Study of Participants With Advanced Non-Small Cell Lung Cancer
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ClinicalTrials.gov Identifier: NCT00948675 |
Recruitment Status :
Completed
First Posted : July 29, 2009
Results First Posted : April 2, 2014
Last Update Posted : October 29, 2021
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Advanced Non-Small Cell Lung Cancer | Drug: Pemetrexed Drug: Carboplatin Drug: Paclitaxel Biological: Bevacizumab | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 361 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Study of Pemetrexed Plus Carboplatin Followed by Maintenance Pemetrexed vs Paclitaxel Plus Carboplatin and Bevacizumab Followed by Maintenance Bevacizumab in Patients With Advanced NCSLC of Nonsquamous Histology |
Actual Study Start Date : | September 1, 2009 |
Actual Primary Completion Date : | January 31, 2013 |
Actual Study Completion Date : | November 6, 2020 |
Arm | Intervention/treatment |
---|---|
Experimental: Pemetrexed + Carboplatin + Pemetrexed
Pemetrexed and Carboplatin followed by Pemetrexed
|
Drug: Pemetrexed
Induction therapy: 500 milligrams/square meter (mg/m²) given intravenously every 21 days for 4 cycles. Maintenance therapy: 500 mg/m² given intravenously every 21 days until disease progression or treatment discontinuation.
Other Name: ALIMTA, LY231514 Drug: Carboplatin Induction Therapy (every 21 days for 4 cycles): Area Under the Curve (AUC) 6 [maximum possible dose of 900 milligrams (mg)] intravenously infused over 30 minutes. |
Active Comparator: Paclitaxel + Carboplatin + Bevacizumab
Paclitaxel, Carboplatin, and Bevacizumab followed by Bevacizumab
|
Drug: Carboplatin
Induction Therapy (every 21 days for 4 cycles): Area Under the Curve (AUC) 6 [maximum possible dose of 900 milligrams (mg)] intravenously infused over 30 minutes. Drug: Paclitaxel Induction Therapy (every 21 days for 4 cycles): 200 mg/m² intravenously infused over 3 hours Biological: Bevacizumab Induction therapy: 15 milligrams/kilogram (mg/kg) given intravenously every 21 days for 4 cycles. Maintenance therapy: 15 mg/kg given intravenously every 21 days until disease progression or treatment discontinuation. |
- Progression Free Survival Without Grade 4 Toxicity (G4PFS) as Measured by the Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 [ Time Frame: Randomization to measured progressive disease or treatment discontinuation up to 39.49 months ]G4PFS was defined as the duration from the date of randomization to the earliest occurrence date of one of the following three events: Common Terminology Criteria (CTC) grade 4 adverse events (G4AEs), or progressive disease (PD) or death from any cause, whichever occurred earlier. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. PD is ≥20% increase in sum of longest diameter of target lesions or the appearance of new lesions. For participants who had no G4AEs, or PD, or death at the time of the data inclusion cutoff, PFS was censored at their last objective progression-free disease assessment prior to the cutoff date or the date of initiation of subsequent systemic anticancer therapy.
- Progression Free Survival (PFS) [ Time Frame: Randomization to measured progressive disease up to 39.49 months ]PFS was defined as the duration from the date of randomization to the date of progressive disease (PD) or death from any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. PD was ≥20% increase in sum of longest diameter of target lesions or the appearance of new lesions. For participants who had no PD or death at the time of the data inclusion cutoff, PFS was censored at their last objective progression-free disease assessment prior to the cutoff date or the date of initiation of subsequent systemic anticancer therapy.
- Overall Survival (OS) [ Time Frame: Randomization to date of death from any cause up to 39.49 months ]OS was defined as the duration from the date of randomization to the date of death from any cause. For participants who were alive at the time of the data inclusion cutoff, OS was censored at the last date the participant was known to be alive.
- Percentage of Participants With Complete Response or Partial Response (Overall Tumor Response Rate) [ Time Frame: Baseline to date of objective progressive disease up to 39.49 months ]Overall Response rate (ORR) was the percentage of participants with a confirmed complete response (CR) or partial response (PR), as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. CR was the disappearance of all target and non-target lesions; PR was a ≥30% decrease in sum of longest diameter of target lesions without new lesion and progression of non-target lesions. ORR was calculated as a total number of participants with CR or PR from the start of study treatment until disease progression or recurrence divided by the total number of participants treated, then multiplied by 100.
- Disease Control Rates Defined as Complete Response (CR), Partial Response (PR), and Stable Disease (SD) [ Time Frame: Baseline to date of objective progressive disease up to 39.49 months ]Disease control rate was the percentage of participants with a confirmed CR, PR or SD, as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. CR was the disappearance of all target and non-target lesions; PR was a ≥30% decrease in sum of longest diameter of target lesions without new lesion and progression of non-target lesion; SD was neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease. Disease control rate was calculated as a total number of participants with CR or PR or SD divided by the total number of participants treated, then multiplied by 100.
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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- a histologic or cytologic diagnosis of advanced non-small cell lung cancer (NSCLC) [Stage IV from the American Joint Committee on Cancer Staging Criteria (AJCC) staging system, version 7.0, including both M1a and M1b], other than predominantly squamous cell histology, that is not amenable to curative therapy. Participants may not have received any prior systemic chemotherapy, immunotherapy, targeted therapy, or biological therapy, including adjuvant therapy, for any stage of NSCLC.
- prior radiation therapy is allowed to < 25% of the bone marrow; however, prior radiation to the whole pelvis not allowed.
- good performance status.
- adequate organ function.
- estimated life expectancy of at least 12 weeks.
Exclusion Criteria:
- known central nervous system (CNS) disease, other than treated brain metastasis.
- major surgical procedure, open biopsy, open pleurodesis, or significant traumatic injury within 28 days prior to study or have an anticipated need for major surgery during the study.
- core biopsy or other minor surgical procedure, excluding placement of vascular access device, closed pleurodesis, thoracentesis, and mediastinoscopy, within 7 days prior to study.
- history of gastrointestinal fistula, perforation, or abscess, inflammatory bowel disease, or diverticulitis.
- currently receiving ongoing treatment with full-dose warfarin or equivalent
- significant vascular disease within 6 months prior to Day 1 of Cycle 1.
- evidence of bleeding diathesis or coagulopathy.
- serious concomitant systemic disorder that, in the opinion of the investigator, would compromise the participant's ability to adhere to the protocol.
- serious cardiac condition, such as myocardial infarction, angina, or heart disease.
- inadequately controlled hypertension.
- any prior history of hypertensive crisis or hypertensive encephalopathy.
- serious, nonhealing wound, active ulcer, or untreated bone fracture.
- another active malignancy, other than superficial basal cell and superficial squamous (skin) cell, or carcinoma in situ of the cervix within the last 5 years.
- previously received treatment with paclitaxel, carboplatin, pemetrexed, or bevacizumab (prior intravitreal administration of bevacizumab does not preclude study participation).
- pregnant or breast-feeding.
- history of stroke or transient ischemic attack within 6 months prior to study.
- known sensitivity to any component of paclitaxel, carboplatin, pemetrexed, or bevacizumab.
- history of hemoptysis within 3 months prior to randomization.
- unable to interrupt aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs).
- unwilling to take folic acid or vitamin B12 supplementation.
- clinically significant third-space fluid collections, for example, ascites or pleural effusions that cannot be controlled by drainage. Participants with M1a disease with pleural effusions are eligible if the effusions can be adequately controlled.
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): NCT00948675
United States, Arizona | |
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Scottsdale, Arizona, United States, 85259 | |
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Tucson, Arizona, United States, 85715 | |
United States, California | |
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Mission Hills, California, United States, 91345 | |
United States, Florida | |
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Aventura, Florida, United States, 33180 | |
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Daytona Beach, Florida, United States, 32114 | |
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Fort Myers, Florida, United States, 33916 | |
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Gainesville, Florida, United States, 32610 | |
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Jacksonville, Florida, United States, 32256 | |
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Port Saint Lucie, Florida, United States, 34952 | |
United States, Georgia | |
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Athens, Georgia, United States, 30607 | |
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Augusta, Georgia, United States, 30901 | |
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Macon, Georgia, United States, 31201 | |
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Marietta, Georgia, United States, 30060 | |
United States, Idaho | |
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Post Falls, Idaho, United States, 83854 | |
United States, Illinois | |
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Gurnee, Illinois, United States, 60031 | |
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Joliet, Illinois, United States, 60435 | |
United States, Indiana | |
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Goshen, Indiana, United States, 46526 | |
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New Albany, Indiana, United States, 47150 | |
United States, Iowa | |
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Sioux City, Iowa, United States, 51101 | |
United States, Kentucky | |
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Mount Sterling, Kentucky, United States, 40353 | |
United States, Michigan | |
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Ann Arbor, Michigan, United States, 48106 | |
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Lansing, Michigan, United States, 48910 | |
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Southfield, Michigan, United States, 48075 | |
United States, Minnesota | |
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Rochester, Minnesota, United States, 55905 | |
United States, Missouri | |
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Branson, Missouri, United States, 65616 | |
United States, Montana | |
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Billings, Montana, United States, 59107 | |
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Great Falls, Montana, United States, 59405 | |
United States, New Mexico | |
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Albuquerque, New Mexico, United States, 87106 | |
United States, North Carolina | |
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Burlington, North Carolina, United States, 27215 | |
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High Point, North Carolina, United States, 27262 | |
United States, North Dakota | |
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Bismarck, North Dakota, United States, 58501 | |
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Fargo, North Dakota, United States, 58122 | |
United States, Ohio | |
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Cincinnati, Ohio, United States, 45242 | |
United States, Oklahoma | |
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Tulsa, Oklahoma, United States, 74136 | |
United States, Pennsylvania | |
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DuBois, Pennsylvania, United States, 15801 | |
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Philadelphia, Pennsylvania, United States, 19107 | |
United States, South Carolina | |
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Columbia, South Carolina, United States, 29210 | |
United States, Tennessee | |
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Chattanooga, Tennessee, United States, 37404 | |
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Memphis, Tennessee, United States, 38119 | |
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Nashville, Tennessee, United States, 37203 | |
United States, Texas | |
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Fort Worth, Texas, United States, 76104 | |
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Houston, Texas, United States, 77030 | |
United States, Utah | |
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Salt Lake City, Utah, United States, 84106 | |
United States, Virginia | |
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Richmond, Virginia, United States, 23230 | |
United States, Washington | |
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Kennewick, Washington, United States, 99336 |
Study Director: | Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) | Eli Lilly and Company |
Responsible Party: | Eli Lilly and Company |
ClinicalTrials.gov Identifier: | NCT00948675 |
Other Study ID Numbers: |
13258 H3E-US-S130 ( Other Identifier: Eli Lilly and Company ) |
First Posted: | July 29, 2009 Key Record Dates |
Results First Posted: | April 2, 2014 |
Last Update Posted: | October 29, 2021 |
Last Verified: | October 2021 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement. |
Supporting Materials: |
Study Protocol Statistical Analysis Plan (SAP) Clinical Study Report (CSR) |
Time Frame: | Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting. |
Access Criteria: | A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement. |
URL: | https://vivli.org/ |
Advanced Non-Small Cell Lung Cancer of Nonsquamous Histology Advanced Lung Cancer Non-Small Cell Lung Cancer Lung Cancer |
Lung Neoplasms Carcinoma, Non-Small-Cell Lung Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases Respiratory Tract Diseases Carcinoma, Bronchogenic Bronchial Neoplasms Paclitaxel Bevacizumab Carboplatin Pemetrexed Antineoplastic Agents, Phytogenic |
Antineoplastic Agents Tubulin Modulators Antimitotic Agents Mitosis Modulators Molecular Mechanisms of Pharmacological Action Antineoplastic Agents, Immunological Angiogenesis Inhibitors Angiogenesis Modulating Agents Growth Substances Physiological Effects of Drugs Growth Inhibitors Enzyme Inhibitors Folic Acid Antagonists Nucleic Acid Synthesis Inhibitors |