ZACTIMA (an Anti-EGFR / Anti-VEGF Agent) Combined With Docetaxel Compared to Docetaxel in Non-small Cell Lung Cancer

NCT ID: NCT00312377

Last Updated: 2016-09-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1690 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-05-31

Study Completion Date

2014-03-31

Brief Summary

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This large phase III clinical study is studying the effect of vandetanib (ZACTIMA) in treating non-small cell lung cancer (NSCLC). Vandetanib is a new type of agent that targets the blood supply to a cancer tumour (through it's anti-vascular endothelial growth factor receptor (VEGFR) properties) and the tumour cells themselves (through it's anti-endothelial growth factor receptor (EGFR) actions). This study will look at the effects of vandetanib in lung cancer patients who have had their cancer re-appear after treatment with standard chemotherapy.

This clinical study will test if the vandetanib anti-VEGF and anti-EGFR characteristics can deliver longer improved progression free survival and improved overall survival than docetaxel (Taxotere) alone.

All patients participating this clinical study will receive treatment with docetaxel, a commonly used treatment for recurrent non-small cell lung cancer.

In addition, some patients will also receive vandetanib (ZACTIMA), an anti-EGFR / anti-VEGF agent.

Recent clinical research shows that vascular endothelial growth factor receptor (VEGFR) inhibition, when used with standard chemotherapy, can lead to increased survival in advanced non-small cell lung cancer (NSCLC) patients.

Other research shows that epidermal growth factor receptor (EGFR) inhibitors, like erlotinib (Tarceva) can also increase overall non-small cell lung cancer survival by killing tumour cells and stopping them from dividing.

Detailed Description

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Conditions

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Non-small Cell Lung Cancer Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

Docetaxel monotherapy

Group Type ACTIVE_COMPARATOR

Docetaxel

Intervention Type DRUG

infusion

2

Vandetanib + Docetaxel

Group Type EXPERIMENTAL

Docetaxel

Intervention Type DRUG

infusion

Vandetanib

Intervention Type DRUG

oral

Interventions

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Docetaxel

infusion

Intervention Type DRUG

Vandetanib

oral

Intervention Type DRUG

Other Intervention Names

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TAXOTERE™ ZACTIMA™ ZD6474

Eligibility Criteria

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Inclusion Criteria

Lung cancer patients who answer true to the following statements are eligible to join this clinical study.

* I have a confirmed diagnosis of locally advanced or metastatic non small cell lung cancer (Stage IIIb - IV)
* I have had 1st line anti-cancer therapy. Previous treatment with Avastin (bevacizumab) in first line NSCLC is allowed.

Exclusion Criteria

Lung cancer patients who answer true to the following are NOT eligible to join this clinical study.

* I do not have non small cell lung cancer (NSCLC)
* I have received treatment with docetaxel (Taxotere). Prior treatment with paclitaxel is acceptable.
* I have received 2nd line anti-cancer therapy (For example, patients with previous 2nd line non small cell lung cancer (NSCLC) treatment with Tarceva (erlotinib, OSI-744), Alimta (pemetrexed) are not eligible)
* I have been treated with VEGFR-tyrosine kinase inhibitors (TKIs) (sunitinib, sorafenib, other VEGF TKIs). Previous treatment with Avastin (bevacizumab) in 1st line non small cell lung cancer is permitted.
* I have a history of uncontrolled irregular heartbeat
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genzyme, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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[email protected]

Role: STUDY_DIRECTOR

Sanofi

Locations

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Research Site

Fullerton, California, United States

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Los Angeles, California, United States

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Northridge, California, United States

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Colorado Springs, Colorado, United States

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Norwalk, Connecticut, United States

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Ocala, Florida, United States

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Marietta, Georgia, United States

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Joliet, Illinois, United States

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Park Ridge, Illinois, United States

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Hutchinson, Kansas, United States

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Louisville, Kentucky, United States

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Boston, Massachusetts, United States

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Ann Arbor, Michigan, United States

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St Louis, Missouri, United States

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Henderson, Nevada, United States

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Albany, New York, United States

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Armonk, New York, United States

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New York, New York, United States

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Durham, North Carolina, United States

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Hickory, North Carolina, United States

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Portland, Oregon, United States

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Austin, Texas, United States

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Houston, Texas, United States

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Ogden, Utah, United States

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Alexandria, Virginia, United States

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Salem, Virginia, United States

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Vancouver, Washington, United States

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Bahía Blanca, , Argentina

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Capital Federal, , Argentina

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Ciudad de Buenos Aires, , Argentina

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Mendoza, , Argentina

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Rosario, , Argentina

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Graz, , Austria

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Grimmenstein, , Austria

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Innsbruck, , Austria

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Linz, , Austria

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Vienna, , Austria

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Wels, , Austria

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Brussels (Jette), , Belgium

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Brussels (Woluwé-St-Lambert), , Belgium

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Edegem, , Belgium

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Genk, , Belgium

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Liège, , Belgium

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Fortaleza, , Brazil

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Goiânia, , Brazil

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Porto Alegre, , Brazil

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Rio de Janeiro, , Brazil

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São Paulo, , Brazil

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Edmonton, Alberta, Canada

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Moncton, New Brunswick, Canada

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Halifax, Nova Scotia, Canada

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Kitchener, Ontario, Canada

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London, Ontario, Canada

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Toronto, Ontario, Canada

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Laval, Quebec, Canada

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Québec, Quebec, Canada

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Beijing, , China

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Chongqing, , China

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Guangzhou, , China

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Nanjing, , China

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Shanghai, , China

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Wuhan, , China

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Herlev, , Denmark

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København Ø, , Denmark

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Odense, , Denmark

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Roskilde, , Denmark

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Vejle, , Denmark

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Bordeaux, , France

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Boulogne-Billancourt, , France

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Caen, , France

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Dijon, , France

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Nancy, , France

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Paris, , France

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Pierre-Bénite, , France

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Saint-Herblain, , France

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Bad Berka, , Germany

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Berlin, , Germany

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Cologne, , Germany

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Essen, , Germany

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Großhansdorf, , Germany

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Halle, , Germany

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Hamburg, , Germany

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Heidelberg, , Germany

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Oldenburg, , Germany

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Ulm, , Germany

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Wiesbaden, , Germany

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Athens, , Greece

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Heraklion, , Greece

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Ahmedabad, , India

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Chennai, , India

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Hyderabad, , India

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Kolkata, , India

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New Delhi, , India

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Pune, , India

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Vellore, , India

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Jakarta Timur, , Indonesia

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Yogyakarta, , Indonesia

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Ancona, , Italy

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Avellino, , Italy

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Bologna, , Italy

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Genova, , Italy

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Mantova, , Italy

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Napoli, , Italy

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Orbassano, , Italy

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Parma, , Italy

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Perugia, , Italy

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Pisa, , Italy

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Reggio Emilia, , Italy

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Akashi-shi, , Japan

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Fukuoka, , Japan

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Isehara-shi, , Japan

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Kobe, , Japan

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Kōtoku, , Japan

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Kumamoto, , Japan

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Matsuyama, , Japan

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Nagoya, , Japan

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Okayama, , Japan

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Okazaki-shi, , Japan

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Osaka, , Japan

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Osakasayama-shi, , Japan

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Sakaishi, , Japan

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Sapporo, , Japan

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Shinjuku-ku, , Japan

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Sunto-gun, , Japan

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Toyonaka, , Japan

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Ube-shi, , Japan

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Utsunomiya, , Japan

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Yokohama, , Japan

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George Town, , Malaysia

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Kampung Baharu Nilai, , Malaysia

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Kubang Kerian, , Malaysia

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Durango, , Mexico

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Morelia, , Mexico

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Toluca, , Mexico

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's-Hertogenbosch, , Netherlands

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Amsterdam, , Netherlands

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Groningen, , Netherlands

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Maastricht, , Netherlands

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Coimbra, , Portugal

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Funchal, , Portugal

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Lisbon, , Portugal

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Porto, , Portugal

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Vila Nova de Gaia, , Portugal

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Singapore, , Singapore

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Seoul, , South Korea

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A Coruña, , Spain

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Alicante, , Spain

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Madrid, , Spain

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Málaga, , Spain

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Zaragoza, , Spain

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Chiang Mai, , Thailand

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Ankara, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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Hanoi, , Vietnam

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Ho Chi Minh City, , Vietnam

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Countries

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United States Argentina Austria Belgium Brazil Canada China Denmark France Germany Greece India Indonesia Italy Japan Malaysia Mexico Netherlands Portugal Singapore South Korea Spain Thailand Turkey (Türkiye) Vietnam

References

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Lombard A, Mistry H, Aarons L, Ogungbenro K. Dose individualisation in oncology using chemotherapy-induced neutropenia: Example of docetaxel in non-small cell lung cancer patients. Br J Clin Pharmacol. 2021 Apr;87(4):2053-2063. doi: 10.1111/bcp.14614. Epub 2020 Dec 19.

Reference Type DERIVED
PMID: 33075149 (View on PubMed)

Platt A, Morten J, Ji Q, Elvin P, Womack C, Su X, Donald E, Gray N, Read J, Bigley G, Blockley L, Cresswell C, Dale A, Davies A, Zhang T, Fan S, Fu H, Gladwin A, Harrod G, Stevens J, Williams V, Ye Q, Zheng L, de Boer R, Herbst RS, Lee JS, Vasselli J. A retrospective analysis of RET translocation, gene copy number gain and expression in NSCLC patients treated with vandetanib in four randomized Phase III studies. BMC Cancer. 2015 Mar 23;15:171. doi: 10.1186/s12885-015-1146-8.

Reference Type DERIVED
PMID: 25881079 (View on PubMed)

Heymach JV, Lockwood SJ, Herbst RS, Johnson BE, Ryan AJ. EGFR biomarkers predict benefit from vandetanib in combination with docetaxel in a randomized phase III study of second-line treatment of patients with advanced non-small cell lung cancer. Ann Oncol. 2014 Oct;25(10):1941-1948. doi: 10.1093/annonc/mdu269. Epub 2014 Jul 23.

Reference Type DERIVED
PMID: 25057173 (View on PubMed)

Herbst RS, Sun Y, Eberhardt WE, Germonpre P, Saijo N, Zhou C, Wang J, Li L, Kabbinavar F, Ichinose Y, Qin S, Zhang L, Biesma B, Heymach JV, Langmuir P, Kennedy SJ, Tada H, Johnson BE. Vandetanib plus docetaxel versus docetaxel as second-line treatment for patients with advanced non-small-cell lung cancer (ZODIAC): a double-blind, randomised, phase 3 trial. Lancet Oncol. 2010 Jul;11(7):619-26. doi: 10.1016/S1470-2045(10)70132-7.

Reference Type DERIVED
PMID: 20570559 (View on PubMed)

Other Identifiers

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6474IL/0032

Identifier Type: -

Identifier Source: secondary_id

2005-004749-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D4200C00032

Identifier Type: -

Identifier Source: org_study_id

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