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| Sponsor: | Fatebenefratelli and Ophthalmic Hospital |
|---|---|
| Collaborators: |
Mario Negri Institute for Pharmacological Research Niguarda Hospital |
| Information provided by (Responsible Party): | Scanni Alberto, Fatebenefratelli and Ophthalmic Hospital |
| ClinicalTrials.gov Identifier: | NCT00637910 |
Purpose
The aim of this study is to assess the superiority of docetaxel in comparison to erlotinib in second line in wild-type EGFR tumour patients.
| Condition | Intervention | Phase |
|---|---|---|
|
Non Small Cell Lung Cancer (NSCLC) |
Drug: Erlotinib Drug: Docetaxel |
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: | Optimization of Erlotinib for the Treatment of Patients With Advanced Non Small Cell Lung Cancer: an Italian Randomized Trial |
| Estimated Enrollment: | 850 |
| Study Start Date: | November 2007 |
| Estimated Study Completion Date: | February 2013 |
| Estimated Primary Completion Date: | February 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Erlotinib Arm |
Drug: Erlotinib
Erlotinib 150 mg/day per os until disease progression or unacceptable toxicity develops
Other Name: Tarceva
|
| Active Comparator: Docetaxel Arm |
Drug: Docetaxel
Docetaxel 75 mg/mq on day 1, every 21 days (3-weekly schedule) or Docetaxel 35 mg/mq 0n day 1,8 and 15 every 28 days (weekly schedule). _Until disease progression or unacceptable toxicity develops
Other Name: Taxotere
|
Erlotinib is registered in all patients affected with NSCLC in second and subsequent lines with a small benefit on Overall Survival. Recent evidence suggest that patients with EGFR mutations have a clear benefit when they are treated with EGFR tyrosine kinase inhibitors, while the role of these drugs in wild-type EGFR patients, that are representing the large majority (about 85-90%), is still unclear and no properly planned trials assessed before this issue. Recently, indirect evidence on subgroup analyses on randomized trial suggest that chemotherapy might be superior to erlotinib in wild-type EGFR patients.
Moreover, several authors do not recommend the use of EGFR determined with immunohistochemistry (IHC) or FISH because they do not reproducibly predict outcome.
For these reasons the protocol was amended in May 2011 in a superiority trial of docetaxel versus erlotinib, while the first version was aimed to assess the interaction with biomarkers.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Contact: Marina C Garassino, MD | +39 0263632223 | marina.garassino@fbf.milano.it |
| Contact: Serena Girelli, Biologist | +39 0263632223 | datamanager@fbf.milano.it |
Show 105 Study Locations| Principal Investigator: | Alberto Scanni, MD | Fatebenefratelli and Ophthalmic Hospital |
More Information
| Responsible Party: | Scanni Alberto, Alberto Scanni MD, Fatebenefratelli and Ophthalmic Hospital |
| ClinicalTrials.gov Identifier: | NCT00637910 History of Changes |
| Other Study ID Numbers: | FARM6F5JER, 2007-004786-17 |
| Study First Received: | March 12, 2008 |
| Last Updated: | February 23, 2012 |
| Health Authority: | Italy: Ethics Committee Italy: Ministry of Health Italy: National Bioethics Committee Italy: National Institute of Health Italy: National Monitoring Centre for Clinical Trials - Ministry of Health Italy: The Italian Medicines Agency |
|
Advanced NSCLC EGFR EGFR copy number Kras mutations |
EGRF mutations Docetaxel Erlotinib Polymorphisms |
|
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 |