Study Comparing Amrubicin Versus Topotecan in Patients With Small Cell Lung Cancer Who Have Responded to Prior Therapy.

NCT ID: NCT00319969

Last Updated: 2009-09-30

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

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2009-01-31

Brief Summary

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The purpose of the study is to evaluate the objective tumor response rate of amrubicin or standard topotecan therapy when administered as second-line therapy to ED-SCLC patients who have chemotherapy sensitive recurrent or progressive.

Detailed Description

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Conditions

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Small Cell Lung Cancer

Keywords

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small cell lung cancer amrubicin

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

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

Group Type EXPERIMENTAL

Amrubicin

Intervention Type DRUG

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

2

Topotecan 1.5mg/m\<2\> IV, days 1, 2, 3, 4, 5 of each 21-day cycle until disease progression.

Group Type ACTIVE_COMPARATOR

Topotecan

Intervention Type DRUG

Topotecan 1.5mg/m\<2\> IV days 1, 2, 3, 4, 5 of each 21-day cycle until disease progression.

Interventions

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Amrubicin

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

Intervention Type DRUG

Topotecan

Topotecan 1.5mg/m\<2\> IV days 1, 2, 3, 4, 5 of each 21-day cycle until disease progression.

Intervention Type DRUG

Other Intervention Names

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Hycamtin(R)

Eligibility Criteria

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Inclusion Criteria

* Histological or cytological diagnosis of SCLC
* Extensive disease (ED) at time of study entry
* Response to first-line platinum-based chemotherapy
* Recurrent or progressive SCLC ≥90 days after completion of first-line therapy
* At least 18 years of age
* ECOG Performance Status of 0, 1, or 2
* Measurable disease defined by RECIST criteria

* Measurable disease: The presence of at least one measurable lesion. If only one lesion is present, the neoplastic nature of the disease site should be confirmed by histology and/or cytology.
* Measurable lesion: Lesions that can be accurately measured in at least one dimension with the longest diameter ≥20mm using conventional techniques or ≥10mm using spiral CT scans.

CT (including spiral CT) scans and MRI are the preferred methods of measurement; however, chest x-rays are acceptable if the leions are clearly defined and surrounded by aerated lung. Clinically detected lesions will only be considered measurable when they are superficial (eg., skin nodules and palpable lymph nodes). For the case of skin lesions, documentation by color photography, including a ruler to estimate the size of the lesion is required.

* Adequate organ function including the following:

* Adequate bone marrow reserve: absolute neutrophil (segmented and bands) count (ANC) ≥1500 cells/μL, platelet count ≥100,000 cells/μL and hemoglobin ≥9 g/dL
* Hepatic: bilirubin ≤1.5 X ULN; alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤3.0 X ULN
* Renal: serum creatinine \<2.0mg/dL or calculated creatinine clearance \>60mL/min
* Cardiac: Left ventricular ejection fraction (LVEF) ≥50%
* Negative serum pregnancy test at the time of enrollment for women of child-bearing potential. For men and women of child-producing potential, use of effective contraceptive methods during the study.
* Ability to understand the requirements of the study, provide written informed consent and authorization of use and disclosure of protected health information, and agree to abide by the study restrictions and to return for the required assessments

Exclusion Criteria

* Pregnant or nursing women
* Chest radiotherapy within the previous 28 days or other radiotherapy within the previous 14 days. Recovery from the acute toxic effects of radiation required prior to study enrollment. Measurable lesions that have been previously irradiated must be enlarging to be considered target lesions. Prior radiation therapy allowed to \<25% of the bone marrow.
* More than 1 prior chemotherapy regimen for SCLC
* Prior anthracycline treatment
* Participation in any investigational drug study within 28 days prior to study entry
* Patients with second primary malignancy (except in situ carcinoma of the cervix or adequately treated nonmelanomatous carcinoma of the skin or other malignancy treated at least 5 years previously with no evidence of recurrence; prior low grade \[Gleason score ≤6\] localized prostate cancer is allowed)
* Concurrent severe or uncontrolled medical disease (i.e., active systemic infection, diabetes, hypertension, coronary artery disease, congestive heart failure) that, in the opinion of the Investigator, would compromise the safety of the patient or compromise the ability of the patient to complete the study.
* Symptomatic central nervous system metastases. Patients with asymptomatic brain metastases are allowed. The patient must be stable after radiotherapy for ≥2 weeks and off corticosteroids for ≥1 week.
* History of interstitial lung disease or pulmonary fibrosis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celgene Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Pharmion Corporation

Principal Investigators

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Richard S Ungerleider, MD

Role: STUDY_DIRECTOR

Theradex

Locations

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Birmingham Hematology & Oncology

Birmingham, Alabama, United States

Site Status

Hematology Oncology Associates

Phoenix, Arizona, United States

Site Status

Alta Bates Medical Center - Comprehensive Cancer Center

Berkeley, California, United States

Site Status

Moores UCSD Cancer Center

La Jolla, California, United States

Site Status

Rocky Mountain Cancer Center - Denver

Denver, Colorado, United States

Site Status

Rocky Mountain Cancer Center - Sky Ridge

Lone Tree, Colorado, United States

Site Status

Ocala Oncology Center

Ocala, Florida, United States

Site Status

Cancer Centers of Florida, PA

Ocoee, Florida, United States

Site Status

John B. Amos Cancer Center

Columbus, Georgia, United States

Site Status

Cancer Care & Hematology Specialists of Chicago

Niles, Illinois, United States

Site Status

Oncology & Hematology of Central Illinois

Peoria, Illinois, United States

Site Status

Blessing Cancer Center

Quincy, Illinois, United States

Site Status

Central Indiana Cancer Centers

Indianapolis, Indiana, United States

Site Status

Hope Center

Terre Haute, Indiana, United States

Site Status

Norton Healthcare - Louisville Oncology

Louisville, Kentucky, United States

Site Status

Sinai Hospital of Baltimore

Baltimore, Maryland, United States

Site Status

Johns Hopkins Hospital - The Bunting Blaustein Cancer Research Building

Baltimore, Maryland, United States

Site Status

Maryland Oncology Hematology, PA

Columbia, Maryland, United States

Site Status

Alliance Hematology Oncology, PA - Carroll County Cancer Center

Westminster, Maryland, United States

Site Status

Minnesota Oncology Hematology, PA

Minneapolis, Minnesota, United States

Site Status

Missouri Cancer Associates

Columbia, Missouri, United States

Site Status

St. Joseph Oncology, Inc.

Saint Joseph, Missouri, United States

Site Status

Hematology/Oncology Consultants

St Louis, Missouri, United States

Site Status

Arch Medical Services - Center for Cancer Care & Research

St Louis, Missouri, United States

Site Status

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status

New York Oncology Hematology, PC

Albany, New York, United States

Site Status

SUNY Upstate Medical University - Regional Oncology Center

Syracuse, New York, United States

Site Status

Northwestern Carolina Oncology & Hematology

Hickory, North Carolina, United States

Site Status

Cancer Centers of North Carolina

Raleigh, North Carolina, United States

Site Status

Willamette Valley Cancer Center

Eugene, Oregon, United States

Site Status

Northwest Cancer Specialists

Portland, Oregon, United States

Site Status

Medical Oncology Associates

Kingston, Pennsylvania, United States

Site Status

Cancer Centers of the Carolinas

Greenville, South Carolina, United States

Site Status

Texas Oncology Cancer Center

Austin, Texas, United States

Site Status

Texas Cancer Center at Medical City

Dallas, Texas, United States

Site Status

Texas Oncology, PA

Dallas, Texas, United States

Site Status

Texas Oncology - Sammons Cancer Center

Dallas, Texas, United States

Site Status

Texas Oncology, PA

Fort Worth, Texas, United States

Site Status

Alison Cancer Center

Midland, Texas, United States

Site Status

West Texas Cancer Center

Odessa, Texas, United States

Site Status

Tyler Cancer Center

Tyler, Texas, United States

Site Status

Texas Oncology Cancer Care & Research Center

Waco, Texas, United States

Site Status

Texas Oncology, PA - Deke Slayton Cancer Center

Webster, Texas, United States

Site Status

Virginia Oncology Associates

Norfolk, Virginia, United States

Site Status

Oncology & Hematology Associates of SW Virginia, Inc.

Salem, Virginia, United States

Site Status

Puget Sound Cancer Center

Seattle, Washington, United States

Site Status

Northwest Cancer Specialists - Vancouver Cancer Center

Vancouver, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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CNF3140-SCLC-05004

Identifier Type: -

Identifier Source: org_study_id