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Study of Amrubicin With or Without Cisplatin Versus Etoposide-cisplatin for Extensive Stage Small Cell Lung Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT00388960
Recruitment Status : Completed
First Posted : October 17, 2006
Last Update Posted : November 19, 2019
Sponsor:
Information provided by (Responsible Party):
Celgene

Brief Summary:
The purpose of the study is to document the activity and safety of single agent amrubicin, amrubicin combined with cisplatin, and etoposide combined with cisplatin as first-line treatment in extensive disease small cell lung cancer.

Condition or disease Intervention/treatment Phase
Small Cell Lung Cancer Drug: Amrubicin Drug: Cisplatin Drug: Etoposide Phase 2

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 99 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Randomized Phase II Study of Amrubicin as Single Agent or in Combination With Cisplatin Versus Etoposide-cisplatin as First-line Treatment in Patients With Extensive Stage SCLC (ES)
Actual Study Start Date : November 1, 2006
Actual Primary Completion Date : April 1, 2010
Actual Study Completion Date : December 1, 2010


Arm Intervention/treatment
Experimental: Amrubicin
Amrubicin 45mg/m<2> IV days 1, 2, 3 of each 21-day cycle until disease progression.
Drug: Amrubicin

Amrubicin 45mg/m<2> IV days 1, 2 3 of each 21-day cycle until disease progression.

Amrubicin 40mg/m<2> IV days 1, 2, 3 plus cisplatin 60mg/m<2> day 1 of each 21-day cycle until disease progression.


Experimental: Amrubicin plus Cisplatin
Amrubicin 40mg/m<2> IV days 1, 2, 3 plus cisplatin 60mg/m<2> IV day 1 of each 21-day cycle until disease progression.
Drug: Amrubicin

Amrubicin 45mg/m<2> IV days 1, 2 3 of each 21-day cycle until disease progression.

Amrubicin 40mg/m<2> IV days 1, 2, 3 plus cisplatin 60mg/m<2> day 1 of each 21-day cycle until disease progression.


Drug: Cisplatin

Amrubicin 40mg/m<2> IV days 1, 2, 3 plus Cisplatin 60mg/m<2> day 1 of each 21-day cycle until disease progression.

Cisplatin 75mg/m<2> IV day 1 plus etoposide 100mg/m<2> IV day 1 and 200mg/m<2> orally days 2, 3 or etoposide 100mg/m<2> IV days 1, 2, 3 of each 21-day cycle until disease progression.


Active Comparator: Cisplatin plus etoposide
Cisplatin 75mg/m<2> IV day 1 plus etoposide 100mg/m<2> IV day 1 and 200mg/m<2> orally days 2, 3 or etoposide 100mg/m<2> IV days 1, 2, 3 each 21-day cycle until disease progression.
Drug: Cisplatin

Amrubicin 40mg/m<2> IV days 1, 2, 3 plus Cisplatin 60mg/m<2> day 1 of each 21-day cycle until disease progression.

Cisplatin 75mg/m<2> IV day 1 plus etoposide 100mg/m<2> IV day 1 and 200mg/m<2> orally days 2, 3 or etoposide 100mg/m<2> IV days 1, 2, 3 of each 21-day cycle until disease progression.


Drug: Etoposide
Cisplatin 75mg/m<2> IV day 1 plus etoposide 100mg/m<2> IV day 1 and 200mg/m<2> orally days 2, 3 or etoposide 100mg/m<2> IV days 1, 2, 3 of each 21-day cycle until disease progression.




Primary Outcome Measures :
  1. Objective tumor response rate according to RECIST criteria measured every 2 cycles (every 6 weeks) [ Time Frame: Until Disease Progression ]

Secondary Outcome Measures :
  1. Toxicity [ Time Frame: Until 30 days after last protocol treatment ]
  2. Progression-free survival [ Time Frame: Until disease progression or death ]
  3. Overall survival [ Time Frame: Until death ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Histologically/cytologically proven small cell lung cancer
  • Extensive disease
  • Measurable disease
  • World Health Organization (WHO) performance status 0-2
  • Age 18 years or older
  • Normal baseline cardiac function
  • No prior systemic chemotherapy for small cell lung cancer
  • Adequate organ function including bone marrow, kidney, and liver
  • No history of interstitial lung disease or pulmonary fibrosis
  • No history of prior malignancy unless patient has been disease free for greater than 5 years, or the tumour was a non-melanoma skin cancer or in-situ carcinoma of the cervix
  • No pregnancy or breast feeding; patients of child-bearing potential must agree to use an appropriate method of contraception
  • Written informed consent before randomization

Exclusion criteria:

  • Pre-existing peripheral neuropathy (greater than Grade 1, CTCAE version 3.0)
  • Uncontrolled or severe cardiovascular disease
  • Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00388960


Locations
Show Show 25 study locations
Sponsors and Collaborators
Celgene
Investigators
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Principal Investigator: Mary O'Brien, MD Royal Marsden Hospital, London, UK
Publications:
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Responsible Party: Celgene
ClinicalTrials.gov Identifier: NCT00388960    
Obsolete Identifiers: NCT00424073
Other Study ID Numbers: EORTC Protocol 08062
2006-001956-11 ( EudraCT Number )
First Posted: October 17, 2006    Key Record Dates
Last Update Posted: November 19, 2019
Last Verified: November 2019
Keywords provided by Celgene:
small cell lung cancer
amrubicin
Additional relevant MeSH terms:
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Lung Neoplasms
Small Cell Lung Carcinoma
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Neoplasms
Lung Diseases
Respiratory Tract Diseases
Carcinoma, Bronchogenic
Bronchial Neoplasms
Etoposide
Amrubicin
Antineoplastic Agents
Antineoplastic Agents, Phytogenic
Topoisomerase II Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action