A Study to Evaluate Bevacizumab and Chemotherapy or Tarceva in Treating Recurrent or Refractory NSCLC (Non-Small Cell Lung Cancer)

NCT ID: NCT00095225

Last Updated: 2008-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

122 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-07-31

Study Completion Date

2006-11-30

Brief Summary

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This Phase II, multicenter, randomized trial is designed to make preliminary evaluations of the efficacy of combining bevacizumab with chemotherapy (docetaxel or pemetrexed) or Tarceva relative to chemotherapy (docetaxel or pemetrexed) alone in patients with previously treated advanced NSCLC.

Detailed Description

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Conditions

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Non-Small-Cell Lung Carcinoma Neoplasm Recurrence, Local

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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Avastin (bevacizumab)

Intervention Type DRUG

Tarceva (erlotinib HCl)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Signed written informed consent
* Histologically or cytologically proven Stage IIIb with pleural effusion, or Stage IV, recurrent non-squamous NSCLC that is recurrent and unresectable
* Progression after one line of platinum-based chemotherapy (patients who have received prior docetaxel treatment are eligible to participate if there are no contraindications for pemetrexed treatment)
* Progression after previous adjuvant chemotherapy, if therapy was completed \>= 6 months prior to randomization and the patient has received one line of therapy for recurrent disease
* (Optional) Availability of archival diagnostic tissue (paraffin tissue block or 2-10 unstained slides representative of the patient's primary cancer)
* ECOG performance status of 0, 1, or 2
* Life expectancy \>= 3 months
* Measurable disease in accordance with RECIST
* Age \>= 18 years
* Use of an acceptable means of contraception (potentially fertile men and women) or documentation of infertility

Exclusion Criteria

* More than 30 days of prior treatment with an investigational or marketed agent that acts by EGFR inhibition (those with 30 or fewer days on an EGFR inhibitor without disease progression are eligible for enrollment)
* Treatment with an investigational or marketed agent that acts by anti-angiogenic mechanisms
* Previous treatment with more than one platinum-based chemotherapy
* Chemotherapy or radiotherapy within 28 days prior to randomization
* History of hemoptysis (\> 1 teaspoon) or presence of a cavitary lesion
* Clinical history of Grade \> 2 hematemesis within 6 months or Grade 1 hematemesis within 28 days prior to randomization
* History of serious systemic disease, including myocardial infarction within the last 6 months, uncontrolled hypertension (blood pressure \> 150/100 mmHg on medication), unstable angina, New York Heart Association (NYHA) Grade II or greater congestive heart failure, unstable symptomatic arrhythmia requiring medication (patients with chronic atrial arrhythmia, i.e., atrial fibrillation or paroxysmal supraventricular tachycardia are eligible), or Grade II or greater peripheral vascular disease
* History or clinical evidence of CNS or brain metastases or CNS bleeding
* History or clinical evidence of hemorrhagic or thrombotic stroke within the 6 months prior to randomization
* Centrally located lesions and lesions that abut major blood vessels
* Ongoing treatment with full-dose warfarin (or its equivalent) or heparin (or its equivalent; e.g., Lovenox(R))
* In-patient surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to randomization
* Minor surgical procedure, fine needle aspirations, or core biopsy within 7 days prior to randomization
* Anticipation of need for a major surgical procedure during the course of the study
* Serious, non-healing wound, ulcer, or bone fracture
* Inability to take oral medication or requirement for IV alimentation or total parenteral nutrition with lipids, or prior surgical procedures affecting absorption
* Any of the following abnormal hematologic values (within 1 week prior to randomization): ANC \<= 1,500 cells/uL; platelet count \<= 100,000 cells/uL; Hemoglobin \<= 9.0 g/dL; International normalized ratio (INR) \&gt; 1.5 x upper limit of normal (ULN)
* For patients who will receive docetaxel, any of the following abnormal liver function tests (within 1 week prior to randomization): Serum bilirubin greater than ULN; Albumin \<= 2.5 g/dL; Serum ALT \>= 1.5 x ULN; Serum AST \>= 1.5 x ULN; Alkaline phosphatase \>= 2.5 x ULN
* Other baseline laboratory values: Serum creatinine \&gt; 2.0 x ULN; Uncontrolled hypercalcemia ( \&gt; 11.5 mg/dL); Urinary protein/creatinine ratio \>= 1 (spot urine) or clinically significant impairment of renal function; Estimated creatinine clearance \&lt; 45 mL/min (for patients who will receive pemetrexed)
* Any active systemic bacterial, fungal, or viral infection, including known hepatitis C and HIV
* Pregnant or breast-feeding
* Presence of another cancer within 5 years prior to randomization, except for adequately treated carcinoma in situ of the cervix or non-melanomatous skin cancer
* Evidence of confusion or disorientation, or history of major psychiatric illness that may impair the patient's understanding of the Informed Consent Form
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role lead

Principal Investigators

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Vince O'Neill, M.D.

Role: STUDY_DIRECTOR

Genentech, Inc.

Locations

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Comprehensive Blood and Cancer Center (TORI)

Bakersfield, California, United States

Site Status

Bay Area Cancer Research Group

Concord, California, United States

Site Status

Virginia K. Crosson Cancer Center (TORI)

Fullerton, California, United States

Site Status

California Cancer Center, Inc

Greenbrae, California, United States

Site Status

Wilshire Oncology Medical Group (TORI)

Laverne, California, United States

Site Status

Pacific Shores Medical Group (TORI)

Long Beach, California, United States

Site Status

UCLA Medical Center PVUB 3360

Los Angeles, California, United States

Site Status

Central Hematology Oncology Medical Group (TORI)

Monterey Park, California, United States

Site Status

North Valley Hematology/Oncology Medical Group (TORI)

Northridge, California, United States

Site Status

Ventura County Hematology-Oncology Specialists (TORI)

Oxnard, California, United States

Site Status

Cancer Care Associates Medical Group (TORI)

Redondo Beach, California, United States

Site Status

UC Davis Cancer Center

Sacramento, California, United States

Site Status

Kaiser Permanente/ San Diego

San Diego, California, United States

Site Status

Sansum Santa Barbara Medical Foundation Clinic (TORI)

Santa Barbara, California, United States

Site Status

Santa Barbara Hematology Oncology Medical Group, Inc (TORI)

Santa Barbara, California, United States

Site Status

Kaiser Permanente Northern CA

Vallejo, California, United States

Site Status

San Diego Cancer Center Medical Group (TORI)

Vista, California, United States

Site Status

Comprehensive Cancer Care Specialist at Boca Raton

Boca Raton, Florida, United States

Site Status

Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

The Florida Cancer Institute(TORI)

Orlando, Florida, United States

Site Status

MD Anderson Cancer Ctr- Orlando

Orlando, Florida, United States

Site Status

Hematology and Oncology of Northeast Georgia, PC (TORI)

Athens, Georgia, United States

Site Status

Medical Oncology Associates, PC (TORI)

Augusta, Georgia, United States

Site Status

Suburban Hematology-Oncology Associates (TORI)

Lawrenceville, Georgia, United States

Site Status

WellStar Cancer Research Office

Marietta, Georgia, United States

Site Status

Atlanta Cancer Care (TORI)

Roswell, Georgia, United States

Site Status

Rush-Presbyteriam

Chicago, Illinois, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Loyola Univ. Medical Center

Maywood, Illinois, United States

Site Status

Hematology Oncology Consultants

Naperville, Illinois, United States

Site Status

Oncoloy Hematology Associates of Central Illinois, PC (TORI)

Peoria, Illinois, United States

Site Status

Norton Healthcare Louisville Oncology

Louisville, Kentucky, United States

Site Status

Ochsner Cancer Inst.

New Orleans, Louisiana, United States

Site Status

Maine Center for Cancer Medicine and Blood Disorders

Scarborough, Maine, United States

Site Status

Methodist Cancer Center-Oncology Research

Omaha, Nebraska, United States

Site Status

Comprehensive Cancer Centers of Nevada (TORI)

Las Vegas, Nevada, United States

Site Status

Summit Medical Group Overlook Oncology Center

Summit, New Jersey, United States

Site Status

Cancer Research of Long Island

Great Neck, New York, United States

Site Status

Northwestern Carolina Oncology and Hematology

Hickory, North Carolina, United States

Site Status

Mid Dakota Clinic

Bismarck, North Dakota, United States

Site Status

Earle A. Chiles Research Institute

Portland, Oregon, United States

Site Status

Kaiser Permanente Northwest Region

Portland, Oregon, United States

Site Status

Univ. of Pittsburgh Cancer Center Inst.

Pittsburgh, Pennsylvania, United States

Site Status

University of Tenn. Cancer Ins

Memphis, Tennessee, United States

Site Status

The West Cancer Clinic

Memphis, Tennessee, United States

Site Status

M.D. Anderson

Houston, Texas, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Internal Medicine Associates of Yakima

Yakima, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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OSI2950g

Identifier Type: -

Identifier Source: org_study_id

NCT00098410

Identifier Type: -

Identifier Source: nct_alias

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