 after a linear transformation. Higher scores indicate a better QoL.

  • Quality of Life Assessment (EORTC QLQ-C30) Social Functioning [ Time Frame: at baseline, at cycle 3, at month 6, reported between day of first patient randomised, Oct 2004, until cut-off date 18 Jul 2007 ] [ Designated as safety issue: No ]
    Mean social functioning scores (EORTC QLQ-C30) against time for each treatment group. Scores were derived from mutually exclusive sets of items, with scale scores ranging from 0 to 100 after a linear transformation. Higher scores indicate a higher level of functioning.

  • A Population Pharmacokinetic (PK) Analysis for Cetuximab in Non-Small Cell Lung Cancer (NSCLC) - Serum Cetuximab Concentrations [ Time Frame: Week 1, Day 1: baseline and end of infusion; Week 7, Day 43: within 12 h after cetuximab administration. ] [ Designated as safety issue: No ]
    Population PK analysis was conducted using non-linear mixed effects modeling (NONMEM) software, integrating the PK data from this study and the Phase II study EMR 62 202-011.

  • Safety - Number of Patients Experiencing Any Adverse Event [ Time Frame: time from first dose up to 30 after last dose of study treatment, reported between day of first patient randomised, Oct 2004, until cut-off date 18 Jul 2007 ] [ Designated as safety issue: Yes ]
    Please refer to Adverse Events section for further details


Enrollment: 1861
Study Start Date: October 2004
Study Completion Date: May 2012
Primary Completion Date: July 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Cetuximab plus chemotherapy
cetuximab + cisplatin + vinorelbine
Drug: cetuximab + cisplatin + vinorelbine
cetuximab given as an intravenous (i.v.) infusion every week (400mg/m^2 initial dose and 250mg/m^2 subsequent doses) until progressive disease (PD) + cisplatin 80mg/m^2 i.v. infusion on day 1 of each 3-week cycle + vinorelbine 25mg/m^2 i.v. infusion on days 1 and 8 of each 3-week cycle.
Active Comparator: Chemotherapy alone
cisplatin + vinorelbine alone
Drug: cisplatin + vinorelbine
cisplatin 80mg/m^2 i.v. infusion on day 1 of each 3-week cycle + vinorelbine 25mg/m^2 i.v. infusion on days 1 and 8 of each 3-week cycle.

  Eligibility

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

Inclusion Criteria:

  • Diagnosis of histologically or cytologically confirmed NSCLC, stage IIIb with documented malignant pleural effusion or stage IV
  • Immunohistochemical evidence of EGFR expression on tumor tissue
  • Presence of at least 1 bi-dimensionally measurable index lesion, whereby index lesions must not lie in an irradiated area

Exclusion Criteria:

  • Previous exposure to monoclonal antibodies, signal transduction inhibitors or EGFR-targeting therapy
  • Previous chemotherapy for NSCLC
  • Documented or symptomatic brain metastasis
  • Superior vena cava syndrome contra-indicating hydration
  • Previous malignancy in the last 5 years except basal cell carcinoma of the skin or pre-invasive carcinoma of the cervix
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00148798

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Locations
Argentina
Research Site
Buenos Aires, Argentina
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Cordoba, Argentina
Australia
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Adelaide, Australia
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Melbourne, Australia
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Randwick, Australia
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Sydney, Australia
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Wodonga, Australia
Austria
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Wien, Austria
Belgium
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Bruxelles, Belgium
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Charleroi, Belgium
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Liège, Belgium
Brazil
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Porto Alegre, Brazil
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Sao Paulo, Brazil
Bulgaria
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Pleven, Bulgaria
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Sofia, Bulgaria
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Stara Zagora, Bulgaria
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Veliko Tarnovo, Bulgaria
Chile
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Antofagasta, Chile
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Santiago de Chile, Chile
Czech Republic
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Brno, Czech Republic
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Ostrava, Czech Republic
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Pilsen, Czech Republic
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Praha, Czech Republic
France
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Brest, France
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Caen, France
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Grenoble, France
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Marseille, France
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Paris, France
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Poitiers, France
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Rennes, France
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Rouen, France
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Strasbourg, France
Germany
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Augsburg, Germany
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Berlin, Germany
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Essen, Germany
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Freiburg, Germany
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Gauting, Germany
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Großhansdorf, Germany
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Göttingen, Germany
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Halle-Dölau, Germany
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Hamburg, Germany
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Heidelberg, Germany
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Köln, Germany
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Löwenstein, Germany
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Magdeburg, Germany
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Mainz, Germany
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München, Germany
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Stralsund, Germany
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Wuppertal, Germany
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Budapest, Hungary
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Nyiregyháza, Hungary
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Szombathely, Hungary
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Székesfehérvár, Hungary
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Torokbalint, Hungary
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Zalegerzeg-Pózva, Hungary
Ireland
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Carpi, Italy
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Milano, Italy
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Rome, Italy
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Rozzano-Milano, Italy
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Treviglio, Italy
Korea, Republic of
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Seoul, Korea, Republic of
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Mexico-City, Mexico
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Monterrey, Mexico
Netherlands
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Amsterdam, Netherlands
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Nieuwegeln, Netherlands
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Zwolle, Netherlands
Poland
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Bydgoszcz, Poland
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Olsztyn, Poland
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Otwock, Poland
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Posnan, Poland
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Warszawa, Poland
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Wroclaw, Poland
Russian Federation
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Moscow, Russian Federation
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St. Petersburg, Russian Federation
Singapore
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Singapore, Singapore
Slovakia
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Banska Bystrica, Slovakia
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Bratislava, Slovakia
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Nitra-Zobor, Slovakia
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Poprad, Slovakia
Spain
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Barakaldo (Bilbao), Spain
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Barcelona, Spain
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Elche Alicante, Spain
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Granollers, Spain
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Madrid, Spain
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Pamplona, Spain
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Pontevedra, Spain
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San Sebastian, Spain
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Santander, Spain
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Terrassa, Spain
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Valencia, Spain
Sweden
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Stockholm, Sweden
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Uppsala, Sweden
Switzerland
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Bern, Switzerland
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Thun, Switzerland
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Zürich, Switzerland
Taiwan
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Taipei, Tao Yuan County, Taiwan
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Taipei, Taiwan
Turkey
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Ankara, Turkey
Ukraine
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Dnipropetrovsk, Ukraine
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Kharkiv, Ukraine
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Kyiv, Ukraine
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Lviv, Ukraine
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Poltava, Ukraine
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Sumy, Ukraine
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Ternopol, Ukraine
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Uzhgorod, Ukraine
United Kingdom
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Aberdeen, United Kingdom
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Bristol, United Kingdom
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Edinburgh, United Kingdom
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Leicester, United Kingdom
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London, United Kingdom
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Newcastle upon Tyne, United Kingdom
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Poole, United Kingdom
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Sutton, United Kingdom
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Wolverhampton, United Kingdom
Sponsors and Collaborators
Merck KGaA
Investigators
Principal Investigator: Robert Pirker, Professor Universitätsklinik für Innere Medizin I, Wien
  More Information

Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Responsible Party: Merck KGaA
ClinicalTrials.gov Identifier: NCT00148798     History of Changes
Other Study ID Numbers: EMR 62202-046
Study First Received: September 7, 2005
Results First Received: August 24, 2011
Last Updated: June 13, 2014
Health Authority: Austria: Federal Ministry for Health and Women

Keywords provided by Merck KGaA:
Cetuximab
Non small cell lung cancer
Lung cancer
Cisplatin/vinorelbine
Monoclonal antibody
Erbitux

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
Cetuximab
Vinorelbine
Cisplatin
Vinblastine
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Radiation-Sensitizing Agents
Antineoplastic Agents, Phytogenic
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action

ClinicalTrials.gov processed this record on September 16, 2014